Evidence map›Paper›PMID 32846837›Full record

SynthesisMedicine2020

Assessment of the risk of musculoskeletal adverse events associated with fluoroquinolone use in children: A meta-analysis.

Ji-Gan Wang, Hai-Rong Cui, Yi-Sen Hu, Hua-Bo Tang

Open access · goldAbstract readMeta-Analysis
In one paragraph

Synthesis in Medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
0.6field-weighted citation impact, top 31% 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

8 citing papers in PubMed, 7 citations in OpenAlex.

  1. Review
  2. Clinical characteristics and outcomes of severeFrontiers in cellular and infection microbiology · 2026
    Article
  3. Article
  4. Pediatric Submandibular Lymphadenitis Caused byInfection and drug resistance · 2026
    Article
  5. Article
  6. Antimicrobial Resistance Molecular Mechanisms ofAntibiotics (Basel, Switzerland) · 2023
    Article
  7. Article
  8. ResistantCanadian family physician Medecin de famille canadien
    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

4 authors at 2 institutions in 1 country.

Ji-Gan WangMaternal and Child Health Hospital of Guangxi Zhuang Autonomous Region, Nanning.ORCID 0000-0001-7775-3308
Hai-Rong CuiThe First Affiliated Hospital of Guangxi Medical University, Nanning, China.
Yi-Sen HuThe First Affiliated Hospital of Guangxi Medical University, Nanning, China.
Hua-Bo TangMaternal and Child Health Hospital of Guangxi Zhuang Autonomous Region, Nanning.
Guangxi Maternal and Child Health Hospital · CNGuangxi Medical University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe use of fluoroquinolone antibiotics has been restricted in children because of their potential to cause adverse musculoskeletal events. This study was performed to systematically evaluate whether there is a difference between fluoroquinolone and non-fluoroquinolone antibiotics in terms of their associated risk of adverse musculoskeletal events in children.

methodsCochrane Library, Embase, and PubMed databases were used to retrieve studies related to fluoroquinolone and non-fluoroquinolone-induced musculoskeletal adverse events in children. A meta-analysis was performed using Stata 11.

resultsA total of 10 studies were included in the analysis. The combined results showed that there was no statistical difference between fluoroquinolone and non-fluoroquinolone groups in terms of musculoskeletal adverse events in children (risk ratio = 1.145, 95% confidence interval = 0.974 - 1.345, P = .101). Subgroup analysis was performed using a random-effects model. Here, the effects on the trovafloxacin and levofloxacin groups were significantly different from that of the control group. However, musculoskeletal adverse events due to either drug was not reported after long-term follow-up.

conclusionsThe results showed that fluoroquinolone and non-fluoroquinolone antibiotics were not different in terms of their ability to cause musculoskeletal adverse events in children. For this reason, fluoroquinolone antibiotics can be used in children as appropriate. PROSPERO REGISTRATION NUMBER: CRD42019133900.

Indexed as

AdolescentAnti-Bacterial AgentsBacterial InfectionsCase-Control StudiesChildChild, PreschoolFemaleFluoroquinolonesHumansInfantInfant, NewbornLevofloxacinMaleMusculoskeletal SystemNaphthyridinesRetrospective StudiesAnti-Bacterial AgentsFluoroquinolonesLevofloxacinNaphthyridinesTopoisomerase II Inhibitorstrovafloxacin

Identifiers

PMID32846837
PMCPMC7447478
OpenAlexW3055226513

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.