Evidence map›Paper›PMID 32166624›Full record

Trial reportDigestive diseases and sciences2021

Effects of Low-Dose Amitriptyline on Epigastric Pain Syndrome in Functional Dyspepsia Patients.

Jing Liu, Lin Jia, Shu-Man Jiang, Wen-Cong Zhou, Yao Liu, Jian Xu

Open access · hybridAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Digestive diseases and sciences, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.3field-weighted citation impact, top 21% 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

6 citing papers in PubMed, 20 citations in OpenAlex.

  1. Review
  2. Observational
  3. Review
  4. Article
  5. Review
  6. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors at 3 institutions in 1 country.

Jing LiuDepartment of Gastroenterology, Guangzhou First People's Hospital, the Second Affiliated Hospital of South China University of Technology, No. 1 Panfu Road, Guangzhou, 510180, Guangdong, China.
Lin JiaDepartment of Gastroenterology, Guangzhou First People's Hospital, the Second Affiliated Hospital of South China University of Technology, No. 1 Panfu Road, Guangzhou, 510180, Guangdong, China. 13925012853@139.com.
Shu-Man JiangDepartment of Gastroenterology, Guangzhou First People's Hospital, the Second Affiliated Hospital of South China University of Technology, No. 1 Panfu Road, Guangzhou, 510180, Guangdong, China.
Wen-Cong ZhouDepartment of Gastroenterology, Guangzhou First People's Hospital, the Second Affiliated Hospital of South China University of Technology, No. 1 Panfu Road, Guangzhou, 510180, Guangdong, China.
Yao LiuDepartment of Gastroenterology, Guangzhou First People's Hospital, the Second Affiliated Hospital of South China University of Technology, No. 1 Panfu Road, Guangzhou, 510180, Guangdong, China.
Jian XuDepartment of Psychology, Guangzhou Nansha Central Hospital Affiliated to Guangzhou First People's Hospital, No. 105 Fengze Road East, Guangzhou, 511457, Guangdong, China.
Guangzhou First People's Hospital · CNGuangzhou Medical University · CNSouth China University of Technology · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimTo observe the therapeutic effect of low-dose amitriptyline (AMT) on epigastric pain syndrome (EPS) in patients with functional dyspepsia.

methodsSixty patients with EPS were randomly divided into the following two groups for a four-week clinical trial: routine treatment with pantoprazole (RT group) and the AMT group. The RT group was treated with 40 mg of pantoprazole once daily. The AMT group received 25 mg of AMT once daily before bedtime. The Nepean Dyspepsia Index (NDI) checklist, Hamilton Rating Scale of Anxiety/Depression (HAMA/HAMD), and Pittsburgh Sleep Quality Index (PSQI) were employed to evaluate dyspepsia symptoms, psychological distress, and sleep, respectively.

resultsAll items were similar between the two groups before treatment (0 week). After 4 weeks of treatment, the NDI-symptom checklist score as well as the severity and bothersomeness of EPS in the AMT group was significantly decreased compared with those in the RT group (p < 0.05). However, no differences were found in the frequency of NDI checklist, psychological status (HAMD/HAMA scores) of EPS, or sleep quality (PSQI score) between the two groups after treatment. In addition, the time to fall asleep was shorter in the AMT group compared with the RT group after 4 weeks of treatment (p < 0.05).

conclusionLow-dose AMT effectively improved the dyspepsia symptoms and the time to fall asleep in the EPS patients, compared with pantoprazole, although it did not reduce the psychological distress. Therefore, AMT could be considered as a good candidate for EPS treatment in the clinic.

Indexed as

Abdominal PainAdultAmitriptylineAnalgesics, Non-NarcoticDose-Response Relationship, DrugDyspepsiaFemaleHumansMaleMiddle AgedProspective StudiesTreatment OutcomeAmitriptylineAnalgesics, Non-NarcoticAmitriptylineEpigastric pain syndromeFunctional dyspepsiaPantoprazole

Identifiers

PMID32166624
PMCPMC7864809
OpenAlexW3012551631

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.