Evidence map›Paper›PMID 26818403›Full record

ArticleSystematic reviews2016

The effectiveness and safety of treatments used for acute diarrhea and acute gastroenteritis in children: protocol for a systematic review and network meta-analysis.

Ivan D Florez, Reem Al-Khalifah, Javier M Sierra, Claudia M Granados, Juan J Yepes-Nuñez, Carlos Cuello-Garcia, Giordano Perez-Gaxiola, Adriana M Zea, Gilma N Hernandez, Areti-Angeliki Veroniki and 2 more

Open access · goldAbstract read
In one paragraph

Article in Systematic reviews, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
2.2field-weighted citation impact, top 13% 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

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 21 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. Article
  5. Article
  6. Rotavirus infection.Nature reviews. Disease primers · 2017
    Review
  7. 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

12 authors at 6 institutions in 5 countries.

Ivan D FlorezDepartment of Clinical Epidemiology & Biostatistics, McMaster University, Juravinski Site. G Wing, 2nd Floor; 711 Concession Street, Hamilton, ON, L8V 1 C3, Canada. ivan.florez@udea.edu.co.
Reem Al-KhalifahDepartment of Clinical Epidemiology & Biostatistics, McMaster University, Juravinski Site. G Wing, 2nd Floor; 711 Concession Street, Hamilton, ON, L8V 1 C3, Canada. reem_ah@yahoo.com.
Javier M SierraDepartment of Pediatrics, Universidad de Antioquia, Medellín, Colombia. javier.sierra@udea.edu.co.
Claudia M GranadosDepartment of Clinical Epidemiology & Biostatistics, Pontificia Universidad Javeriana, Bogotá, Colombia. granado@javeriana.edu.co.
Juan J Yepes-NuñezDepartment of Clinical Epidemiology & Biostatistics, McMaster University, Juravinski Site. G Wing, 2nd Floor; 711 Concession Street, Hamilton, ON, L8V 1 C3, Canada. juanjosey@gmail.com.
Carlos Cuello-GarciaDepartment of Clinical Epidemiology & Biostatistics, McMaster University, Juravinski Site. G Wing, 2nd Floor; 711 Concession Street, Hamilton, ON, L8V 1 C3, Canada. cuelloca@mcmaster.ca.
Giordano Perez-GaxiolaHospital Pediatrico de Sinaloa, Culiacan, Mexico. giordano@sinestetoscopio.com.
Adriana M ZeaSchool of Nutrition and Dietetics, Universidad de Antioquia, Medellín, Colombia. adriana.zea.perdomo@gmail.com.
Gilma N HernandezDepartment of Pediatrics, Universidad de Antioquia, Medellín, Colombia. gilma.hernandez@udea.edu.co.
Areti-Angeliki VeronikiKnowledge Translation Program, Li Ka Shing Knowledge Institute, St. Michaels Hospital, Toronto, Canada. VeronikiA@smh.ca.
Gordon H GuyattDepartment of Clinical Epidemiology & Biostatistics, McMaster University, Juravinski Site. G Wing, 2nd Floor; 711 Concession Street, Hamilton, ON, L8V 1 C3, Canada. guyatt@mcmaster.ca.
Lehana ThabaneDepartment of Clinical Epidemiology & Biostatistics, McMaster University, Juravinski Site. G Wing, 2nd Floor; 711 Concession Street, Hamilton, ON, L8V 1 C3, Canada. thabanl@mcmaster.ca.
Juravinski Cancer Centre · CAUniversidad de Antioquia · COPediatric Hospital of Sinaloa · MXPontificia Universidad Javeriana · COSt. Michael's Hospital · CAYahoo (United Kingdom) · GB

Funding

Canadian Institutes of Health Research
6 · The paper itself

Abstract

backgroundAcute diarrhea and acute gastroenteritis (AD/AGE) are common among children in low- and middle-income countries (LMIC) and high-income countries (HIC). Supportive therapy including maintaining feeding, prevention of dehydration, and use of oral rehydration solution (ORS), is the mainstay of treatment in all children. Several additional treatments aiming to reduce the episode duration have been compared to placebo, but the differences in effectiveness among them are unknown. METHODS AND ANALYSIS: We will conduct a systematic review of all randomized controlled trials evaluating the use of zinc, vitamin A, probiotics, prebiotics, synbiotics, racecadotril, smectite, and fermented and lactose-free milk/formula for AD/AGE treatment in children. The primary outcomes are diarrhea duration and mortality. Secondary outcomes are diarrhea lasting 3 or 7 days, stool frequency, treatment failure, hospitalizations, and adverse events. We will search MEDLINE, Ovid EMBASE, CINAHL, the Cochrane Central Register of Controlled Trials (CENTRAL), and LILACS through Ovid, as well as grey literature resources. Two reviewers will independently screen titles and abstracts, review full texts, extract information, and assess the risk of bias (ROB) and the confidence in the estimate (with the grading of recommendations, assessment, development, and evaluation [GRADE] approach). Results will be summarized narratively and statistically. Subgroup analysis according to HIC vs. LMIC, age, nutrition status, and ROB is planned. We will perform a Bayesian network meta-analysis to combine the pooled direct and indirect treatment effect estimates for each outcome, if adequate data is available. DISCUSSION: This is the first systematic review and network meta-analysis that aims to determine the relative effectiveness of pharmacological and nutritional treatments for reducing the duration of AD/AGE in children. The results will help to reduce the uncertainty of the effectiveness of the interventions, find knowledge gaps, and/or encourage further research for other therapeutic options. SYSTEMATIC REVIEW REGISTRATION: PROSPERO registration number: CRD42015023778.

Indexed as

Acute DiseaseAntidiarrhealsChild Nutritional Physiological PhenomenaChild, PreschoolDehydrationDiarrheaGastroenteritisHumansMeta-Analysis as TopicNutritional StatusNutritional SupportProbioticsRandomized Controlled Trials as TopicResearch DesignSystematic Reviews as TopicTreatment OutcomeAntidiarrheals

Identifiers

PMID26818403
PMCPMC4728803
OpenAlexW2301702037

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.