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Infantile colic
1Department of general practice, Radbound University Nijmegen, Nijmegen, The Netherlands.
Insights
Infantile colic affects many families, prompting healthcare consultations. This systematic review evaluates various treatments for infant colic, assessing their effectiveness and safety based on current evidence.
Area of Science:
- Pediatrics
- Evidence-Based Medicine
Background:
- Infantile colic is a common condition affecting approximately 17% of families with infants.
- Prevalence varies significantly based on study design and data collection methods.
Purpose of the Study:
- To systematically review and evaluate the effects of various treatments for infantile colic.
- To answer the clinical question regarding the efficacy and safety of infantile colic interventions.
Main Methods:
- Conducted a systematic review of medical literature up to January 2007.
- Searched major databases including Medline, Embase, and The Cochrane Library.
- Included harms alerts from regulatory agencies like the FDA and MHRA.
Main Results:
- Identified 23 relevant systematic reviews, randomized controlled trials (RCTs), and observational studies.
- Performed a GRADE evaluation to assess the quality of evidence for different interventions.
- Compiled information on the effectiveness and safety of numerous treatments.
Conclusions:
- Presents findings on interventions such as casein hydrolysate milk, infant massage, and simethicone.
- Covers a range of treatments including cranial osteopathy, gripe water, and dietary modifications.
- Provides a comprehensive overview of evidence for infantile colic treatments.
Introduction:
Infantile colic causes one in six families (17%) with children to consult a health professional. One systematic review of 15 community-based studies found a wide variation in prevalence, which depended on study design and method of recording.
Methods And Outcomes:
We conducted a systematic review and aimed to answer the following clinical question: What are the effects of treatments for infantile colic? We searched: Medline, Embase, The Cochrane Library and other important databases up to January 2007 (BMJ Clinical evidence reviews are updated periodically, please check our website for the most up-to-date version of this review). We included harms alerts from relevant organisations such as the US Food and Drug Administration (FDA) and the UK Medicines and Healthcare products Regulatory Agency (MHRA).
Results:
We found 23 systematic reviews, RCTs, or observational studies that met our inclusion criteria. We performed a GRADE evaluation of the quality of evidence for interventions.
Conclusions:
In this systematic review we present information relating to the effectiveness and safety of the following interventions: advice to increase carrying, advice to reduce stimulation, casein hydrolysate milk, cranial osteopathy, crib vibrator device, focused counselling, gripe water, infant massage, low-lactose milk, simethicone, soya-based infant feeds, spinal manipulation, whey hydrolysate milk.
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