Evidence map›Paper›PMID 41044379›Full record

SynthesisEuropean archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery2025

Alginates and laryngopharyngeal reflux: where we stand. A systematic review.

Christos Tsilivigkos, Konstantinos Papantoniou, Evangelos N Vitkos, Eleftherios Ferekidis, Athanasia Warnecke

Abstract readSystematic Review
PubMed Publisher
In one paragraph

Synthesis in European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery, 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. Review
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.

Christos TsilivigkosFirst Department of Otolaryngology, Hippokration General Hospital, National and Kapodistrian University of Athens, Athens, 15772, Greece. tsilivig@med.uoa.gr.ORCID http://orcid.org/0000-0002-6113-9490
Konstantinos PapantoniouDepartment of Internal Medicine, Patras General University Hospital, Rion, 26504, Greece.
Evangelos N VitkosDepartment of Oral and Maxillofacial Surgery, Klinikum Dortmund, Dortmund, Germany.
Eleftherios FerekidisFirst Department of Otolaryngology, Hippokration General Hospital, National and Kapodistrian University of Athens, Athens, 15772, Greece.
Athanasia WarneckeDepartment of Otorhinolaryngology- Head and Neck Surgery, Hanover Medical School, 30625, Hanover, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeLaryngopharyngeal reflux (LPR) is a medical condition in which gastric contents reflux, directly or indirectly, causing morphological and neurological alterations in the upper aerodigestive system. Alginates are a common solution to this problem.

methodsWe conducted a PRISMA-compliant systematic review of the MEDLINE (via PubMed), Cochrane Central Register for Controlled Trials, and Scopus databases without temporal limitations. Our goal was to gather all available data published in English on the use of alginates in patients with LPR.

resultsA total of 134 articles were screened, and 16 met the inclusion criteria. The included studies comprised three surveys, one experience study, four observational cohort studies, two cross-sectional studies, one case series, four experimental randomized studies, and one non-randomized study. The remaining 12 clinical studies enrolled a total of 994 individuals, including 274 patients with both LPR and dry eye syndrome in two of these studies. Three key themes emerged from the included texts: decision-making and awareness among clinicians treating patients with LPR regarding alginate use, the effect of alginates in treating LPR symptoms, the effect of alginates in patients with both LPR and dry eye syndrome. The main outcome measures in the clinical studies on LPR patients included RSS, RSA, RSI, RFS, symptom resolution, VAS scores, treatment tolerance, and drug-related adverse events.

conclusionAlginates demonstrate a beneficial role both as monotherapy and as adjunct therapy with proton pump inhibitors (PPIs). Larger randomized studies are needed to further define their effectiveness in treating LPR.

Indexed as

AlginatesLaryngopharyngeal RefluxHumansProton Pump InhibitorsAlginatesProton Pump InhibitorsAlginateGavisconLaryngopharyngeal refluxLPR

Identifiers

PMID41044379

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.