Meta AnalysisID 2608

24个月以下儿童便秘的聚乙二醇给药:一项系统评价

CRD42018104593

What is the most appropriate treatment regimen for polyethylene glycol (PEG) in children less than two years of age?

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Record Fields

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Meta Analysis Id
2608
Evidence Id
11166
Core Evidence Id
11166
Source Meta Analysis Id
2558
Herb2 Meta Analysis Id
HBMA002558
Crd Id
CRD42018104593
Title
Polyethylene Glycol Dosing for Constipation in Children Younger Than 24 Months: A Systematic Review
Review Question
What is the most appropriate treatment regimen for polyethylene glycol (PEG) in children less than two years of age?
Study Type Included
We will include randomised control trials to asses the effectiveness and safety of PEG treatment of functional constipation of children less than 24 months of age, compared to alternative forms of treatment. This will be supplemented by retrospective chart reviews to assess safety, effectiveness and optimal dosage of PEG in the treatment of functional constipation in children less than 24 months of age.
Condition Being Studied
Functional constipation in children under 24 months of age.
Participant
Inclusion criteria: children less than 24 months of age; PEG therapy used to treat functional constipation; dosage, safety, and the efficacy of PEG discussed. Exclusion criteria: no specific age group stated, or participants less than 24 months of age; organic causes of constipation; PEG type used not specified.
Animal
Human Disease Modelled
Intervention
Polyethylene glycol (PEG) treatments, including (the number indicating the average molecular weight of each type of PEG): PEG3350 with electrolytes; PEG3350 without electrolytes; PEG4000 with electrolytes; PEG4000 without electrolytes.
Comparator Control
As this systematic review seeks to evaluate the effectiveness, safety and optimal dosage of PEG treatment of functional constipation, the various forms of PEG treatment, as well as whether the PEG treatment is with or without electrolytes, will serve as comparators for the other groups of treatment. Any randomised controlled trials included in this systematic review are likely to use two different types or dosages of Polyethylene Glycol as the two arms of the study, to identify superior effectiveness, rather than controls. In some studies, participants may have also served as their own controls, before being put onto PEG treatment.
Main Outcome
Changes in symptoms related to functional constipation, including, but not limited to: abdominal pain, frequency of diarrhoea, volume of diarrhoea, flatulence, irritability/crying during bowel movement; and redness/inflammation due to straining while having a bowel movement. Measures of effect The times at which these measurements are made is expected to vary slightly between each individual study, but would be expected to occur in the weeks/months after commencing regular PEG treatment.
Outcome Measure
Additional Outcome
Additional outcomes that will be recorded included the occurrence of any adverse effects following PEG treatment, lack of compliance of participants and dissatisfaction of treatment by participants or their families. Measures of effect The times at which these measurements are made is expected to vary slightly between each individual study, but would be expected to occur in the weeks/months after commencing regular PEG treatment.
Study Method
Intervention, Systematic review
Keyword
Cathartics; Constipation; Defecation; Humans; Infant; Infant Health; Polyethylene Glycols; Treatment Outcome
Contact
Andrew Griffith [email protected]
Organisational Affiliation
University of Melbourne https://www.unimelb.edu.au/
Funding Source
Other Selection Criteria
Final Publication
Published in the Journal of Pediatric Gastroenterology and Nutrition in August 2020. doi: 10.1097/MPG.0000000000002786. https://journals.lww.com/jpgn/Abstract/2020/08000/Polyethylene_Glycol_Dosing_for_Constipation_in.9.aspx
Same Topic Review
Published Protocol
Review Type
Language
Country
Australia
Review Stage
Review Completed published
First Submission Date
2018-09-11
Registration Date
2018-10-10
Anticipated Start Date
2017-09-01
Anticipated Completion Date
2018-12-21
Title Cn
24个月以下儿童便秘的聚乙二醇给药:一项系统评价
Title En
Polyethylene Glycol Dosing for Constipation in Children Younger Than 24 Months: A Systematic Review
Bilingual Status
complete