Evidence map›Paper›PMID 38111626›Full record

ReviewFrontiers in pediatrics2023

Expert group recommendation on inhaled mucoactive drugs in pediatric respiratory diseases: an Indian perspective.

Meenu Singh, Sneha Varkki, Ilin Kinimi, Rashmi R Das, Jagdish Prasad Goyal, Mushtaq Bhat, Rajeshwar Dayal, Pawan Kalyan, Jitender Gairolla, Indu Khosla

Open access · goldAbstract 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 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.5field-weighted citation impact, top 27% 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, 2 citations in OpenAlex.

  1. Article
  2. 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

10 authors at 8 institutions in 1 country.

Meenu SinghDepartment of Pediatrics, All India Institute of Medical Sciences (AIIMS), Rishikesh, India.
Sneha VarkkiDepartment of Pediatrics, Christian Medical College, Vellore, India.
Ilin KinimiDepartment of Pediatrics, Manipal Hospitals, Bengaluru, India.
Rashmi R DasDepartment of Pediatrics, All India Institute of Medical Sciences (AIIMS), Bhubaneswar, India.
Jagdish Prasad GoyalDepartment of Pediatrics, All India Institute of Medical Sciences (AIIMS), Jodhpur, India.
Mushtaq BhatDepartment of Pediatrics and Neonatology, Sher-I-Kashmir Institute of Medical Sciences, Srinagar, India.
Rajeshwar DayalDepartment of Pediatrics, Sarojini Naidu Medical College, Agra, India.
Pawan KalyanDepartment of Pediatrics, Dr Pinnamaneni Siddhartha Institute of Medical Sciences and Research Foundation, Chinaoutapally, India.
Jitender GairollaDepartment of Microbiology, All India Institute of Medical Sciences (AIIMS), Rishikesh, India.
Indu KhoslaDr Indu's Newborn and Pediatric Center, Mumbai, India.
All India Institute of Medical Sciences RishikeshAll India Institute of Medical Sciences Bhubaneswar · INAll India Institute of Medical Sciences Jodhpur · INChristian Medical College & Hospital · INInstitute of Medical Sciences · INManipal Hospital · INSarojini Naidu Medical College · INSher-i-Kashmir Institute of Medical Sciences · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Currently, there are no guidelines or consensus statements about the usage of inhaled mucoactive drugs in pediatric respiratory disease conditions from an Indian perspective. Objective: To develop a practical consensus document to help pediatricians in clinical decision-making when choosing an appropriate mucoactive drug for the management of specific respiratory disease conditions. Methods: A committee of nine experts with significant experience in pediatric respiratory disease conditions and a microbiological expert constituted the panel. An electronic search of the PubMed/MEDLINE, Cochrane Library, Scopus, and Embase databases was undertaken to identify relevant articles. Various combinations of keywords such as inhaled, nebulized, mucoactive, mucolytic, mucokinetic, expectorants, mucoregulators, mucociliary clearance, respiratory disorders, pediatric, cystic fibrosis (CF), non-CF bronchiectasis, acute wheezing, asthma, primary ciliary dyskinesia (PCD), critically ill, mechanical ventilation, tracheomalacia, tracheobronchomalacia, esophageal atresia (EA), tracheoesophageal fistula (TEF), acute bronchiolitis, sputum induction, guideline, and management were used. Twelve questions were drafted for discussion. A roundtable meeting of experts was conducted to arrive at a consensus. The level of evidence and class of recommendation were weighed and graded. Conclusions: Inhaled mucoactive drugs (hypertonic saline, dry powder mannitol, and dornase alfa) can enhance mucociliary clearance in children with CF. Experts opined that hypertonic saline could be beneficial in non-CF bronchiectasis, acute bronchiolitis, and PCD. The current state of evidence is inadequate to support the use of inhaled mucoactive drugs in asthma, acute wheezing, tracheomalacia, tracheobronchomalacia, and EA with TEF.

Indexed as

consensusIndiainhaledmucoactivepediatricrespiratory disorders

Identifiers

PMID38111626
PMCPMC10725989
OpenAlexW4389309812

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.