Evidence map›Paper›PMID 32046672›Full record

ArticleBMC pediatrics2020

The incidence of collagen-associated adverse events in pediatric population with the use of fluoroquinolones: a nationwide cohort study in Taiwan.

Pei-Han Yu, Chih-Fen Hu, Jen-Wei Liu, Chi-Hsiang Chung, Yong-Chen Chen, Chien-An Sun, Wu-Chien Chien

Abstract read
In one paragraph

Article in BMC pediatrics, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

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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

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

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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

7 authors.

Pei-Han YuMaster Program of Big Data in Biomedicine, College of Medicine, Fu Jen Catholic University, New Taipei City, Taiwan.
Chih-Fen HuDepartment of Pediatrics, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan.
Jen-Wei LiuDepartment of Pharmacy, Fu Jen Catholic University Hospital, Fu Jen Catholic University, New Taipei City, Taiwan.
Chi-Hsiang ChungSchool of Public Health, National Defense Medical Center, Taipei, 11490, Taiwan.
Yong-Chen ChenSchool of Medicine, College of Medicine, Fu Jen Catholic University, New Taipei, Taiwan.
Chien-An SunBig Data Research Center, College of Medicine, Fu Jen Catholic University, New Taipei City, Taiwan.
Wu-Chien ChienSchool of Public Health, National Defense Medical Center, Taipei, 11490, Taiwan. chienwu@ndmctsgh.edu.tw.ORCID 0000-0002-3286-0780

Funding

Tri-Service General Hospital TSGH-C108-003, TSGH-B-109010
6 · The paper itself

Abstract

backgroundTo evaluate the safety of using fluoroquinolones in pediatric population in Taiwan.

methodsPatients aged 0~18 years old with fluoroquinolones prescriptions ≥5 consecutive days during year 2000 to 2013 were selected from the National Health Insurance Research Database, 4-time case number were selected as controls. We evaluated the patient's outcome after the use of fluoroquinolones by reviewing a newly diagnosis of the following collagen-associated adverse events by International Classification of Diseases, Ninth Revision, Clinical Modification codes, covering tendons rupture, retinal detachments, gastrointestinal tract perforation, aortic aneurysm or dissection.

resultsOf the enrolled patients (n = 167,105), collagen-associated adverse effects developed in 85 cases (0.051%) in 6-month tracking, including 0.051% in the fluoroquinolones study cohort (17 in 33,421) and 0.051% (68 in 133,684) in the fluoroquinolones free comparison cohort. The crude hazard ratio for collagen-associated adverse events in the fluoroquinolones group was 0.997 (0.586-1.696; p = 0.990). After adjusting for age, sex, catastrophic illness, low-income household, seasons, levels of urbanization, and healthcare, the corrected hazard ratio in 6-month tracking with FQs was 1.330 (95% CI; 0.778-2.276; p = 0.255).

conclusionsThere is no significant difference of collagen-associated adverse effects between fluoroquinolones group and fluoroquinolones free group from our data. We propose that fluoroquinolones for pediatric population in clinical practice may be not so harmful as previous references reported.

Indexed as

Anti-Bacterial AgentsCollagenFluoroquinolonesAdolescentChildCohort StudiesFemaleHumansIncidenceMaleTaiwanAnti-Bacterial AgentsCollagenFluoroquinolonesCollagen-associated adverse effectsFluoroquinolonesPediatric patientsPrescription safety issue

Identifiers

PMID32046672
PMCPMC7011365

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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.