Evidence map›Paper›PMID 25974071›Full record

Trial reportPloS one2015

A multicenter, randomized, controlled trial of osteopathic manipulative treatment on preterms.

Francesco Cerritelli, Gianfranco Pizzolorusso, Cinzia Renzetti, Vincenzo Cozzolino, Marianna D'Orazio, Mariacristina Lupacchini, Benedetta Marinelli, Alessandro Accorsi, Chiara Lucci, Jenny Lancellotti and 9 more

Registry-linked trialOpen access · goldAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in PloS one, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04652063 (Using Osteopathic Manipulative Medicine on Preterm Infants in the Neonatal Intensive Care Unit to Reduce Neuromotor Developmental Delays), which is not on this map. Cited by 24 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 4 pooled it
8.6field-weighted citation impact, top 3% 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.

NCT04652063 nacompletednot on this mapstarted 2021, after this paper: background citation

Using Osteopathic Manipulative Medicine on Preterm Infants in the Neonatal Intensive Care Unit to Reduce Neuromotor Developmental Delays

TypeinterventionalSponsorUniversity of RochesterRan2021 to 2023Enrolled150ConditionsExtreme Prematurity, Neurodevelopmental AbnormalityArmsOsteopathic Manipulative Medicine
3 · Its place in the literature

Who cites it

24 citing papers in PubMed, 4 syntheses or guidelines pooled it, 56 citations in OpenAlex.

  1. Pooled it
  2. Manual therapy for the pediatric population: a systematic review.BMC complementary and alternative medicine · 2019
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

19 authors at 4 institutions in 1 country.

Francesco CerritelliClinical-based Human Research Department, Centre for Osteopathic Medicine-C.O.ME. Collaboration, Pescara, Italy; Accademia Italiana Osteopatia Tradizionale, Pescara, Italy.
Gianfranco PizzolorussoAccademia Italiana Osteopatia Tradizionale, Pescara, Italy.
Cinzia RenzettiAccademia Italiana Osteopatia Tradizionale, Pescara, Italy.
Vincenzo CozzolinoAccademia Italiana Osteopatia Tradizionale, Pescara, Italy.
Marianna D'OrazioAccademia Italiana Osteopatia Tradizionale, Pescara, Italy.
Mariacristina LupacchiniAccademia Italiana Osteopatia Tradizionale, Pescara, Italy.
Benedetta MarinelliAccademia Italiana Osteopatia Tradizionale, Pescara, Italy.
Alessandro AccorsiClinical-based Human Research Department, Centre for Osteopathic Medicine-C.O.ME. Collaboration, Pescara, Italy; Accademia Italiana Osteopatia Tradizionale, Pescara, Italy.
Chiara LucciClinical-based Human Research Department, Centre for Osteopathic Medicine-C.O.ME. Collaboration, Pescara, Italy; Accademia Italiana Osteopatia Tradizionale, Pescara, Italy.
Jenny LancellottiAccademia Italiana Osteopatia Tradizionale, Pescara, Italy.
Silvia BallabioNeonatal Intensive Care Unit-Desio Public Hospital, Desio, Italy.
Carola CastelliNeonatal Intensive Care Unit-Desio Public Hospital, Desio, Italy.
Daniela MolteniNeonatal Intensive Care Unit-Desio Public Hospital, Desio, Italy.
Roberto BesanaNeonatal Intensive Care Unit-Desio Public Hospital, Desio, Italy.
Lucia TubaldiNeonatal Intensive Care Unit-Macerata Public Hospital, Macerata, Italy.
Francesco Paolo PerriNeonatal Intensive Care Unit-Macerata Public Hospital, Macerata, Italy.
Paola FusilliNeonatal Intensive Care Unit-Pescara Public Hospital, Pescara, Italy.
Carmine D'InceccoNeonatal Intensive Care Unit-Pescara Public Hospital, Pescara, Italy.
Gina BarlafanteAccademia Italiana Osteopatia Tradizionale, Pescara, Italy.
Accademia Italiana Medicina Osteopatica · ITAzienda USL di Pescara · ITCenter for Outcomes Research and Clinical Epidemiology · ITUniversity of Macerata · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDespite some preliminary evidence, it is still largely unknown whether osteopathic manipulative treatment improves preterm clinical outcomes. MATERIALS AND

methodsThe present multi-center randomized single blind parallel group clinical trial enrolled newborns who met the criteria for gestational age between 29 and 37 weeks, without any congenital complication from 3 different public neonatal intensive care units. Preterm infants were randomly assigned to usual prenatal care (control group) or osteopathic manipulative treatment (study group). The primary outcome was the mean difference in length of hospital stay between groups.

resultsA total of 695 newborns were randomly assigned to either the study group (n= 352) or the control group (n=343). A statistical significant difference was observed between the two groups for the primary outcome (13.8 and 17.5 days for the study and control group respectively, p<0.001, effect size: 0.31). Multivariate analysis showed a reduction of the length of stay of 3.9 days (95% CI -5.5 to -2.3, p<0.001). Furthermore, there were significant reductions with treatment as compared to usual care in cost (difference between study and control group: 1,586.01€; 95% CI 1,087.18 to 6,277.28; p<0.001) but not in daily weight gain. There were no complications associated to the intervention.

conclusionsOsteopathic treatment reduced significantly the number of days of hospitalization and is cost-effective on a large cohort of preterm infants.

Indexed as

Cost-Benefit AnalysisFemaleHumansInfant, NewbornInfant, PrematureIntensive Care Units, NeonatalLength of StayMaleManipulation, OsteopathicSingle-Blind MethodTreatment OutcomeWeight Gain

Identifiers

PMID25974071
PMCPMC4431716
OpenAlexW258316182

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

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.