Evidence map›Paper›PMID 42577487›Full record

SynthesisFrontiers in pediatrics2026

Recurrence rate and risk factors of recurrence after antiseizure medications withdrawal in children with epilepsy: a meta-analysis.

Hechengyue Lv, Rui Wang, Yueyue He, Nan Wen, Weixiu Ouyang, Jianyu Peng, Qian Jiang, Junli Zhang, Ling Feng

Abstract readSystematic Review
In one paragraph

Synthesis in Frontiers in pediatrics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

9 authors.

Hechengyue LvDepartment of Neurology, West China Hospital, Sichuan University/West China School of Nursing, Sichuan University, Chengdu, Sichuan, China.
Rui WangDepartment of Neurology, West China Hospital, Sichuan University/West China School of Nursing, Sichuan University, Chengdu, Sichuan, China.
Yueyue HeDepartment of Neurology, West China Hospital, Sichuan University/West China School of Nursing, Sichuan University, Chengdu, Sichuan, China.
Nan WenDepartment of Neurology, West China Hospital, Sichuan University/West China School of Nursing, Sichuan University, Chengdu, Sichuan, China.
Weixiu OuyangDepartment of Neurology, West China Hospital, Sichuan University/West China School of Nursing, Sichuan University, Chengdu, Sichuan, China.
Jianyu PengDepartment of Neurology, West China Hospital, Sichuan University/West China School of Nursing, Sichuan University, Chengdu, Sichuan, China.
Qian JiangDepartment of Neurology, West China Hospital, Sichuan University/West China School of Nursing, Sichuan University, Chengdu, Sichuan, China.
Junli ZhangDepartment of Gastroenterology, West China Hospital, Sichuan University/West China School of Nursing, Sichuan University, Chengdu, Sichuan, China.
Ling FengDepartment of Neurology, West China Hospital, Sichuan University/West China School of Nursing, Sichuan University, Chengdu, Sichuan, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: This study aims to explore the recurrence rate and risk factors for recurrence after antiseizure medications withdrawal in children with epilepsy through a meta-analysis. Methods: Databases were searched up to May 8, 2025. Two reviewers independently screened the literature, extracted data, and assessed study quality. A meta-analysis was performed using Stata 15.0. Results: Nineteen studies involving 3,226 children were included. The pooled recurrence rate was 28% (95% CI: 23%-33%). Risk factors included female gender, focal seizure, history of febrile seizures, delayed development/intellectual disability, symptomatic etiology, abnormal electroencephalogram (EEG) after withdrawal. Conclusion: Multiple factors increase recurrence risk after antiseizure medications withdrawal in children, supporting individualized clinical decision-making.

Indexed as

childrenepilepsymeta-analysisrecurrencerisk factors

Identifiers

PMID42577487
PMCPMC13454394

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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.