Evidence map›Paper›PMID 34959871›Full record

ArticleNutrients2021

Which Probiotic Is the Most Effective for Treating Acute Diarrhea in Children? A Bayesian Network Meta-Analysis of Randomized Controlled Trials.

Zengbin Li, Guixian Zhu, Chao Li, Hao Lai, Xin Liu, Lei Zhang

Open access · goldAbstract readNetwork Meta-Analysis
In one paragraph

Article in Nutrients, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 4 pooled it
1.8field-weighted citation impact, top 12% 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

19 citing papers in PubMed, 4 syntheses or guidelines pooled it, 43 citations in OpenAlex.

  1. Pooled it
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  3. Efficacy and safety ofFrontiers in cellular and infection microbiology · 2025
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  7. Article
  8. Article
  9. Frontiers in pediatrics · 2026
    Review
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  11. Frontiers in cellular and infection microbiology · 2025
    Article
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  13. Article
  14. Article
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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

6 authors at 2 institutions in 2 countries.

Zengbin LiChina-Australia Joint Research Center for Infectious Diseases, School of Public Health, Xi’an Jiaotong University Health Science Center, Xi'an 710061, China.ORCID 0000-0002-0237-4458
Guixian ZhuChina-Australia Joint Research Center for Infectious Diseases, School of Public Health, Xi’an Jiaotong University Health Science Center, Xi'an 710061, China.
Chao LiDepartment of Epidemiology and Biostatistics, School of Public Health, Global Health Institute, Xi’an Jiaotong University Health Science Center, Xi'an 710061, China.
Hao LaiChina-Australia Joint Research Center for Infectious Diseases, School of Public Health, Xi’an Jiaotong University Health Science Center, Xi'an 710061, China.
Xin LiuDepartment of Epidemiology and Biostatistics, School of Public Health, Global Health Institute, Xi’an Jiaotong University Health Science Center, Xi'an 710061, China.ORCID 0000-0001-5105-0532
Lei ZhangChina-Australia Joint Research Center for Infectious Diseases, School of Public Health, Xi’an Jiaotong University Health Science Center, Xi'an 710061, China.ORCID 0000-0003-2343-084X
Xi'an Jiaotong University · CNZhengzhou University · CN

Funding

Lei Zhang Epidemiology modeling and risk assessment (Grant number: 20200344)Lei Zhang National Natural Science Foundation of China (Grant number: 81950410639)Lei Zhang Outstanding Young Scholars Support Program (Grant number: 3111500001)Lei Zhang Xi'an Jiaotong University Basic Research and Profession Grant (Grant number: xtr022019003, xzy032020032)Lei Zhang Xi'an Jiaotong University Young Scholar Support Grant (Grant number: YX6J004)
6 · The paper itself

Abstract

Acute diarrhea is a major cause of morbidity and mortality in children under five. Probiotics are beneficial for treating acute diarrhea in children, but unclear which specific probiotic is the most effective. We performed a Bayesian network meta-analysis to examine the comparative effectiveness of probiotics. By searching EMBASE, PubMed, and the Cochrane Library up to 31 March 2021, randomized clinical trials (RCTs) on probiotics for treating acute diarrhea in children were included. Primary outcomes included the duration of diarrhea and diarrhea lasting ≥2 days, and secondary outcomes included the mean stool frequency on day 2 and duration of hospitalization, fever, and vomiting. We assessed the certainty of the evidence of outcomes according to Grading of Recommendations Assessment, Development, and Evaluation (GRADE) guideline. Eighty-four studies with twenty-one different interventions in 13,443 children were included. For the primary outcomes, moderate evidence indicated that,

Indexed as

Acute DiseaseAdolescentBayes TheoremBifidobacteriumChildChild, PreschoolClostridiumComparative Effectiveness ResearchDiarrheaEnterococcusFemaleHumansInfantInfant, NewbornLactobacillusMaleacute diarrheachildrennetwork meta-analysisprobiotics

Identifiers

PMID34959871
PMCPMC8706888
OpenAlexW3214970792

What OpenQuestion holds

Textmetadata
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.