Evidence map›Paper›PMID 30132426›Full record

Trial reportPublic health nutrition2018

Point-of-use water treatment improves recovery rates among children with severe acute malnutrition in Pakistan: results from a site-randomized trial.

Shannon Doocy, Hannah Tappis, Nicolas Villeminot, Ann Suk, Deepak Kumar, Shahid Fazal, Angeline Grant, Silke Pietzsch

Open access · hybridAbstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Public health nutrition, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 2 pooled it
0.9field-weighted citation impact, top 27% 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

10 citing papers in PubMed, 2 syntheses or guidelines pooled it, 23 citations in OpenAlex.

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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

8 authors at 3 institutions in 3 countries.

Shannon Doocy1Johns Hopkins Bloomberg School of Public Health,Department of International Health,615 N. Wolfe Street,Baltimore,MD 21205,US.
Hannah Tappis1Johns Hopkins Bloomberg School of Public Health,Department of International Health,615 N. Wolfe Street,Baltimore,MD 21205,US.ORCID 0000-0002-4289-5418
Nicolas Villeminot2Action Against Hunger USA,New York,NY,USA.
Ann Suk1Johns Hopkins Bloomberg School of Public Health,Department of International Health,615 N. Wolfe Street,Baltimore,MD 21205,US.
Deepak Kumar3Action Against Hunger Pakistan,Islamabad,Pakistan.
Shahid Fazal3Action Against Hunger Pakistan,Islamabad,Pakistan.
Angeline Grant2Action Against Hunger USA,New York,NY,USA.
Silke Pietzsch2Action Against Hunger USA,New York,NY,USA.
ActionAid · USJohns Hopkins University · USPakistan Army · PK

Funding

Wellcome Trust
6 · The paper itself

Abstract

objectiveTo evaluate effectiveness of point-of-use water treatment in improving treatment of children affected by severe acute malnutrition (SAM).

designProgramme sites were randomized to one of four intervention arms: (i) standard SAM treatment; (ii) SAM treatment plus flocculent/disinfectant water treatment; (iii) SAM treatment plus chlorine disinfectant; or (iv) SAM treatment plus ceramic water filter. Outcome measures were calculated based on participant status upon exit or after 120d of enrolment, whichever came first. Child anthropometric data were collected during weekly monitoring at programme sites. Child caregivers were interviewed at enrolment and exit. Use of water treatment products was assessed in a home visit 4-6 weeks after enrolment.

settingDadu District, Sindh Province, Pakistan. SUBJECTS: Children (n 901) aged 6-59 months with SAM and no medical complications.

resultsRecovery rates were 16·7-22·2 % higher among children receiving water treatment compared with the control group. The adjusted odds of recovery were approximately twice as high for those receiving water treatment compared with controls. Mean length of stay until recovery was 73 (sd 24·6) d and mean rate of weight gain was 4·7 (sd 3·0) g/kg per d. Differences in recovery rate, length of stay and rate of weight gain between intervention groups were not statistically significant.

conclusionsIncorporating point-of-use water treatment into outpatient treatment programmes for children with SAM increased nutritional recovery rates. No significant differences in recovery rates were observed between the different intervention groups, indicating that different water treatment approaches were equally effective in improving recovery.

Indexed as

Child, PreschoolFemaleHumansInfantMalePakistanSevere Acute MalnutritionTreatment OutcomeWater PurificationCommunity management of acute malnutritionPakistanPoint-of-use water treatmentSevere acute malnutritionTherapeutic feeding programmesWater treatment

Identifiers

PMID30132426
PMCPMC6190070
OpenAlexW2888586152

What OpenQuestion holds

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LicenceCC BY-NC-SA
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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.