Evidence map›Paper›PMID 36711047›Full record

ReviewCanadian journal of respiratory therapy : CJRT = Revue canadienne de la therapie respiratoire : RCTR2023

Efficacy of hypertonic saline versus isotonic saline among children with cystic fibrosis: A systematic review and meta-analysis.

Saad Ehsan Ullah, Mohammad Munim Zahoor, Swatika Gupta, Sukhman Boparai, Muhammad Muneeb, Shahda A H Eltieb, Abhirami Shankar, Harriet Mmaitsi Kidiavai, Rimsha Rahim Vohra, Anjuli Devi and 3 more

Open access · diamondAbstract readReview
In one paragraph

Review in Canadian journal of respiratory therapy : CJRT = Revue canadienne de la therapie respiratoire : RCTR, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
0.5field-weighted citation impact, top 32% 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

2 citing papers in PubMed, 1 synthesis or guideline pooled it, 2 citations in OpenAlex.

  1. Pooled it
  2. Comment on "Efficacy of hypertonic saline versus isotonic saline among children with cystic fibrosis: A systematic review and meta-analysis".Canadian journal of respiratory therapy : CJRT = Revue canadienne de la therapie respiratoire : RCTR · 2023
    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

13 authors at 10 institutions in 5 countries.

Saad Ehsan UllahDepartment of Medicine, Shaikh Zayed Hospital, Lahore, Pakistan.ORCID https://orcid.org/0000-0001-6329-1085
Mohammad Munim ZahoorDepartment of Medicine, Lahore Medical and Dental College, Lahore, Pakistan.ORCID https://orcid.org/0000-0002-6942-3867
Swatika GuptaDepartment of Medicine, Mahatma Gandhi Mission College and Hospital, Navi Mumbai, India.ORCID https://orcid.org/0000-0002-5406-1947
Sukhman BoparaiDepartment of Medicine, Acharya Shri Chander College of Medical Sciences and Hospital, Jammu, India.ORCID https://orcid.org/0000-0002-9831-1522
Muhammad MuneebDepartment of Medicine, Ziauddin University, Karachi, Pakistan.ORCID https://orcid.org/0000-0002-7477-0425
Shahda A H EltiebDepartment of Medicine, Al-Shaab Teaching Hospital, Khartoum, Sudan.ORCID https://orcid.org/0000-0002-8237-0501
Abhirami ShankarDepartment of Internal Medicine, West Anaheim Medical Center, Anaheim, CA.ORCID https://orcid.org/0000-0003-0729-098X
Harriet Mmaitsi KidiavaiDepartment of Family Medicine, Georgina Family Medical Centre, Keswick, ON.ORCID https://orcid.org/0000-0002-9315-8012
Rimsha Rahim VohraDepartment of Medicine, Dow University of Health Sciences, Karachi, Pakistan.ORCID https://orcid.org/0000-0003-0535-2278
Anjuli DeviDepartment of Medicine, Ziauddin University, Karachi, Pakistan.ORCID https://orcid.org/0000-0001-5214-3247
Zainab Asif BhuraDepartment of Internal Medicine, University Health Network, Toronto, ON.ORCID https://orcid.org/0000-0001-8865-2174
Zaid Muhammad AslamDepartment of Medicine, Ziauddin University, Karachi, Pakistan.ORCID https://orcid.org/0000-0002-1041-0631
Mudassir ShoaibDepartment of Medicine, Jinnah Medical and Dental College, Karachi, Pakistan.ORCID https://orcid.org/0000-0001-8931-6826
Ziauddin University · PKAcharya Shri Chander College of Medical Sciences and Hospital · INAsklepios Klinik St. Georg · DECMH Lahore Medical College and Institute of Dentistry · PKDow University of Health Sciences · PKJinnah Medical & Dental College · PKKaiser Permanente Anaheim Medical Center · USMahatma Gandhi Mission's Dental College and Hospital · INShaikh Zayed Hospital · PKUniversity Health Network · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Inhaled hypertonic saline (HS) reduces pulmonary exacerbations in patients with cystic fibrosis (CF) aged 6 or more years. However, the effectiveness of HS in improving clinical outcomes in younger children aged 6 or less years is not established. This study examines the efficacy of HS in younger CF patients. Methods: Searches were conducted across three databases (Medline, Cochrane Central and EMBASE) from inception through July 2022. Randomized controlled trials assessing the impact of HS in younger CF patients were included. Trials involving only patients greater than 6 years or control group other than isotonic saline (IS) were excluded. Outcomes measured included lung clearance index (LCI), cystic fibrosis questionnaire (CFQ-R) score, spirometry measures, oxygen saturation, respiratory rate, height and weight. Outcomes were reported as mean differences (MDs) with 95% confidence intervals. Results: Seven studies ( Discussion: Treatment with HS in younger children with CF improves lung clearance, symptoms and quality of life. FEF Conclusion: The findings support HS as a therapeutic method in CF-affected children.

Indexed as

childrencystic fibrosis questionnairehypertonic salineisotonic salinelung clearance indexquality of lifespirometry

Identifiers

PMID36711047
PMCPMC9838740
OpenAlexW4316035419

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.