Evidence map›Paper›PMID 39359762›Full record

ReviewAnnals of medicine and surgery (2012)2024

Effectiveness of hypertonic saline with or without hyaluronic acid among patients with cystic fibrosis: a systematic review and meta-analysis.

Zarghuna Khan, Muhammad O Naeem, Dr Anam Amin, Laraib Amin, Abdullah Shah, Saad Ul Khaliq, Aima Azhar, Sana Naz, Syed M Shujauddin, Muhammad A Arshad and 3 more

Abstract readReview
In one paragraph

Review in Annals of medicine and surgery (2012), 2024. 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

13 authors.

Zarghuna KhanDepartment of Medicine, Rehman Medical Institute.
Muhammad O NaeemDepartment of Pathology, Northwest School of Medicine.
Dr Anam AminDepartment of Medicine, Northwest General Hospital And Research Centre.
Laraib AminDepartment of Medicine, Northwest School of Medicine.
Abdullah ShahDepartment of Nephrology and Kidney Transplant Unit, Rehman Medical Institute, Peshawar.
Saad Ul KhaliqDepartment of Medicine, Northwest General Hospital And Research Centre.
Aima AzharDepartment of Medicine, Fatima Jinnah Medical University.
Sana NazDepartment of Medicine, Dow University of Health Sciences.
Syed M ShujauddinDepartment of Medicine, Dow University of Health Sciences.
Muhammad A ArshadDepartment of Medicine, Bahria University of Medical and Dental College, Karachi.
Sarosh J AliDepartment of Acute Medicine, Royal Albert Edward Infirmary, Wigan, UK.
Emad U SajidDepartment of Acute Medicine, Royal Albert Edward Infirmary, Wigan, UK.
Sayed JawadKabul University of Health Sciences, Kabul, Pakistan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: The clinical effectiveness of hypertonic saline (HS) in individuals with cystic fibrosis (CF) can be compromised by adverse effects. The objective of this study was to examine the efficacy of hyaluronic acid (HA) in mitigating these negative occurrences. Methods: A comprehensive review of the literature was carried out using three electronic databases: Medline, Cochrane Central, and Embase. This systematic review and meta-analysis investigate the efficacy of hypertonic saline (HS) with and without hyaluronic acid (HA) in treating cystic fibrosis. Primary outcomes include the incidence of cough, throat irritation, unpleasant taste, and changes in FEV1. Our findings suggest that adding HA to HS significantly reduces adverse effects and enhances patient tolerability, marking a potential improvement in cystic fibrosis therapy. Risk ratios (RRs) and mean differences (MDs) with 95% CI were used to present evaluations. The quality of RCTs was evaluated using the Cochrane Risk of Bias Tool (CRBT). The quality of the observational study was evaluated using the Newcastle-Ottawa Scale. Results: From the 1960 articles retrieved from the initial search, five relevant studies ( Conclusion: For CF patients who need ongoing HS therapy and have a history of poor therapy tolerance, adding HA is beneficial.

Indexed as

cystic fibrosishyaluronic acidhypertonic saline

Identifiers

PMID39359762
PMCPMC11444569

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
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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.