Evidence map›Paper›PMID 41029169›Full record

Observational studyMedicine2025

The effectiveness of the ketogenic diet in treating refractory epilepsy: A study of different seizure forms.

Meng Wang, Hongwei Zhang, Pingping Tian, Wandong Hu, Yehong Chen

Abstract readObservational Study
In one paragraph

Observational study in Medicine, 2025. 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

5 authors.

Meng WangNeurology Department, Children's Hospital Affiliated to Shandong University, Jinan, China.ORCID 0000-0001-5986-2084
Hongwei ZhangNeurology Department, Children's Hospital Affiliated to Shandong University, Jinan, China.
Pingping TianNeurology Department, Children's Hospital Affiliated to Shandong University, Jinan, China.ORCID 0009-0004-6210-2042
Wandong HuNeurology Department, Children's Hospital Affiliated to Shandong University, Jinan, China.
Yehong ChenDepartment of Electrophysiology, Epilepsy Center, Children's Hospital Affiliated to Shandong University, Jinan, China.ORCID 0009-0007-8747-8742

Funding

the Science and Technology Development Program of Jinan Municipal Health 2022-2-161
6 · The paper itself

Abstract

The objective of this study was to compare the efficacy of the ketogenic diet (KD) in patients with refractory epilepsy with different seizure forms and to further evaluate the correlation between seizure types and the efficacy of KD. In this prospective observational cohort study, consecutive children with refractory epilepsy (N = 72) treated with KD were recruited for follow-up. The children were divided into 2 groups: a nongeneralized seizure group and a full seizure group. Monthly seizure frequencies and seizure reduction rate after KDT 3 months and 6 months were compared between 2 groups. Follow-up results at 3 and 6 months showed a decrease in seizure frequency in both the nonprolific and full seizure groups, and the differences in seizure frequency from baseline were statistically significant in both the nonprolific and full seizure groups. After 3 months of KD treatment, the seizure frequency in the nongeneralized seizure group was notably lower than that in the full seizure group. However, after 6 months of KD treatment, there was no statistically significant difference between the seizure frequency of patients in the nongeneralized seizure group and those in the full seizure group. Further findings indicated a greater proportion of seizure reduction in the nongeneralized seizure group than in the full seizure group after 3 months of KD treatment. Statistically significant differences exist between the 2 groups (P<.05). At the 6 months mark of KD treatment, no statistically significant disparities were observed in the seizure. Finally, this paper further proves the above point by comparing the number of patients who responded to KD through per-protocol population (PP) analysis and intention-to-treat analysis.

Indexed as

Diet, KetogenicDrug Resistant EpilepsySeizuresAdolescentChildChild, PreschoolFemaleHumansMaleProspective StudiesTreatment Outcomedifferent seizure formketogenic dietrefractory epilepsytherapeutic effects

Identifiers

PMID41029169
PMCPMC13593097

What OpenQuestion holds

Textmetadata
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.