Evidence map›Paper›PMID 37166229›Full record

SynthesisClinical rehabilitation2023

A systematic review examining the effect of vitamin D supplementation on functional outcomes post-stroke.

Jamie L Fleet, Amanda McIntyre, Shannon Janzen, Marcus Saikaley, Michael Qaqish, Robert Cianfarani, Alexandra Papaioannou

Open access · hybridAbstract readSystematic Review
In one paragraph

Synthesis in Clinical rehabilitation, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
2.0field-weighted citation impact, top 14% 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

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 8 citations in OpenAlex.

  1. Pooled it
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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

7 authors at 2 institutions in 1 country.

Jamie L FleetDepartment of Physical Medicine and Rehabilitation, Western University, London, Canada.ORCID 0000-0002-9468-0697
Amanda McIntyreLawson Health Research Institute, London, Canada.ORCID 0000-0002-0992-0909
Shannon JanzenLawson Health Research Institute, London, Canada.
Marcus SaikaleyLawson Health Research Institute, London, Canada.
Michael QaqishSchulich School of Medicine and Dentistry, Western University, London, Canada.
Robert CianfaraniSchulich School of Medicine and Dentistry, Western University, London, Canada.
Alexandra PapaioannouSchulich School of Medicine and Dentistry, Western University, London, Canada.
Western University · CALawson Health Research Institute · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe objective of this systematic review was to explore the effect of vitamin D supplementation on functional outcomes (motor function, mobility, activities of daily living and stroke impairment) among individuals post-stroke (PROSPERO CRD42022296462). DATA SOURCES: MEDLINE, PsycINFO, EMBASE, and CINAHL were searched for all articles published up to March 5, 2023.

methodsOnly interventional studies assessing vitamin D supplementation compared to placebo or usual care in adult stroke patients were selected. After duplicate removal, 2912 studies were screened by two independent reviewers. A total of 43 studies underwent full text review; 10 studies met inclusion criteria (8 randomized controlled trials and 2 non-randomized studies of intervention). Data were extracted by two independent reviewers using Covidence software. Motor function (Brunnstrom Recovery Stage, Berg Balance Score), mobility (Functional Ambulation Category), activities of daily living (Barthel Index, Functional Independence Measure) and stroke impairment (modified Rankin Scale, National Institutes for Health Stroke Severity, Scandinavian Stroke Severity) were the outcome measures of interest reported in the included studies.

resultsIn total, 691 patients were studied for which 11 of 13 outcome measures showed improvement with vitamin D supplementation.

conclusionsThe majority of studies showed a statistical improvement in motor function, mobility, and stroke impairment with vitamin D supplementation; however, the evidence did not support an improvement in activities of daily living with treatment. Despite this, there may not be clinical significance. Strong, methodologically sound, randomized controlled trials are required to verify these findings.

Indexed as

StrokeStroke RehabilitationActivities of Daily LivingAdultDietary SupplementsHumansVitamin DVitamin Dactivities of daily livingmobilitystrokesupplementationsystematic reviewvitamin D

Identifiers

PMID37166229
PMCPMC10492437
OpenAlexW4376131823

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.