Evidence map›Paper›PMID 30510399›Full record

SynthesisDrug design, development and therapy2018

The effects of macrolides in children with reactive airway disease: a systematic review and meta-analysis of randomized controlled trials.

Wei-Te Lei, Hsin Hui Lin, Mu-Chieh Tsai, Hua-His Hung, Yu-Jyun Cheng, Shu-Jung Liu, Chien Yu Lin, Tzu-Lin Yeh

Open access · goldAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Drug design, development and therapy, 2018. 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
1.5field-weighted citation impact, top 17% 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

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 18 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Azithromycin administered for acute bronchiolitis may have a protective effect on subsequent wheezing.Jornal brasileiro de pneumologia : publicacao oficial da Sociedade Brasileira de Pneumologia e Tisilogia
    Trial
  5. Review
  6. Article
  7. Tacrolimus reduces atherosclerotic plaque formation in ApoEExperimental and therapeutic medicine · 2020
    Article
  8. Article
  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

8 authors at 1 institution in 1 country.

Wei-Te LeiDepartment of Pediatrics, Hsinchu MacKay Memorial Hospital, Hsinchu, Taiwan.
Hsin Hui LinDepartment of Family Medicine, Taipei Mackay Memorial Hospital, Taipei, Taiwan.
Mu-Chieh TsaiDepartment of Pediatrics, Hsinchu MacKay Memorial Hospital, Hsinchu, Taiwan.
Hua-His HungDepartment of Pediatrics, Hsinchu MacKay Memorial Hospital, Hsinchu, Taiwan.
Yu-Jyun ChengDepartment of Pediatrics, Hsinchu MacKay Memorial Hospital, Hsinchu, Taiwan.
Shu-Jung LiuDepartment of Medical Library, MacKay Memorial Hospital, Tamsui Branch, New Taipei City, Taiwan.
Chien Yu LinDepartment of Pediatrics, Hsinchu MacKay Memorial Hospital, Hsinchu, Taiwan.
Tzu-Lin YehDepartment of Family Medicine, Hsinchu MacKay Memorial Hospital, Hsinchu, Taiwan, 5767@mmh.org.tw.
Mackay Memorial Hospital · TW

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeChildhood reactive airway diseases (RADs) are concerning problems in children's airways and may be preceded by bronchiolitis and may progress to childhood asthma. The severity of the disease is indicated by deterioration in pulmonary functions, increased usage of rescue medications, and recurrent wheezing episodes. Macrolides have both antimicrobial and anti-inflammatory functions and have been used as adjunctive therapy in childhood RADs. PATIENTS AND

methodsWe conducted a meta-analysis to evaluate the effect of macrolides in children with RAD. Literature searches were systematically conducted using an electronic database from inception to August 2018. The Cochrane review risk of bias assessment tool was used to assess the quality of each randomized controlled trial.

resultsSixteen randomized controlled trials comprising 1,415 participants were investigated in this meta-analysis. Children treated with macrolide therapy showed significantly better pulmonary functions in both forced expiratory volume in one second (% predicted) (difference in means=-9.77, 95% CI=-14.18 to -5.35,

conclusionThis current meta-analysis suggested that adjunctive therapy with macrolides is safe and effective for achieving better outcomes in childhood RAD.

Indexed as

Anti-Bacterial AgentsAsthmaBronchiolitisChildHumansMacrolidesRandomized Controlled Trials as TopicRespiratory SoundsAnti-Bacterial AgentsMacrolidesasthmabronchiolitischildhoodefficacymacrolidespulmonary functionreactive airway diseaserecurrent wheezing

Identifiers

PMID30510399
PMCPMC6231435
OpenAlexW2899870629

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.