Evidence map›Paper›PMID 37601135›Full record

ReviewFrontiers in pediatrics2023

Comparative effectiveness and safety of Chinese medicine belly button application for childhood diarrhea: a Bayesian network meta-analysis of randomized controlled trials.

Zhi-Jun Bu, Yan-Ni Liu, Md Shahjalal, You-You Zheng, Cheng-Jiang Liu, Meng-Meng Ye, Jin-Yang Xu, Xin-Yao Peng, Xue-Hui Wang, Xu Chen and 3 more

Abstract readReview
In one paragraph

Review in Frontiers in pediatrics, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. Review
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.

Zhi-Jun Bu *Centre for Evidence-Based Chinese Medicine, Beijing University of Chinese Medicine, Beijing, China.
Yan-Ni Liu *Beijing University of Chinese Medicine, Third Affiliated Hospital, Beijing University of Chinese Medicine, Beijing, China.
Md ShahjalalDepartment of Public Health, North South University, Dhaka, Bangladesh.
You-You ZhengCentre for Evidence-Based Chinese Medicine, Beijing University of Chinese Medicine, Beijing, China.
Cheng-Jiang LiuDepartment of General Medicine, Affiliated an Qin First People's Hospital of Anhui Medical University, Anqin, China.
Meng-Meng YeSchool of Laboratory Medicine, Hubei University of Chinese Medicine, Wuhan, China.
Jin-Yang XuCentre for Evidence-Based Chinese Medicine, Beijing University of Chinese Medicine, Beijing, China.
Xin-Yao PengCentre for Evidence-Based Chinese Medicine, Beijing University of Chinese Medicine, Beijing, China.
Xue-Hui WangCentre for Evidence-Based Chinese Medicine, Beijing University of Chinese Medicine, Beijing, China.
Xu ChenBeijing University of Chinese Medicine, Third Affiliated Hospital, Beijing University of Chinese Medicine, Beijing, China.
Jian-Ping LiuCentre for Evidence-Based Chinese Medicine, Beijing University of Chinese Medicine, Beijing, China.
Hui-Lan LiuBeijing University of Chinese Medicine, Third Affiliated Hospital, Beijing University of Chinese Medicine, Beijing, China.
Zhao-Lan LiuCentre for Evidence-Based Chinese Medicine, Beijing University of Chinese Medicine, Beijing, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Chinese medicine belly button application (CMBBA) has been used to treat childhood diarrhea (CD) in several randomized controlled trials (RCTs), but its effectiveness and combination strategy still need to be clarified. Therefore, we aimed to evaluate the effectiveness, safety, and the optimal combination strategy of CMBBA in treating CD. Methods: Up until January 2023, we searched for studies that met our inclusion criteria in six databases, including PubMed, the Cochrane Library, Chinese SinoMed, CNKI, VIP, and Wanfang. Heterogeneity was quantified using Results: We analyzed data from 33 RCTs that included 4,490 children with diarrhea. In terms of clinical effectiveness, CMBBA plus montmorillonite powder plus anti-infectives may be the most effective treatment option for children with diarrhea and concurrent infection according to a minimally contextualized framework. Either exclusive use of CMBBA or CMBBA in combination with modern medicine was beneficial in reducing the time to diarrhea disappearance (MD = -1.33 days, 95% CI: -1.59 to -1.08, Conclusions: The combination of CMBBA, montmorillonite powder, and anti-infectives may provide superior clinical effectiveness for children with diarrhea and concurrent infection. To treat CD, CMBBA can be used effectively and safely. However, the findings must be interpreted with cautiously due to the limited number of clinical trials and the low quality of the studies. In addition, the choice of treatment plan should also be based on the specific conditions of each patient. Systematic Review Registration: https://www.crd.york.ac.uk/prospero/, identifier: CRD42022380694.

Indexed as

belly button applicationchildhood diarrheaChinese medicinenetwork meta-analysisNMA

Identifiers

PMID37601135
PMCPMC10436529

What OpenQuestion holds

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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.