Evidence map›Paper›PMID 25785012›Full record

ArticleInternational journal of clinical and experimental medicine2015

Steroid-antivirals treatment versus steroids alone for the treatment of Bell's palsy: a meta-analysis.

Yabing Dong, Yong Zhu, Chuan Ma, Huaqiang Zhao

Open access · greenAbstract read
In one paragraph

Article in International journal of clinical and experimental medicine, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
1.6field-weighted citation impact, top 18% 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

3 citing papers in PubMed, 1 synthesis or guideline pooled it, 13 citations in OpenAlex.

  1. Antiviral treatment for Bell's palsy (idiopathic facial paralysis).The Cochrane database of systematic reviews · 2019
    Pooled it
  2. Review
  3. Review
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

4 authors at 1 institution in 1 country.

Yabing DongCollege of Stomatology, Shandong University Number 44, Wen Hua Xi Lu, Jinan 250012, Shandong Province, China ; Shandong Provincial Key Laboratory of Oral Biomedicine Number 44, Wen Hua Xi Lu, Jinan 250012, Shandong Province, China.
Yong ZhuCollege of Stomatology, Shandong University Number 44, Wen Hua Xi Lu, Jinan 250012, Shandong Province, China ; Shandong Provincial Key Laboratory of Oral Biomedicine Number 44, Wen Hua Xi Lu, Jinan 250012, Shandong Province, China.
Chuan MaCollege of Stomatology, Shandong University Number 44, Wen Hua Xi Lu, Jinan 250012, Shandong Province, China ; Shandong Provincial Key Laboratory of Oral Biomedicine Number 44, Wen Hua Xi Lu, Jinan 250012, Shandong Province, China.
Huaqiang ZhaoCollege of Stomatology, Shandong University Number 44, Wen Hua Xi Lu, Jinan 250012, Shandong Province, China.
Shandong University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTo illustrate whether the steroid-antivirals treatment could acquire a better recovery in patients with Bell's palsy than the steroids alone treatment. MATERIALS AND

methodsWe conducted an exhaustive search over Pub med/Medline, Ovid, Elsevier search engines and the Cochrane library thereby collecting the randomized controlled trials in the treatment of patients with Bell's palsy with steroid-antivirals and steroids. The qualities of relevant articles were assessed by GRADE, which was used to present the overall quality of evidence as recommended by the Cochrane Handbook for Systematic Reviews of Interventions.

resultsTwo investigators evaluated these papers independently, and resolved the disagreements by discussion. At last 8 eligible papers (1816 patients included: 896 treated with steroid-antivirals and 920 treated with steroids alone) match the criteria. Owing to the result (chi(2) = 12.57, P = 0.08, I(2) = 44%) presented by the formal test for heterogeneity, the fixed effect meta-analysis model was chosen. The facial muscle recovery between the steroids-antivirals group and the steroids alone group show significant differences (OR = 1.52, 95% CI: 1.20-1.94), while the statistical outcome of adverse effect shows no statistical significance (OR = 1.28, 95% CI: 0.71-2.31).

conclusionsThe present meta-analysis indicates that the steroid-antivirals treatment could improve the recovery rate in patients with Bell's palsy when comparing with the steroid alone treatment. CLINICAL SIGNIFICANCE: This meta-analysis showed that the steroid-antivirals treatment achieved the better outcomes in patients with Bell's palsy. Clinicians should consider that steroid-antivirals therapy is an alternative choice for the patients with Bell's palsy.

Indexed as

Bell’s palsymeta-analysisSteroid-antiviralssteroids

Identifiers

PMID25785012
PMCPMC4358467
OpenAlexW1578654404

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.