Evidence map›Paper›PMID 38862574›Full record

SynthesisScientific reports2024

Efficacy and safety of antithrombotic therapy for preventing and treating pediatric thromboembolic disease: a systematic review.

Hongjin Gao, Mingyu Chen, Youqi Huang, Huiting Liu, Yuze Lin, Min Chen

Abstract readMeta-AnalysisNetwork Meta-AnalysisSystematic Review
In one paragraph

Synthesis in Scientific reports, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
–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 synthesis or guideline pooled it.

  1. Pooled it
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

6 authors.

Hongjin Gao *Department of Pharmacy, Fujian Provincial Hospital, Fuzhou, 350001, China.
Mingyu Chen *School of Pharmacy, Fujian Medical University, Fuzhou, 350004, China.
Youqi HuangSchool of Pharmacy, Fujian Medical University, Fuzhou, 350004, China.
Huiting LiuSchool of Pharmacy, Fujian Medical University, Fuzhou, 350004, China.
Yuze LinSchool of Pharmacy, Fujian Medical University, Fuzhou, 350004, China.
Min ChenShengli Clinical College of Fujian Medical University, Fujian Provincial Hospital, No.134 Dongjie St., Fuzhou, 350001, China. chenmin163com@163.com.

Funding

Department of Finance, Fujian Province NO. 006009210417Guiding Projects of Fujian Science and Technology Department 2023Y0045
6 · The paper itself

Abstract

This review used traditional and network meta-analyses (NMA) to conduct a comprehensive study of antithrombotic therapies in children with thromboembolic disease. We searched the PubMed, Embase, Cochrane Library, Web of Science and ClinicalTrials.gov databases from their inception to 26 February, 2023. And we finally included 16 randomized controlled trials. In the prevention of thromboembolic events (TEs), the use of anticoagulants had a low risk of TEs (relative risk (RR) 0.73, 95% CI 0.56 to 0.94) and a high risk of minor bleeding (RR 1.43, 95% CI 1.09 to 1.86) compared with no anticoagulants. In the treatment of TEs, direct oral anticoagulants (DOACs) were not inferior to standard anticoagulation in terms of efficacy and safety outcomes. In NMA, rivaroxaban and apixaban showed the lowest risk for TEs and major or clinically relevant nonmajor bleeding. According to the overall assessment of efficacy and safety, dabigatran may be the best choice for children with thromboembolic disease. The results of our study will provide references and suggestions for clinical drug selection.

Indexed as

Fibrinolytic AgentsHemorrhageThromboembolismAnticoagulantsChildDabigatranHumansPyrazolesPyridonesRandomized Controlled Trials as TopicRivaroxabanTreatment OutcomeAnticoagulantsapixabanDabigatranFibrinolytic AgentsPyrazolesPyridonesRivaroxaban

Identifiers

PMID38862574
PMCPMC11166992

What OpenQuestion holds

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LicenceCC BY
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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.