Evidence map›Paper›PMID 32936412›Full record

SynthesisPaediatric drugs2020

Antihistamines in the Management of Pediatric Allergic Rhinitis: A Systematic Review.

Lilly Velentza, Zinovia Maridaki, Evangelia Blana, Michael Miligkos

Abstract readSystematic Review
PubMed Publisher
In one paragraph

Synthesis in Paediatric drugs, 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
0.3field-weighted citation impact, top 43% 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, 10 citations in OpenAlex.

  1. Efficacy and safety of oral treatments for allergic rhinitis in children: A network meta-analysis.Pediatric allergy and immunology : official publication of the European Society of Pediatric Allergy and Immunology · 2026
    Pooled it
  2. [Expert consensus on the clinical application of oral antihistamines in the treatment of upper airway allergic diseases in children].Lin chuang er bi yan hou tou jing wai ke za zhi = Journal of clinical otorhinolaryngology head and neck surgery · 2025
    Article
  3. Article
  4. Focused allergic rhinitis practice parameter for Canada.Allergy, asthma, and clinical immunology : official journal of the Canadian Society of Allergy and Clinical Immunology · 2024
    Article
  5. New progress in pediatric allergic rhinitis.Frontiers in immunology · 2024
    Review
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.

Lilly VelentzaPediatrics Working Group, Society of Junior Doctors, 5 Menalou Str, Maroussi, 15123, Athens, Greece. lilivele10@yahoo.gr.ORCID http://orcid.org/0000-0003-3211-1664
Zinovia MaridakiPediatrics Working Group, Society of Junior Doctors, 5 Menalou Str, Maroussi, 15123, Athens, Greece.
Evangelia BlanaPediatrics Working Group, Society of Junior Doctors, 5 Menalou Str, Maroussi, 15123, Athens, Greece.
Michael MiligkosPediatrics Working Group, Society of Junior Doctors, 5 Menalou Str, Maroussi, 15123, Athens, Greece.
Consolidated Contractors Company (Greece) · GRNational and Kapodistrian University of Athens · GR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe clinical benefit of newer antihistamines (AHs) versus other active treatments has not been assessed in pediatric patients with allergic rhinitis.

methodsA systematic literature search was performed in MEDLINE, SCOPUS, and the Cochrane Central Register of Controlled Trials from inception through August 2020. Randomized controlled trials (RCTs) comparing newer with older AHs, corticosteroids, or montelukast were included. The Cochrane Risk of Bias Tool was used for quality assessment.

resultsOut of 10,656 citations, 16 RCTs (N = 1653) with a duration from 10 days to 3 months were included. When compared with older-generation AHs, the administration of newer AHs did not confer significant benefit and appeared less effective compared with intranasal corticosteroids. However, newer AHs were more potent in achieving symptom control compared with montelukast. Data regarding quality of life were generally missing. The incidence of adverse events was low in all treatment groups. The included RCTs were characterized by moderate risk of bias.

conclusionsNewer AHs are effective in symptom control and well tolerated in the pediatric population. However, inadequate reporting, variation in outcome measures, and a paucity of sufficient randomized comparisons precluded us from quantifying the relative efficacy of newer AHs compared with other treatment options.

Indexed as

AdolescentChildChild, PreschoolFemaleHistamine AntagonistsHumansMaleQuality of LifeRhinitis, AllergicHistamine Antagonists

Identifiers

PMID32936412
OpenAlexW3087585372

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.