Evidence map›Paper›PMID 36635681›Full record

SynthesisBMC infectious diseases2023

Efficacy and safety of antibiotic therapy for post-Lyme disease? A systematic review and network meta-analysis.

Xiaoqian Zhang, Yuwei Jiang, Yihan Chen, Jiaru Yang, Xiaoqi Zhang, Lu Xing, Aihua Liu, Fukai Bao

Open access · goldAbstract readSystematic ReviewNetwork Meta-Analysis
In one paragraph

Synthesis in BMC infectious diseases, 2023. 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 24% 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, 5 citations in OpenAlex.

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

8 authors at 4 institutions in 1 country.

Xiaoqian Zhang *Department of Stomatology, Haiyuan College of Kunming Medical University, Kunming, 650000, China.
Yuwei Jiang *Medical Microbiology and Immunology Teaching and Research Section, Haiyuan College of Kunming Medical University, Kunming, 650000, China.
Yihan ChenDepartment of Stomatology, Haiyuan College of Kunming Medical University, Kunming, 650000, China.
Jiaru YangThe Institute for Tropical Medicine, Faculty of Basic Medical Science, Kunming Medical University, Kunming, China.
Xiaoqi ZhangDepartment of Orthodontics, West China Hospital of Stomatology, State Key Laboratory of Oral Diseases, National Clinical Research Center of Oral Diseases, Sichuan University, Chengdu, China.
Lu XingDepartment of Orthodontics, West China Hospital of Stomatology, State Key Laboratory of Oral Diseases, National Clinical Research Center of Oral Diseases, Sichuan University, Chengdu, China.
Aihua LiuThe Institute for Tropical Medicine, Faculty of Basic Medical Science, Kunming Medical University, Kunming, China. liuaihua@kmmu.edu.cn.
Fukai BaoThe Institute for Tropical Medicine, Faculty of Basic Medical Science, Kunming Medical University, Kunming, China. baofukai@kmmu.edu.cn.
Kunming Medical University · CNKunming Children's Hospital · CNSichuan University · CNState Key Laboratory of Oral Diseases

Funding

National Natural Science Foundation of China 32060180Natural Science Foundation of Yunnan Province 2017FE467-001
6 · The paper itself

Abstract

backgroundAt present, the pathogenesis of post-treatment Lyme disease (PTLDS) is not clear, so the treatment scheme of PTLDS, especially antibiotic treatment, is still controversial. This study aims to evaluate the efficacy of antibiotics in the treatment of PTLDS using network meta-analysis (NMA).

methodsFollowing PRISMA guidelines, a systematic literature search was conducted on randomized controlled trials in PubMed, EMBASE, Web of Science and Cochrane Library (the literature was published from database inception through December 16, 2022). Using random effect model and fixed effect model. STATA17.0 software was used to evaluate the quality and heterogeneity of the included research literature.

resultsThe system included 4 randomized controlled trials (485 subjects). The network meta-analysis showed that ceftriaxone had better results than placebo [Mean = 0.87, 95% CI (0.02, 1.71)] and doxycycline [Mean = 1.01, 95% CI (0.03, 1.98)] in FSS scale scores. There was no statistical difference in FSS scale scores of other drugs after treatment. In terms of FSS score results, Ceftriaxone was the best intervention according to the SUCRA value of each treatment (97.7). The analysis of outcome indicators such as Beck Depression Inventory (BDI), Mental-health Scale and Physical-functioning scale showed that there was no statistically significant difference between the antibiotic group and placebo group.

conclusionCeftriaxone treatment may be the best choice for antibiotic treatment of PTLD, which provides useful guidance for antibiotic treatment of PTLD in the future.

Indexed as

Anti-Bacterial AgentsCeftriaxoneLyme DiseaseDoxycyclineHumansRandomized Controlled Trials as TopicTreatment OutcomeAnti-Bacterial AgentsCeftriaxoneDoxycyclineAntibioticsCurative effectMeta-analysisPost-treatment Lyme diseaseTreatment

Identifiers

PMID36635681
PMCPMC9838005
OpenAlexW4315780365

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.