Evidence map›Paper›PMID 39188641›Full record

ArticleFrontiers in pediatrics2024

Clinical management of children with tic disorder: insights from therapeutic visits in China-a real-world study.

Jing Wang, Changyong Luo, Zhendong Wang, Tiegang Liu, Chen Bai, Yang Wang, Yuanshuo Tian, Qianqian Li, Zhaoxin Wang, Liqun Wu and 2 more

Abstract read
In one paragraph

Article in Frontiers in pediatrics, 2024. 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. 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

12 authors.

Jing Wang *Pediatric Department, Wangjing Hospital of CACMS, Beijing, China.
Changyong Luo *Dongfang Hospital, Beijing University of Chinese Medicine, Beijing, China.
Zhendong Wang *Gulou Hospital of Traditional Chinese Medicine of Beijing, Beijing, China.
Tiegang LiuSchool of Traditional Chinese Medicine, Beijing University of Chinese Medicine, Beijing, China.
Chen BaiSchool of Traditional Chinese Medicine, Beijing University of Chinese Medicine, Beijing, China.
Yang WangDepartment of Chinese Medicine, Beijing Jishuitan Hospital, Capital Medical University, Beijing, China.
Yuanshuo TianSchool of Traditional Chinese Medicine, Beijing University of Chinese Medicine, Beijing, China.
Qianqian LiSchool of Traditional Chinese Medicine, Beijing University of Chinese Medicine, Beijing, China.
Zhaoxin WangDongzhimen Hospital Beijing University of Chinese Medicine, Beijing University of Chinese Medicine, Beijing, China.
Liqun WuDongfang Hospital, Beijing University of Chinese Medicine, Beijing, China.
Sumei WangDongfang Hospital, Beijing University of Chinese Medicine, Beijing, China.
Xiaohong GuSchool of Traditional Chinese Medicine, Beijing University of Chinese Medicine, Beijing, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: This retrospective study aims to investigate the treatment of tic disorder (TD) in Dongfang Hospital affiliated with Beijing University of Chinese Medicine, explore its underlying mechanism, and provide valuable insights for future research and clinical management of TD. Methods: The electronic medical records of children with TD, from 2015 to 2021, were extracted from the information system of Dongfang Hospital affiliated with Beijing University of Chinese Medicine. The clinical characteristics of TD, utilization patterns of Chinese herbal medicine and synthetic drugs in prescriptions, as well as their pharmacological effects, were statistically described and categorized. In addition, association rules and network pharmacology were employed to identify core prescriptions (CPs) and elucidate their microscopic molecular mechanisms in treating TD. Results: The age range of the children was from 6 to 11 years, with a higher proportion of male participants than female ones. The average duration of treatment was 6 weeks. Regimen Z for the treatment of TD can be summarized as follows: Chinese herbal medicine [Saposhnikoviae Radix (FangFeng), Puerariae Lobatae Radix (GeGen), Uncariae Ramulus cum Uncis (GouTeng), Acori Tatarinowii Rhizoma (ShiChangPu), Chuanxiong Rhizoma (ChuanXiong)] and vitamins [lysine, inosite, and vitamin B12 oral solution] form the basic treatment, combined with immunomodulators, antibiotics, electrolyte-balancing agents, and antiallergic agents. CPs primarily exerted their effects through the modulation of gene expression (transcription), the immune system, and signal transduction pathways, with interleukin-4 and interleukin-13 pathways being particularly crucial. Among the lysine synthetic drugs used, inosite and vitamin B12 oral solution were the most frequently prescribed. Conclusion: The regimen Z drug treatment holds significant importance in the field, as it exerts its therapeutic effects through a multitude of pathways and intricate interventions. Chinese herbal medicine primarily regulates immune system-related pathways, while synthetic drugs predominantly consist of vitamins.

Indexed as

electronic medical datareal-world studytherapeutic medicationtic disordertraditional Chinese medicine

Identifiers

PMID39188641
PMCPMC11345627

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