Evidence map›Paper›PMID 23885151›Full record

ArticleWorld journal of gastroenterology2013

Therapeutic efficacy of baclofen in refractory gastroesophageal reflux-induced chronic cough.

Xiang-Huai Xu, Zhong-Min Yang, Qiang Chen, Li Yu, Si-Wei Liang, Han-Jing Lv, Zhong-Min Qiu

Open access · bronzeAbstract read
In one paragraph

Article in World journal of gastroenterology, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 3 pooled it
4.3field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

23 citing papers in PubMed, 3 syntheses or guidelines pooled it, 48 citations in OpenAlex.

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  17. Diagnosis and treatment of patients with nonacid gastroesophageal reflux-induced chronic cough.Journal of research in medical sciences : the official journal of Isfahan University of Medical Sciences · 2015
    Review
  18. Cough event classification by pretrained deep neural network.BMC medical informatics and decision making · 2015
    Article
  19. Article
  20. Gastro-esophageal reflux induced cough with airway hyperresponsiveness.International journal of clinical and experimental medicine · 2014
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 1 institution in 1 country.

Xiang-Huai XuDepartment of Respiratory Medicine, Tongji Hospital, Tongji University School of Medicine, Shanghai 200065, China.
Zhong-Min Yang
Qiang Chen
Li Yu
Si-Wei Liang
Han-Jing Lv
Zhong-Min Qiu
Tongji University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimTo evaluate the efficacy and safety of baclofen for treatment of refractory gastroesophageal reflux-induced chronic cough (GERC) unresponsive to standard anti-reflux therapy.

methodsSixteen patients with refractory GERC were given an 8-wk course of baclofen 20 mg three times a day as an add-on therapy to omeprazole. Changes in the cough symptom score, cough threshold to capsaicin, reflux symptom score and possible adverse effects were determined after treatment. The variables of multi-channel intraluminal impedance combined with pH monitoring were compared between responders and non-responders to baclofen.

resultsTwelve of 16 patients completed treatment. Cough disappeared or improved in 56.3% (9/16) of patients, including 6 patients with acid reflux-induced cough (66.7%) and 3 patients with non-acid reflux-induced cough (33.3%). With baclofen treatment, the cough symptom score began to decrease at week 2, was clearly decreased at week 6 and reached a minimum at week 8. At the end of therapy, the lowest concentration of capsaicin required for induction of ≥ 2 and ≥ 5 coughs increased from 0.98 (1.46) to 1.95 (6.82) μmol/L (Z = -2.281, P = 0.024) and from 1.95 (7.31) to 7.8 (13.65) μmol/L (Z = -2.433, P = 0.014), respectively, and the reflux symptom score decreased from 8.0 ± 1.6 to 6.8 ± 0.8 (t = 2.454, P = 0.023). The number of acid reflux episodes was significantly lower in responders than in non-responders. The main adverse effects were somnolence, dizziness and fatigue.

conclusionBaclofen is a useful, but suboptimal treatment option for refractory GERC.

Indexed as

AdultBaclofenCapsaicinCohort StudiesCoughDomperidoneEsophageal pH MonitoringFemaleGastroesophageal RefluxHumansHydrogen-Ion ConcentrationMaleMiddle AgedMuscle Relaxants, CentralOmeprazoleProton Pump InhibitorsBaclofenCapsaicinDomperidoneMuscle Relaxants, CentralOmeprazoleProton Pump InhibitorsBaclofenCoughEsophageal pH monitoringGastroesophageal refluxProton pump inhibitors

Identifiers

PMID23885151
PMCPMC3718908
OpenAlexW2048003505

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.