Evidence map›Paper›PMID 29146650›Full record

Trial reportBMJ open2017

Benefits and risks of Iron interventions in children (BRISC): protocol for a three-arm parallel-group randomised controlled field trial in Bangladesh.

Mohammed Imrul Hasan, Sheikh Jamal Hossain, Sabine Braat, Michael John Dibley, Jane Fisher, Sally Grantham-McGregor, Fahmida Tofail, Julie A Simpson, Shams Ei Arifeen, Jena Hamadani and 2 more

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in BMJ open, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

9 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Review
  9. 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.

Mohammed Imrul HasanMaternal and Child Health Division, International Centre for Diarrhoeal Disease Research, Dhaka, Bangladesh.
Sheikh Jamal HossainMaternal and Child Health Division, International Centre for Diarrhoeal Disease Research, Dhaka, Bangladesh.
Sabine BraatCentre for Epidemiology and Biostatistics, Melbourne School of Population and Global Health and Melbourne Clinical and Translational Sciences (MCATS), University of Melbourne, Melbourne, Australia.
Michael John DibleySchool of Public Health, University of Sydney, Sydney, Australia.
Jane FisherSchool of Public Health and Preventive Medicine, Monash University, Melbourne, Australia.
Sally Grantham-McGregorCentre for International Child Health, University College London, London, UK.
Fahmida TofailNutrition and Clinical Services Division, International Centre for Diarrhoeal Disease Research, Dhaka, Bangladesh.
Julie A SimpsonCentre for Epidemiology and Biostatistics, Melbourne School of Population and Global Health and Melbourne Clinical and Translational Sciences (MCATS), University of Melbourne, Melbourne, Australia.
Shams Ei ArifeenMaternal and Child Health Division, International Centre for Diarrhoeal Disease Research, Dhaka, Bangladesh.
Jena HamadaniMaternal and Child Health Division, International Centre for Diarrhoeal Disease Research, Dhaka, Bangladesh.
Beverley-Ann BiggsDepartment of Medicine, Doherty Institute, Melbourne, Australia.
Sant-Rayn PasrichaDepartment of Medicine, The Royal Melbourne Hospital, Melbourne, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionAnaemia is a major global health problem affecting about 43% of preschool children globally and 60% of 6-24-month-old children in rural Bangladesh, half of which is attributed to iron deficiency (ID). Although WHO recommends universal supplementation with iron or home fortification with iron-containing multiple micronutrient powders (MMPs) to children under 2 years, evidence for benefits of these interventions on childhood development (a key rationale for these interventions) and harms (especially infection) remains limited. This study aims to evaluate the impact of iron or MMPs supplementation compared with placebo on (a) children's development, (b) growth, (c) morbidity from infections and (d) haematological and iron indices. METHODS AND ANALYSIS: This study is a three-arm, blinded, double-dummy, parallel-group, placebo-controlled superiority trial using stratified individual block randomisation. The trial will randomise 3300 children aged 8-9 months equally to arm 1: iron syrup (12.5 mg elemental iron), placebo MMPs; arm 2: MMPs (including 12.5 mg elemental iron), placebo syrup; and arm 3: placebo syrup, placebo MNPs. Children will receive interventions for 3 months based on WHO recommendations and then be followed up for 9 months post intervention. The primary outcome is cognitive composite score measured by Bayley III. Secondary outcomes include motor and language composite score by Bayley III, behaviour rating using selected items from Wolke's rating scales and BSID-II behaviour ratings, temperament, growth, haemoglobin, anaemia and iron status, and infectious morbidity. Outcomes will be measured at baseline, at the end of 3-month intervention and after 9 months postintervention follow-up. ETHICS AND DISSEMINATION: The trial has been approved by the Ethical Review Committee of icddr,b (Dhaka, Bangladesh) and the Melbourne Health Human Research Ethics Committee (Melbourne, Australia). Results of the study will be disseminated through scientific publications, presentations at international meetings and policy briefs to key stakeholders. TRIAL REGISTRATION NUMBER: ACTRN12617000660381;Pre-results. WHO UNIVERSAL TRIAL NUMBER: U1111-1196-1125.

Indexed as

Dietary SupplementsAnemia, Iron-DeficiencyBangladeshChild DevelopmentFemaleHemoglobinsHumansInfantIronMalePoisson DistributionResearch DesignRisk AssessmentHemoglobinsIronanaemiabangladeshchildrencognitive developmentiron deficiencyrandomized controlled trial

Identifiers

PMID29146650
PMCPMC5695407

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

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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.