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Effectiveness and safety of lactobacilli in children with functional constipation: Study protocol for a meta-analysis
Wenhao Yang1,2, Tao He3, Weijian Zhang1,2
1Department of Pediatrics, West China Second University Hospital, Sichuan University, Guoxuexiang, Chengdu.
Insights
This systematic review evaluates lactobacilli as a treatment for childhood constipation. The analysis of randomized controlled trials will clarify the effectiveness and safety of these probiotics for pediatric patients.
Area of Science:
- Pediatric Gastroenterology
- Microbiome Research
- Evidence-Based Medicine
Background:
- Childhood constipation is a prevalent condition with significant healthcare costs.
- Standard treatments are ineffective for some children, persisting into adolescence.
- Lactobacilli are explored as alternative therapies, but their efficacy and safety require investigation.
Purpose of the Study:
- To systematically review and meta-analyze the effectiveness and safety of lactobacilli for treating constipation in children.
- To provide evidence-based insights into the use of probiotics for pediatric constipation.
Main Methods:
- Systematic review and meta-analysis adhering to PRISMA protocols.
- Searched PubMed, Embase, and Cochrane Library up to December 20, 2018.
- Included randomized controlled trials, assessing primary outcomes (defecation frequency, treatment success) and secondary outcomes (stool consistency, pain, laxative use, adverse events).
Main Results:
- The meta-analysis will synthesize data from selected randomized controlled trials.
- Results will quantify the impact of lactobacilli on defecation frequency and treatment success.
- Safety data, including adverse events and abdominal pain, will be evaluated.
Conclusions:
- The study will offer valuable information on the efficacy and safety of lactobacilli for pediatric constipation.
- Findings will inform clinical practice and future research directions.
- Results are intended for publication in a peer-reviewed journal.
Background:
Constipation is one of the most common diseases in children and it is also a significant healthcare burden, more than many other common childhood diseases. For some children, 1st-line treatment cannot relieve their constipation and their constipation symptoms maybe continue to adolescence. So, alternative treatment options such as lactobacilli are needed. However, the effectiveness and safety of lactobacilli is still unclear. To investigate this question, we conduct a systematic review and meta-analysis.
Methods:
The protocol followed Preferred Reporting Items for Systematic Reviews and Meta-Analyses Protocols. Three main databases (PubMed, Embase, and the Cochrane Library) will be searched to December 20, 2018 for randomized controlled trials investigating the effects and safety of lactobacilli for constipation in children with no language restrictions. In addition, a manual search of the references of relevant published studies will also be considered.Two independent reviewers will conduct studies selection, data extraction, and risk of bias assessment. The primary outcome is defecation frequency, treatment success (bowl movement >3 times per week). The 2nd outcome is stool consistency, incidence of abdominal pain, patients using laxatives, and adverse events.
Results:
The results will provide useful information about the effect and safety of lactobacilli for constipation in children.
Conclusion:
The findings of this study will be published in a peer-reviewed journal.
Prospero Registration Number:
CRD42019125913.
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