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. 2016 Sep 16;2016(9):CD009999. doi: 10.1002/14651858.CD009999.pub2

Summary of findings 4. Cimetropium bromide versus placebo for infantile colic.

Cimetropium bromide versus placebo for infantile colic
Patient or population: infants with infantile colic
 Settings: university hospital (Italy)
 Intervention: cimetropium bromide versus placebo
Outcomes Illustrative comparative risks* (95% CI) Relative effect
 (95% CI) No. of participants
 (studies) Quality of the evidence
 (GRADE) Comments
Assumed risk Corresponding risk
Control Cimetropium bromide vsplacebo
Reduction in crying duration 
 Difference between final values (minutes per crisis of crying)
 Follow‐up: mean 3 days Mean reduction in crying duration in control groups was 47.5 minutes per crisis of crying Mean reduction in crying duration in intervention groups was 30.2 lower (39.51 to 20.89 lower) MD ‐30.20 (‐39.51 to ‐20.89) 86
 (1 study) ⊕⊝⊝⊝
 Very lowa,b
Responders 
 Number of infants who improved after treatment
 Follow‐up: mean 3 days Study population RR 2.29 
 (1.44 to 3.64) 86
 (1 study) ⊕⊝⊝⊝
 Very lowa,b
326 per 1000 746 per 1000 
 (469 to 1000)
Moderate
326 per 1000 747 per 1000 
 (469 to 1000)
*The basis for the assumed risk (e.g. median control group risk across studies) is provided in footnotes. The corresponding risk (and its 95% confidence interval) is based on the assumed risk in the comparison group and the relative effect of the intervention (and its 95% CI).
 CI: confidence interval; GRADE: Grades of Recommendation, Assessment, Development and Evaluation; MD: mean difference; RR: risk ratio.
GRADE Working Group grades of evidence.
 High quality: Further research is very unlikely to change our confidence in the estimate of effect.
 Moderate quality: Further research is likely to have an important impact on our confidence in the estimate of effect and may change the estimate.
 Low quality: Further research is very likely to have an important impact on our confidence in the estimate of effect and is likely to change the estimate.
 Very low quality: We are very uncertain about the estimate.

aOnly one study with 86 infants.
 bHigh risk of attrition bias.