Evidence map›Paper›PMID 32478021›Full record

ArticleFrontiers in pediatrics2020

Aspirin Dose and Treatment Outcomes in Kawasaki Disease: A Historical Control Study in Japan.

Yu Ito, Takuya Matsui, Kota Abe, Takafumi Honda, Kumi Yasukawa, Jun-Ichi Takanashi, Hiromichi Hamada

Open access · goldAbstract read
In one paragraph

Article in Frontiers in pediatrics, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
2.9field-weighted citation impact, top 9% 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

13 citing papers in PubMed, 1 synthesis or guideline pooled it, 22 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Review
  5. Article
  6. [Evidence-based guidelines for the diagnosis and treatment of Kawasaki disease in children in China (2023)].Zhongguo dang dai er ke za zhi = Chinese journal of contemporary pediatrics · 2023
    Article
  7. Zhongguo dang dai er ke za zhi = Chinese journal of contemporary pediatrics · 2022
    Article
  8. [Pediatric expert consensus on the application of aspirin in Kawasaki disease].Zhongguo dang dai er ke za zhi = Chinese journal of contemporary pediatrics · 2022
    Article
  9. Review
  10. Intravenous Immunoglobulin Nonresponse in Pediatric Patients Treated for Kawasaki Disease at a US Hospital.The journal of pediatric pharmacology and therapeutics : JPPT : the official journal of PPAG · 2022
    Article
  11. Review
  12. Article
  13. 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

7 authors at 2 institutions in 1 country.

Yu ItoDepartment of Pediatrics, Tokyo Women's Medical University Yachiyo Medical Center, Chiba, Japan.
Takuya MatsuiDepartment of Pediatric Intensive Care, Tokyo Women's Medical University Yachiyo Medical Center, Chiba, Japan.
Kota AbeDepartment of Pediatrics, Tokyo Women's Medical University Yachiyo Medical Center, Chiba, Japan.
Takafumi HondaDepartment of Pediatric Intensive Care, Tokyo Women's Medical University Yachiyo Medical Center, Chiba, Japan.
Kumi YasukawaDepartment of Pediatric Intensive Care, Tokyo Women's Medical University Yachiyo Medical Center, Chiba, Japan.
Jun-Ichi TakanashiDepartment of Pediatrics, Tokyo Women's Medical University Yachiyo Medical Center, Chiba, Japan.
Hiromichi HamadaDepartment of Pediatrics, Tokyo Women's Medical University Yachiyo Medical Center, Chiba, Japan.
Tokyo Women's Medical University · JPTokyo Women's Medical University Yachiyo Medical Center

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Aspirin has been used as a concomitant drug in the treatment of Kawasaki disease (KD). In recent years, there has been discussion concerning whether high-dose aspirin is appropriate for treatment in the acute phase of KD. We retrospectively investigated the incidence of coronary artery abnormalities (CAAs) and the antipyretic effect of 30 to 50 mg/kg/day aspirin, the minimum and the maximum approved doses in Japan. This was a single-center, non-randomized, retrospective, historical cohort study. Patients were routinely treated with 50 mg/kg/day aspirin (50-mg Group) between 2007 and April 2014, and with 30 mg/kg/day aspirin (30-mg Group) between May 2014 and 2016. All patients were given initial and, if necessary, subsequent intravenous immunoglobulin (IVIG) 2.0 g/kg. The primary endpoint was incidence of CAAs defined as a CA diameter with a Z score ≥2.5 at treatment week 4. The secondary endpoint was incidence of further treatment. Incidences were compared using inverse probability weighting analysis adjusting for age, sex, and risk scores. In 587 patients, there was no significant difference in incidence of CAAs (odds ratio in 30-mg Group 0.769, 95% confidence interval (CI): 0.537-1.101,

Indexed as

aspirincoronary arteryimmunoglobulinKawasaki disease (KD)treatment

Identifiers

PMID32478021
PMCPMC7241278
OpenAlexW3025863129

What OpenQuestion holds

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LicenceCC BY
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.