Evidence map›Paper›PMID 35634950›Full record

ArticleImmunity, inflammation and disease2022

Synbiotic containing extensively hydrolyzed formula improves gastrointestinal and atopic symptom severity, growth, caregiver quality of life, and hospital-related healthcare use in infants with cow's milk allergy.

Gary P Hubbard, Kiranjit Atwal, Lynne Graham, Sankara Narayanan, Lisa Cooke, Catherine Casewell, Sally-Ann Denton, Joan Gavin, Robert M Browne, Fiona J Kinnear and 9 more

Open access · goldAbstract read
In one paragraph

Article in Immunity, inflammation and disease, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
3.5field-weighted citation impact, top 8% 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

6 citing papers in PubMed, 10 citations in OpenAlex.

  1. Observational
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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

19 authors at 7 institutions in 1 country.

Gary P HubbardNutricia Ltd, Trowbridge, UK.ORCID 0000-0001-6029-6446
Kiranjit AtwalNutricia Ltd, Trowbridge, UK.
Lynne GrahamWest Hertfordshire Hospitals NHS Trust, Watford, UK.
Sankara NarayananWest Hertfordshire Hospitals NHS Trust, Watford, UK.
Lisa CookeBristol Royal Hospital for Children, Bristol, UK.
Catherine CasewellAshford and St Peter's Hospital NHS Foundation Trust, Chertsey, UK.
Sally-Ann DentonUniversity Hospitals Southampton NHS Foundation Trust, Southampton, UK.
Joan GavinUniversity Hospitals Southampton NHS Foundation Trust, Southampton, UK.
Robert M BrowneNutricia Ltd, Trowbridge, UK.
Fiona J KinnearNutricia Ltd, Trowbridge, UK.
Ailsa J McHardyUniversity Hospitals Southampton NHS Foundation Trust, Southampton, UK.
Debbie EvansRoyal Surrey NHS Foundation Trust, Guildford, UK.
Rachel VallisRoyal Surrey NHS Foundation Trust, Guildford, UK.
Devasmitha VenkataramanJames Cook Hospital, South Tees Hospitals NHS Foundation Trust, Middlesbrough, UK.
Abbie L CawoodNutricia Ltd, Trowbridge, UK.
Sarah DonohoeJames Cook Hospital, South Tees Hospitals NHS Foundation Trust, Middlesbrough, UK.
Victoria SteeleJames Cook Hospital, South Tees Hospitals NHS Foundation Trust, Middlesbrough, UK.
Sonia ArmstrongJames Cook Hospital, South Tees Hospitals NHS Foundation Trust, Middlesbrough, UK.
Rebecca J StrattonNutricia Ltd, Trowbridge, UK.
Nutricia (United Kingdom) · GBSouth Tees Hospitals NHS Foundation Trust · GBUniversity Hospital Southampton NHS Foundation Trust · GBRoyal Surrey NHS Foundation Trust · GBWest Hertfordshire Hospitals NHS Trust · GBAshford and St Peter's Hospitals NHS Foundation Trust · GBBristol Royal Hospital for Children · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHealthy gut microbiota is important for prognosis in cow's milk allergy (CMA). The application of synbiotics (specific pre- and probiotics) in extensively hydrolyzed formulae (eHFs) is a relatively new concept.

aimsTo evaluate a synbiotic-containing, whey-based eHF (SeHF) with galacto-oligosaccharides, fructo-oligosaccharides, and bifidobacterium breve M-16V in infants with CMA. MATERIALS AND

methodsA 31-day one-arm pilot study in 29 infants with CMA (mean age 30.8 weeks [SD 11]) was undertaken, with outcomes including gastrointestinal tolerance, atopic dermatitis symptoms, dietary intake, growth, SeHF acceptability, caregiver quality of life, and hospital-related healthcare use.

resultsSignificant improvements (p < .05) in the severity of abdominal pain (in 57%), burping (in 46%), flatulence (in 79%), constipation (in 14%), rhinitis (41%), and itchy eyes (73%), as well as atopic dermatitis in those with severe baseline symptoms (PO-SCORAD DISCUSSION: In this small, single-arm, pilot study, the use of SeHF enhanced the management of infants with non-IgE mediated CMA who were already established on eHF.

conclusionWhilst this study adds to the evidence base for the use of SeHF in CMA, further robust research to explore the longer-term benefits of synbiotics, specifically the blend used in this study, for the clinical management of infants with CMA is warranted.

Indexed as

Dermatitis, AtopicMilk HypersensitivitySynbioticsAnimalsCaregiversCattleDelivery of Health CareFemaleHospitalsHumansOligosaccharidesPilot ProjectsQuality of LifeOligosaccharidescow's milk allergydermatitisprebioticsprobioticssynbiotics

Identifiers

PMID35634950
PMCPMC9119008
OpenAlexW4280546651

What OpenQuestion holds

Textmetadata
LicenceCC BY
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Registered trials

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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.