Evidence map›Paper›PMID 32647928›Full record

SynthesisPediatric surgery international2020

Efficacy and safety of adrenergic beta-antagonist combined with lasers in the treatment of infantile hemangiomas: a meta-analysis.

Xingfan Chen, Yu Guo, Pu Wang, Fengzhen Qiu, Yuming Sun, Qingmei Shi, Yuyan Deng, Chengjun Hu, Shaorong Lei

Abstract readMeta-AnalysisSystematic Review
PubMed Publisher
In one paragraph

Synthesis in Pediatric surgery international, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
1.4field-weighted citation impact, top 18% 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

5 citing papers in PubMed, 1 synthesis or guideline pooled it, 12 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. Review
  5. 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

9 authors at 2 institutions in 1 country.

Xingfan ChenDepartment of Plastic Surgery, Xiangya Hospital, Central South University, No. 87 Xiangya Road, Changsha, Hunan Province, China.
Yu GuoDepartment of Plastic Surgery, Xiangya Hospital, Central South University, No. 87 Xiangya Road, Changsha, Hunan Province, China.
Pu WangDepartment of Plastic Surgery, Xiangya Hospital, Central South University, No. 87 Xiangya Road, Changsha, Hunan Province, China.
Fengzhen QiuDepartment of Plastic Surgery, Xiangya Hospital, Central South University, No. 87 Xiangya Road, Changsha, Hunan Province, China.
Yuming SunDepartment of Plastic Surgery, Xiangya Hospital, Central South University, No. 87 Xiangya Road, Changsha, Hunan Province, China.
Qingmei ShiDepartment of Breast and Thyroid Surgery, Liuzhou People's Hospital, No. 8 Wenchang Road, Liuzhou City, Guangxi Zhuang Autonomous Region, China.
Yuyan DengDepartment of Plastic Surgery, Xiangya Hospital, Central South University, No. 87 Xiangya Road, Changsha, Hunan Province, China.
Chengjun HuDepartment of Plastic Surgery, Xiangya Hospital, Central South University, No. 87 Xiangya Road, Changsha, Hunan Province, China.
Shaorong LeiDepartment of Plastic Surgery, Xiangya Hospital, Central South University, No. 87 Xiangya Road, Changsha, Hunan Province, China. 1821230462@qq.com.ORCID http://orcid.org/0000-0002-9717-2073
Central South University · CNLiuzhou Maternal and Child Health Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

To investigate the efficacy and safety of combined therapy with adrenergic beta-antagonist and lasers in infantile hemangiomas (IH). A search of Pubmed, Cochrane, Embase, Wanfang Date, CNKI (China National Knowledge Infrastructure) and CBM (China Biology Medicine) databases was conducted to identify studies that examined response to combined therapy with adrenergic beta-antagonist and laser in IH patients. Pooled odds ratios (ORs) and 95% confidence intervals (CIs) in random-effects or fixed-effects models were calculated with Review Manger 5.3. Efficacy of combined therapy with oral propranolol and lasers was significantly better than that of propranolol (OR 5.79, 95% CI 2.52-13.31, P < 0.00001) or lasers (OR 5.09, 95% CI 3.04-8.54, P < 0.00001) alone. Combined therapy with topical timolol and lasers was more effective than topical timolol (OR 3.71, 95% CI 2.46-5.59, P < 0.00001) or lasers (OR 10.92, 95% CI 1.90-62.70, P = 0.007) alone. We did not observe statistically significant differences of adverse reactions between combined therapy with oral propranolol and lasers and propranolol (OR 1.09, 95% CI 0.64-1.84, P = 0.75) or lasers (OR 0.83, 95% CI 0.28-2.50, P = 0.74). The incidence of adverse reactions in combined therapy with topical timolol and lasers and monotherapy with topical timolol therapy (OR 0.50, 95% CI 0.14-1.80, P = 0.75) or lasers (OR 0.29, 95% CI 0.06-1.55, P = 0.15) has no significant difference. The average treatment duration of combined therapy may be shorter than that of monotherapy. Combination therapy of adrenergic beta-antagonist and lasers on IH is significantly more effective than monotherapy, while the safety of combination therapy was not significantly higher than that of monotherapy.

Indexed as

Adrenergic beta-AntagonistsCombined Modality TherapyHemangioma, CapillaryHumansInfantLaser TherapySkin NeoplasmsAdrenergic beta-AntagonistsAdrenergic beta-antagonistsCombinationDrug therapyInfantile hemangiomasLaser

Identifiers

PMID32647928
OpenAlexW3041412376

What OpenQuestion holds

Textmetadata
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.