Evidence map›Paper›PMID 29058247›Full record

ReviewWorld journal of pediatrics : WJP2017

Therapeutic effects of different drugs on obstructive sleep apnea/hypopnea syndrome in children.

Jing Zhang, Jie Chen, Yong Yin, Lei Zhang, Hao Zhang

Abstract readReviewNetwork Meta-Analysis
PubMed Publisher
In one paragraph

Review in World journal of pediatrics : WJP, 2017. 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
0.3field-weighted citation impact, top 37% 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, 12 citations in OpenAlex.

  1. Anti-inflammatory medications for obstructive sleep apnoea in children.The Cochrane database of systematic reviews · 2020
    Pooled it
  2. Article
  3. Review
  4. Expert Consensus Statement: Management of Pediatric Persistent Obstructive Sleep Apnea After Adenotonsillectomy.Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery · 2023
    Article
  5. Article
  6. Debates in pediatric obstructive sleep apnea treatment.World journal of otorhinolaryngology - head and neck surgery · 2021
    Review
  7. Chinese guideline for the diagnosis and treatment of childhood obstructive sleep apnea (2020).World journal of otorhinolaryngology - head and neck surgery · 2021
    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

5 authors at 1 institution in 1 country.

Jing ZhangDepartment of Respiratory Medicine, Shanghai Children's Medical Center, Affiliated to Shanghai Jiaotong University School of Medicine, No.1678 Dongfang Road, Shanghai 200127, China.
Jie ChenDepartment of Otorhinolaryngology, Shanghai Children's Medical Center, Affiliated to Shanghai Jiaotong University School of Medicine, Shanghai, China.
Yong YinDepartment of Respiratory Medicine, Shanghai Children's Medical Center, Affiliated to Shanghai Jiaotong University School of Medicine, No.1678 Dongfang Road, Shanghai 200127, China. yinyong_yy@126.com.
Lei ZhangDepartment of Respiratory Medicine, Shanghai Children's Medical Center, Affiliated to Shanghai Jiaotong University School of Medicine, No.1678 Dongfang Road, Shanghai 200127, China.
Hao ZhangDepartment of Respiratory Medicine, Shanghai Children's Medical Center, Affiliated to Shanghai Jiaotong University School of Medicine, No.1678 Dongfang Road, Shanghai 200127, China.
Shanghai Children's Medical Center · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThis study aimed to compare the therapeutic effects of different drugs on obstructive sleep apnea/hypopnea syndrome (OSAHS) in children by using a network meta-analysis approach.

methodsPubMed, Embase and Cochrane Library were searched from the inception of each database to November 2015. Randomized controlled trials (RCTs) concerning the comparisons in the therapeutic effects of eight placebo-controlled drugs on OSAHS in children were included in this study. Network meta-analysis combined direct evidence and indirect evidence to evaluate the weighted mean difference (WMD) and surface under the cumulative ranking curves (SUCRA) of therapeutic effects of eight drugs on OSAHS in children.

resultsA total of seven RCTs were finally incorporated into our network meta-analysis. Pairwise meta-analysis results revealed that therapeutic effect of placebo was significantly poorer than that of intranasal mometasone furoate, montelukast, budesonide and fluticasone concerning apnea hypopnea index (AHI) value [WMD=1.40, 95% confidence interval (CI)=1.17-1.63; WMD=2.80, 95% CI=1.01-4.59; WMD=3.50, 95% CI=3.34-3.66; WMD=7.20, 95% CI=5.26-9.14, respectively], and fluticasone is better than placebo concerning sleep efficiency (WMD=3.50, 95% CI=2.42-4.58); regarding visual analogue scale, the therapeutic effect of placebo was poorer compared with sucralfate and clindamycin (WMD=1.94, 95% CI=1.13-2.75; WMD=1.06, 95% CI=0.22-1.90), and sucralfate is better than clindamycin (WMD=-0.88, 95% CI=-1.65 to -0.11). However, network meta-analysis results showed no obvious difference in the therapeutic effects of different drugs on OSAHS regarding AHI and sleep efficiency. Furthermore, the best SUCRA value was very high for fluticasone concerning AHI (86.6%) and budesonide concerning sleep efficiency (94.0%) for OSAHS treatment.

conclusionsFluticasone and budesonide have relatively good effects in the treatment of OSAHS in children, thus providing an important guiding significance for the treatment of OSAHS in children.

Indexed as

AcetatesBayes TheoremBronchodilator AgentsBudesonideChildChild, PreschoolCyclopropanesFemaleFluticasoneHumansMalePrognosisQuinolinesRandomized Controlled Trials as TopicRisk AssessmentSeverity of Illness IndexAcetatesBronchodilator AgentsBudesonideCyclopropanesFluticasonemontelukastQuinolinesSulfidesapnea hypopnea indexBayesian network modelobstructive sleep apnea/hypopnea syndromerandomized controlled trialssleep efficiency

Identifiers

PMID29058247
OpenAlexW2765880615

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.