Evidence map›Paper›PMID 39823012›Full record

ReviewTranslational pediatrics2024

Efficacy of prophylactic sodium valproate in pediatric migraines: a systematic review of randomized clinical studies.

Ghida Askar, Omar Askar, Maryam Altuhafy, Ravleen Nagi, Junad Khan

Abstract readReview
In one paragraph

Review in Translational pediatrics, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

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

  1. Pooled it
  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

5 authors.

Ghida AskarEastman Institute for Oral Health, Center of Orofacial Pain and Temporomandibular Joint Disorders, Rochester, NY, USA.
Omar AskarBeirut Arab University - Beirut Campus, Tarik El Jadida, Beirut, Lebanon.
Maryam AltuhafyEastman Institute for Oral Health, Center of Orofacial Pain and Temporomandibular Joint Disorders, Rochester, NY, USA.
Ravleen NagiEastman Institute for Oral Health, Center of Orofacial Pain and Temporomandibular Joint Disorders, Rochester, NY, USA.
Junad KhanEastman Institute for Oral Health, Center of Orofacial Pain and Temporomandibular Joint Disorders, Rochester, NY, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Migraine is a neurological disorder that is chronic and presents with episodes of paroxysmal features consisting of multiphase attacks of head pain, along with other symptoms related to neurological dysfunction such as sensitivity to movement, photophobia, phonophobia, nausea, and vomiting. Antiseizure medications are frequently used for the treatment of migraine. Of the antiseizure medications, sodium valproate and topiramate have received approval from the Food and Drug Administration (FDA) to prevent adult migraine. More recently, topiramate gained approval for pediatric migraine, whereas sodium valproate did not. Nevertheless, the off-label utilization of these drugs for pediatric migraine is widespread. The objective of this review is to assess the prophylactic efficacy of sodium valproate in the management of pediatric migraines. Methods: The protocol of this study was registered with PROSPERO (CRD42023454491). Therefore, this systematic review aims to assess the efficacy of sodium valproate as a prophylaxis treatment for pediatric migraine. A comprehensive unrestricted search of indexed databases, including PubMed, Embase, Web of Science, and Cochrane, was conducted without any restrictions until May 2024. Results: The review included five randomized controlled trials (RCTs). Among these, two exhibited a generally low risk of bias (RoB), while the remaining RCTs demonstrated a high risk for bias. Conclusions: The findings from the current evidence suggest no significant differences in the effectiveness of sodium valproate compared to other frequently used medications in preventing pediatric migraine. Subsequent studies should maintain uniformity in their protocol design and introduce blinding methodologies across outcome assessment, participants, and researchers. These strategies hold significant importance in mitigating potential sources of bias.

Indexed as

headachesmigrainepainPediatricprophylactic

Identifiers

PMID39823012
PMCPMC11732630

What Socratic holds

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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.