Evidence map›Paper›PMID 37991091›Full record

SynthesisEinstein (Sao Paulo, Brazil)2023

Efficacy and safety of medical cannabinoids in children with cerebral palsy: a systematic review.

Widya Murni, Tungki Pratama Umar, Kevin Tandarto, Abraham Simatupang, Armedy Ronny Hasugian, Reza Yuridian Purwoko, Sri Idaiani, Bella Stevanny, Caroline Oktarina, Reganedgary Jonlean and 4 more

Open access · diamondAbstract readSystematic Review
In one paragraph

Synthesis in Einstein (Sao Paulo, Brazil), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
0.5field-weighted citation impact, top 31% 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

0 citing papers in PubMed, 2 citations in OpenAlex.

No citing paper in PubMed yet.

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

14 authors at 6 institutions in 1 country.

Widya MurniJakarta Anti-Aging Center Clinic , Jakarta , Indonesia .ORCID http://orcid.org/0000-0002-1023-6493
Tungki Pratama UmarFaculty of Medicine , Sriwijaya University , Palembang , Indonesia .ORCID http://orcid.org/0000-0001-6975-8096
Kevin TandartoFaculty of Medicine and Health Sciences , Atma Jaya Catholic University of Indonesia , Jakarta , Indonesia .ORCID http://orcid.org/0000-0002-6998-8091
Abraham SimatupangDepartment of Pharmacology and Therapy , Faculty of Medicine , Universitas Kristen Indonesia , Jakarta , Indonesia .ORCID http://orcid.org/0000-0003-2497-9738
Armedy Ronny HasugianIndonesia National Research and Innovation Agency , Jakarta , Indonesia .ORCID http://orcid.org/0000-0002-3255-9218
Reza Yuridian PurwokoIndonesia National Research and Innovation Agency , Jakarta , Indonesia .ORCID http://orcid.org/0000-0003-1183-0942
Sri IdaianiIndonesia National Research and Innovation Agency , Jakarta , Indonesia .ORCID http://orcid.org/0000-0001-9010-9103
Bella StevannyFaculty of Medicine , Sriwijaya University , Palembang , Indonesia .ORCID http://orcid.org/0000-0002-5135-3012
Caroline OktarinaFaculty of Medicine , University of Indonesia , Jakarta , Indonesia .ORCID http://orcid.org/0000-0003-0494-9486
Reganedgary JonleanFaculty of Medicine , University of Indonesia , Jakarta , Indonesia .ORCID http://orcid.org/0000-0002-5005-4707
Tamara TangoFaculty of Medicine , University of Indonesia , Jakarta , Indonesia .ORCID http://orcid.org/0000-0002-8340-4259
Kevin Surya KusumaFaculty of Medicine and Health Sciences , Atma Jaya Catholic University of Indonesia , Jakarta , Indonesia .ORCID http://orcid.org/0000-0003-1536-5929
Sagita Pratiwi SugiyonoFaculty of Medicine and Health Sciences , Atma Jaya Catholic University of Indonesia , Jakarta , Indonesia .ORCID http://orcid.org/0000-0002-4273-274X
Aditya PutraFaculty of Medicine and Health Sciences , Atma Jaya Catholic University of Indonesia , Jakarta , Indonesia .ORCID http://orcid.org/0000-0003-1294-9259
Atma Jaya Catholic University of Indonesia · IDNational Nuclear Energy Agency of Indonesia · IDUniversity of Indonesia · IDSriwijaya University · IDUniversitas 17 Agustus 1945 Jakarta · IDUniversitas Kristen Indonesia · ID

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe increasing popularity of cannabinoids for treating numerous neurological disorders has been reported in various countries. Although it reduces tetrahydrocannabinol psychoactivity, it helps patients tolerate higher doses and complements the anti-spasmodic effects of tetrahydrocannabinol. One of the most important potential of cannabinoids are related to its potential to help children with cerebral palsy, a contributor of lifelong disability. Therefore, this systematic review aimed to assess the efficacy and safety of medical cannabinoids in children with cerebral palsy.

methodsThis review adhered to The Preferred Reporting Items for Systematic Reviews and Meta-analysis 2020 guidelines. Seven databases, namely, Scopus, PubMed, EBSCO Host, ProQuest, Google Scholar, Semantic Scholar, and JSTOR, were used to identify relevant studies. Studies examining pediatric patients with cerebral palsy and reporting the efficacy and safety of medical cannabinoids through clinical trials, observational cross-sectional studies, or cohort designs were included. The outcomes of the studies included the efficacy of medical cannabinoids administered for spasticity, motor components, pain control, sleep difficulties, adverse effects, and seizure control.

resultsOf 803 identified articles, only three met the inclusion criteria for data synthesis. One study exhibited a moderate risk-of-bias. A total of 133 respondents, mainly from Europe, were investigated. Overall effectiveness and safety were considered good. However, the results are inconsistent, especially regarding spasticity treatment variables.

conclusionThe anti-spasticity, anti-inflammatory, and anti-seizure properties of cannabinoids might be beneficial for patients with cerebral palsy, although their effectiveness has not been widely studied. Further studies with larger sample sizes and various ethnicities are warranted. Prospero database registration: (www.crd.york.ac.uk/prospero) under ID CRD42022358383.

Indexed as

CannabinoidsCerebral PalsyChildCross-Sectional StudiesDronabinolHumansMuscle SpasticityCannabinoidsDronabinol

Identifiers

PMID37991091
PMCPMC10691312
OpenAlexW4388624589

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.