Evidence map›Paper›PMID 41136616›Full record

SynthesisJournal of perinatology : official journal of the California Perinatal Association2025

Sucrose or glucose compared to breast milk for pain control in preterm infants: a systematic review and meta-analysis.

Shaneela Shahid, Jorge Acosta-Reyes, Ivan D Florez

Abstract readComparative StudyMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Journal of perinatology : official journal of the California Perinatal Association, 2025. 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
–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

2 citing papers in PubMed.

  1. Review
  2. 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

3 authors.

Shaneela ShahidDepartment of Health Research Methods Evidence and Impact, McMaster University, Hamilton, ON, Canada.ORCID http://orcid.org/0000-0002-5708-7819
Jorge Acosta-ReyesDepartment of Public Health, Universidad del Norte, Barranquilla, Colombia.ORCID http://orcid.org/0000-0003-4303-3243
Ivan D FlorezDepartment of Pediatrics, University of Antioquia, Medellin, Colombia. ivan.florez@udea.edu.co.ORCID http://orcid.org/0000-0002-0751-8932

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The aim of this systematic review/meta-analysis of randomized clinical trials (RCTs) was to determine the efficacy of sucrose or glucose (SG) in preterm infants requiring heel lancing and venipuncture compared to breast milk or expressed breast milk (BM/EBM) for pain control and crying duration. Six RCTs (525 infants) comparing sucrose (24%) or glucose (30%, 10%, 25%) with BM/EBM were included. There was no difference between the alternatives in pain reduction at 30 s post-procedure measured with the Premature Infant Pain Profile (PIPP/PIPP-R) scores (MD -0.95, 95% CI -2.43; 0.54, Low certainty evidence). SG reduced the crying duration (MD -6.88, 95%CI -11.42; -2.34, Moderate certainty evidence). There were no differences between SG and BM/EBM in heart rate change or adverse events. In conclusion, moderate certainty evidence suggests that SG may be superior to BM/EBM for reducing crying duration during heel lancing and venipuncture procedures, but not for reducing pain intensity measured with PIPP/PIPP-R.

objectiveTo determine the efficacy of sucrose or glucose (SG) in preterm infants requiring heel lancing and venipuncture compared to breast milk or expressed breast milk (BM/EBM) for pain control and crying duration. STUDY

designSystematic review and meta-analysis of randomized clinical trials.

resultsSix RCTs (525 infants) comparing sucrose (24%) or glucose (30%, 10%, 25%) with BM/EBM. There was no difference between the alternatives in pain reduction at 30 s post-procedure measured with the Premature Infant Pain Profile (PIPP/PIPP-R) scores (MD -0.95, 95% CI -2.43; 0.54, Low certainty evidence). SG reduced the crying duration (MD -6.88, 95%CI -11.42; -2.34, Moderate certainty evidence). There were no differences between SG and BM/EBM in heart rate change or adverse events.

conclusionsModerate certainty evidence suggests that SG may be superior to BM/EBM for reducing crying duration during heel lancing and venipuncture procedures, but not for reducing pain intensity measured with PIPP/PIPP-R.

Indexed as

GlucoseMilk, HumanPainPain ManagementSucroseCryingHeelHumansInfant, NewbornInfant, PrematurePain MeasurementPhlebotomyRandomized Controlled Trials as TopicGlucoseSucrose

Identifiers

PMID41136616
PMCPMC12716988

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.