Evidence map›Paper›PMID 35831681›Full record

ArticleEuropean journal of pediatrics2022

Off-label use of drugs in pediatrics: a scoping review.

Min Meng, Meng Lv, Ling Wang, Bo Yang, Panpan Jiao, Wenjuan Lei, Hui Lan, Quan Shen, Xufei Luo, Qi Zhou and 6 more

Abstract readScoping Review
PubMed Publisher
In one paragraph

Article in European journal of pediatrics, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
–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

14 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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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

16 authors.

Min MengChevidence Lab Child & Adolescent Health Department, Children's Hospital of Chongqing Medical University, 136 Zhongshan Second Street, Chongqing, 400014, China.
Meng LvChevidence Lab Child & Adolescent Health Department, Children's Hospital of Chongqing Medical University, 136 Zhongshan Second Street, Chongqing, 400014, China.
Ling WangSchool of Public Health, Lanzhou University, Lanzhou, 730000, China.
Bo YangChevidence Lab Child & Adolescent Health Department, Children's Hospital of Chongqing Medical University, 136 Zhongshan Second Street, Chongqing, 400014, China.
Panpan JiaoThe First School of Clinical Medicine, Lanzhou University, Lanzhou, 730000, China.
Wenjuan LeiDepartment of Pharmacy, Gansu Provincial Hospital, Lanzhou, 730000, China.
Hui LanSchool of Public Health, Lanzhou University, Lanzhou, 730000, China.
Quan ShenNational Clinical Research Center for Child Health and Disorders, Ministry of Education Key Laboratory of Child Development and Disorders, International Science and Technology Cooperation Base of Child Development and Critical Disorders, Children's Hospital of Chongqing Medical University, Chongqing, 400014, China.
Xufei LuoSchool of Public Health, Lanzhou University, Lanzhou, 730000, China.
Qi ZhouLanzhou University Institute of Health Data Science, Lanzhou, 730000, China.
Xuan YuLanzhou University Institute of Health Data Science, Lanzhou, 730000, China.
Yangqin XunLanzhou University Institute of Health Data Science, Lanzhou, 730000, China.
Ruobing LeiChevidence Lab Child & Adolescent Health Department, Children's Hospital of Chongqing Medical University, 136 Zhongshan Second Street, Chongqing, 400014, China.
Tianchun HouChevidence Lab Child & Adolescent Health Department, Children's Hospital of Chongqing Medical University, 136 Zhongshan Second Street, Chongqing, 400014, China.
Yaolong ChenChevidence Lab Child & Adolescent Health Department, Children's Hospital of Chongqing Medical University, 136 Zhongshan Second Street, Chongqing, 400014, China. chenyaolong@lzu.edu.cn.ORCID http://orcid.org/0000-0002-9841-5233
Qiu LiNational Clinical Research Center for Child Health and Disorders, Ministry of Education Key Laboratory of Child Development and Disorders, International Science and Technology Cooperation Base of Child Development and Critical Disorders, Children's Hospital of Chongqing Medical University, Chongqing, 400014, China. liqiu809@hospital.cqmu.edu.cn.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

To explore the current state of research on off-label drug use in children and identify the existing research gaps in this topic. Six literature databases were searched to identify studies focusing exclusively on off-label drug use in children (aged < 18 years) published in Chinese or English between 2016 and 2021. We also searched clinicaltrials.gov for pediatric clinical trials conducted in the same period and compared the numbers of studies on off-label use and clinical trials for the most commonly reported drugs and drug types. Our search revealed 568 studies on off-label drug use. Almost half of the studies (n = 240) were cross-sectional. A total of 212 specific drugs or drug types were addressed in 361 studies, the most frequent being antipsychotic agents (n = 12), dexmedetomidine (n = 10), and rituximab (n = 8). Antipsychotic agents were also the most common type of drug examined in clinical trials in children. We identified a total of 435 different types of off-label use, the top three being unapproved indication (n = 157), population (n = 96), or age (n = 36). Only about one-third of the studies reported collecting informed consent (n = 195) or having ethics committee approval (n = 166).    Conclusions: Off-label use of antipsychotics in children is widely reported in the literature. We suggest pediatric researchers to consider the number of studies on off-label use and existing clinical trials on different drugs when selecting target drugs for new studies and systematic reviews. What is Known: • There exist a large number of studies on off-label drug use in children. What is New: • This is the first scoping review of studies on off-label drug use in children. • Off-label use of antipsychotic agents is widely reported.

Indexed as

Antipsychotic AgentsPediatricsChildDrug LabelingHumansInformed ConsentOff-Label UseAntipsychotic AgentsClinical trialsOff-label drug usePediatricScoping review

Identifiers

What Socratic 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 Socratic graph.