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Literature review for - Flourish Paediatrics

Literature review for - Flourish Paediatrics

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comparator<br />

N<br />

Population/study<br />

in<strong>for</strong>mation<br />

Review published in Australia<br />

Evaluates the use of left side positioning as a method <strong>for</strong><br />

the treatment of GOR or related symptoms in infants < 6<br />

months of age<br />

is to provide pediatricians and pediatric subspecialists with a<br />

common resource <strong>for</strong> the evaluation and management of<br />

patients with gastroesophageal reflux (GER) and<br />

gastroesophageal reflux disease (GERD).<br />

An international panel of pediatric<br />

gastroenterologists and epidemiologists<br />

developed the guidelines. The guidelines were based on<br />

the Delphi principle. Statements were based on SLRs using<br />

the best available evidence.<br />

More than 600 articles were <strong>review</strong>ed <strong>for</strong> this work.<br />

Quality N P<br />

Results<br />

Based on the evidence the authors conclude that there is<br />

physiological evidence that left side positioning will<br />

reduce the number of reflux events in infants. It is a<br />

practical and inexpensive non-pharmacological response<br />

to controlling GOR<br />

Effect on risk<br />

Clinical 4<br />

importance<br />

Clinical 1 1<br />

relevance<br />

Generalisability Y Y<br />

Applicability Y Y<br />

Reference MacLennan et al. (2010) Vandenplas et al. (2010)<br />

Type of study Cochrane Review Open intervention study (Case series; pre test/post test)<br />

266

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