Evidence map›Paper›PMID 39477280›Full record

ArticleBMJ open2024

Antifungal combinations in paediatric invasive fungal infections: a protocol for systematic review and meta-analysis.

Roy Novri Ramadhan, Derren David Christian Homenta Rampengan, Felicia Angelica Gunawan, Ika N Kadariswantiningsih, Maulana Empitu

Abstract read
In one paragraph

Article in BMJ open, 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

5 authors.

Roy Novri Ramadhan *Faculty of Medicine, Airlangga University, Surabaya, Indonesia.
Derren David Christian Homenta Rampengan *Faculty of Medicine, Sam Ratulangi University, Manado, Indonesia.
Felicia Angelica GunawanFaculty of Medicine, Sam Ratulangi University, Manado, Indonesia.
Ika N KadariswantiningsihFaculty of Medicine, Airlangga University, Surabaya, Indonesia.
Maulana EmpituFaculty of Medicine, Airlangga University, Surabaya, Indonesia maulana.antiyan@fk.unair.ac.id.ORCID http://orcid.org/0000-0002-6448-7642

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundInvasive fungal infections (IFIs) significantly impact immunocompromised paediatric patients, contributing to high rates of morbidity and mortality. Despite the evolution of antifungal therapy, the efficacy and safety of combination antifungal therapies in paediatric patients, especially those with haematological malignancies, remain controversial. This systematic review and meta-analysis seeks to critically evaluate the efficacy and safety of antifungal combinations in paediatric IFIs.

methodsWe will conduct a search in PubMed, ScienceDirect, Cochrane Library, BMJ and Springer databases to include randomised controlled trials and observational studies focused on combination antifungal therapies in paediatric patients under 18 years with IFIs, using COVIDENCE for data management and analysis, ensuring rigorous quality assessment and statistical integrity in synthesising data. The time frame for the search will encompass publications from the inception of each database to the present, ensuring a comprehensive coverage of the literature. The database search will not be restricted by date. The review will assess combined antifungal treatment against placebo or single-antifungal therapy, examining outcomes like response rates, survival, mortality, adverse effects, cost-effectiveness and quality of life. ETHICS AND DISSEMINATION: The review will be disseminated to healthcare professionals, community groups and policy-makers via journal publication and conference presentations to help them tailor antifungal prophylaxis treatment and outcomes for paediatric patients with IFIs. The analysis will not include any individual patient data, so ethical approval is not required. PROSPERO REGISTRATION NUMBER: CRD42024503620.

Indexed as

Antifungal AgentsInvasive Fungal InfectionsChildDrug Therapy, CombinationHumansImmunocompromised HostMeta-Analysis as TopicResearch DesignSystematic Reviews as TopicAntifungal Agentsdrug combinations

Identifiers

PMID39477280
PMCPMC11529516

What Socratic holds

Textmetadata
LicenceCC BY-NC
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.