Evidence map›Paper›PMID 37852659›Full record

SynthesisEuropean respiratory review : an official journal of the European Respiratory Society2023

Montelukast in paediatric asthma and allergic rhinitis: a systematic review and meta-analysis.

Karina Mayoral, Catalina Lizano-Barrantes, Víctor Zamora, Angels Pont, Carme Miret, Cristina Barrufet, M Araceli Caballero-Rabasco, Manuel Praena-Crespo, Alberto Bercedo, Laura Valdesoiro-Navarrete and 6 more

Open access · diamondAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in European respiratory review : an official journal of the European Respiratory Society, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
3.0field-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

8 citing papers in PubMed, 17 citations in OpenAlex.

  1. [Sleep disorders associated with montelukast in children with respiratory allergy].Revista medica del Instituto Mexicano del Seguro Social · 2026
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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

16 authors at 7 institutions in 3 countries.

Karina MayoralHealth Services Research Group, Hospital del Mar Research Institute, Barcelona, Spain.ORCID https://orcid.org/0000-0002-7904-4422
Catalina Lizano-BarrantesHealth Services Research Group, Hospital del Mar Research Institute, Barcelona, Spain.ORCID https://orcid.org/0000-0003-1690-631X
Víctor ZamoraHealth Services Research Group, Hospital del Mar Research Institute, Barcelona, Spain.ORCID https://orcid.org/0000-0003-2061-0052
Angels PontHealth Services Research Group, Hospital del Mar Research Institute, Barcelona, Spain.ORCID https://orcid.org/0000-0002-0602-552X
Carme MiretDepartment of Paediatrics, Obstetrics and Gynaecology, and Preventive Medicine and Public Health, Universitat Autònoma de Barcelona, Barcelona, Spain.ORCID https://orcid.org/0000-0001-6154-3998
Cristina BarrufetHealth Services Evaluation and Clinical Epidemiology Department, Hospital del Mar, Universitat Autònoma de Barcelona, Barcelona, Spain.ORCID https://orcid.org/0000-0001-5006-668X
M Araceli Caballero-RabascoDepartment of Paediatrics, Obstetrics and Gynaecology, and Preventive Medicine and Public Health, Universitat Autònoma de Barcelona, Barcelona, Spain.ORCID https://orcid.org/0000-0002-1080-2192
Manuel Praena-CrespoCentro de Salud La Candelaria, Servicio Andaluz de Salud, Seville, Spain.ORCID https://orcid.org/0000-0002-1928-9663
Alberto BercedoGrupo de Vías Respiratorias de la Asociación Española de Pediatras de Atención Primaria (AEPAP), Madrid, Spain.ORCID https://orcid.org/0000-0002-6719-4765
Laura Valdesoiro-NavarreteHospital Universitari Parc Taulí, Sabadell, Spain.ORCID https://orcid.org/0000-0003-1610-5168
Maria Teresa GuerraCentro de Salud de Jerez Sur, Servicio Andaluz de Salud, Jerez de la Frontera, Spain.ORCID https://orcid.org/0000-0002-0566-1970
Yolanda PardoHealth Services Research Group, Hospital del Mar Research Institute, Barcelona, Spain.ORCID https://orcid.org/0000-0003-4982-5495
Mª José Martínez ZapataCIBER en Epidemiología y Salud Pública, CIBERESP, Madrid, Spain.ORCID https://orcid.org/0000-0002-5836-1138
Olatz GarinHealth Services Research Group, Hospital del Mar Research Institute, Barcelona, Spain.ORCID https://orcid.org/0000-0001-6193-0779
Montse FerrerHealth Services Research Group, Hospital del Mar Research Institute, Barcelona, Spain mferrer@imim.es.ORCID https://orcid.org/0000-0001-9867-7391
ARCA Group
Universitat Autònoma de Barcelona · ESUniversitat Pompeu Fabra · ESAndalusian Health Service · ESAsociación Española de Urología · ESDeleted InstitutionHospital Del Mar · ESIberoamerican Cochrane Centre · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWe aim to assess the impact of montelukast on paediatric patients with asthma/allergic rhinitis, measured using patient-reported outcome measures, compared with other treatments or placebo.

methodsProtocol registration CRD42020216098 (www.crd.york.ac.uk/PROSPERO). MEDLINE and Embase databases were used to conduct the search. Two authors independently selected studies and extracted data, and a third reviewer resolved discrepancies. Meta-analyses were constructed to estimate the standardised mean difference (SMD) using a random-effects model.

resultsOut of 3937 articles identified, 49 studies met the inclusion criteria, mostly randomised clinical trials (sample sizes: 21-689 patients). The SMD of change pooled estimators for the global, mental and physical domains of health-related quality of life were not statistically significant. For daytime and night-time symptoms scores, the SMD (95% CI) was in favour of inhaled corticosteroids (-0.12, -0.20- -0.05 and -0.23, -0.41- -0.06, respectively). The pooled estimator for global asthma symptoms was better for montelukast when compared with placebo (0.90, 0.44-1.36).

conclusionsThe synthesis of the available evidence suggests that, in children and adolescents, montelukast was effective in controlling asthma symptoms when compared with placebo, but inhaled corticosteroids were superior in controlling symptoms, especially at night-time. These findings of our systematic review concur with current guidelines for asthma treatment.

Indexed as

AsthmaRhinitis, AllergicAcetatesAdolescentAdrenal Cortex HormonesChildCyclopropanesHumansQuality of LifeQuinolinesSulfidesAcetatesAdrenal Cortex HormonesCyclopropanesmontelukastQuinolinesSulfides

Identifiers

PMID37852659
PMCPMC10582929
OpenAlexW4387742434

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.