Evidence map›Paper›PMID 26509502›Full record

SynthesisPloS one2015

The Efficacy and Safety of the Probiotic Bacterium Lactobacillus reuteri DSM 17938 for Infantile Colic: A Meta-Analysis of Randomized Controlled Trials.

Man Xu, Jiao Wang, Ning Wang, Fei Sun, Lin Wang, Xiao-Hong Liu

Open access · goldAbstract readMeta-Analysis
In one paragraph

Synthesis in PloS one, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed, 2 pooled it
22.4field-weighted citation impact, top 1% 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

33 citing papers in PubMed, 2 syntheses or guidelines pooled it, 83 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Trial
  5. Trial
  6. Trial
  7. Trial
  8. Review
  9. Antioxidant and Anti-Inflammatory Activities of Probiotic Strains.International journal of molecular sciences · 2026
    Review
  10. Review
  11. Nutrients · 2023
    Observational
  12. Paediatrics & child health · 2022
    Review
  13. Paediatrics & child health · 2022
    Review
  14. Article
  15. Article
  16. The effect of symbiotic in the treatment of infantile colic: A double-blind, randomized, placebo-controlled clinical trial.Journal of research in medical sciences : the official journal of Isfahan University of Medical Sciences · 2022
    Article
  17. Article
  18. Review
  19. Review
  20. Microorganisms · 2020
    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

6 authors at 1 institution in 1 country.

Man XuDepartment of Pediatrics, the First Affiliated Hospital of Medical School, Xi'an Jiaotong University, Xi'an, Shaanxi Province, People's Republic of China.
Jiao WangDepartment of Pediatrics, the First Affiliated Hospital of Medical School, Xi'an Jiaotong University, Xi'an, Shaanxi Province, People's Republic of China.
Ning WangDepartment of Pediatrics, the First Affiliated Hospital of Medical School, Xi'an Jiaotong University, Xi'an, Shaanxi Province, People's Republic of China.
Fei SunDepartment of Pediatrics, the First Affiliated Hospital of Medical School, Xi'an Jiaotong University, Xi'an, Shaanxi Province, People's Republic of China.
Lin WangDepartment of Pediatrics, the First Affiliated Hospital of Medical School, Xi'an Jiaotong University, Xi'an, Shaanxi Province, People's Republic of China.
Xiao-Hong LiuDepartment of Pediatrics, the First Affiliated Hospital of Medical School, Xi'an Jiaotong University, Xi'an, Shaanxi Province, People's Republic of China.
First Affiliated Hospital of Xi'an Jiaotong University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo evaluate the efficacy and safety of Lactobacillus reuteri DSM 17938 for treating infantile colic.

methodsA systematic literature retrieval was carried out to obtain randomized controlled trials of L. reuteri DSM 17938 for infantile colic. Trials were performed before May 2015 and retrieved from the PubMed, EMBASE, Cochrane library, CNKI, WanFang, VIP, and CBM databases. Data extraction and quality evaluation of the trials were performed independently by two investigators. A meta-analysis was performed using STATA version 12.0.

resultsSix randomized controlled trials of 423 infants with colic were included. Of these subjects, 213 were in the L. reuteri group, and 210 were in the placebo group. Lactobacillus reuteri increased colic treatment effectiveness at two weeks (RR = 2.84; 95% CI: 1.24-6.50; p = 0.014) and three weeks (relative risk [RR] = 2.33; 95% CI: 1.38-3.93; P = 0.002) but not at four weeks (RR = 1.41; 95% CI: 0.52-3.82; P = 0.498). Lactobacillus reuteri decreased crying time (min/d) at two weeks (weighted mean difference [WMD] = -42.89; 95% CI: -60.50 to -25.29; P = 0.000) and three weeks (WMD = -45.83; 95% CI: -59.45 to -32.21; P = 0.000). In addition, L. reuteri did not influence infants' weight, length or head circumference and was not associated with serious adverse events.

conclusionsLactobacillus reuteri possibly increased the effectiveness of treatment for infantile colic and decreased crying time at two to three weeks without causing adverse events. However, these protective roles are usurped by gradual physiological improvements. The study is limited by the heterogeneity of the trials and should be considered with caution. Higher quality, multicenter randomized controlled trials with larger samples are needed.

Indexed as

Limosilactobacillus reuteriColicHumansInfantInfant, NewbornOdds RatioProbioticsRandomized Controlled Trials as TopicTreatment Outcome

Identifiers

PMID26509502
PMCPMC4624960
OpenAlexW2234740317

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.