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Table 1 Characteristics of included studies

From: Efficacy and safety of interventions to control myopia progression in children: an overview of systematic reviews and meta-analyses

Review &Type of Study

Databases searched and last assessed

No. of primary studies (sample size)

Ethnicity

Age range (average age) in years

Treatment

Control

Overview outcomes

Walline et al. 2011 [5]

SR & meta-analysis

CENTRAL, MEDLINE, EMBASE, LILACS, mRCT, ClinicalTrials.gov (10/2011)

23 (4696)

Israel, Malaysia, China, USA, Finland, Hong Kong, Japan, Taiwan, Denmark

6–18

Undercorrection, multifocal spectacles, bifocal soft contact lenses, novel lenses, RGPCLs, anti-muscarinic medications

Full correction spectacles, SVLs, single vision contact lenses, placebo

Change in RE, change in AL

Sherwin et al. 2012 [36]

SR & meta-analysis

MEDLINE, EMBASE, Web of Science, CENTRAL (NA)

23 (80–3009)

Singapore, Australia, Jordan, China, USA

0.5–20

Outdoor exposure

NA

Risk for myopia progression

Wen et al. 2015 [33]

SR & meta-analysis

MEDLINE, EMBASE, Cochrane Library, WHO international Clinical Trials Registry Platform, ClinicalTrials.gov (11/2014)

8 (769)

Chinese, Caucasian, Japanese

6–15

OK

Single vision spectacles, contact lenses

Change in AL

Xiong et al. 2017 [12]

SR & meta-analysis

PubMed, EMBASE, Cochrane Library (12/2015)

25 (50–5048)

China, Taiwan, Singapore, Australia, UK, USA, Turkey

6–18a

Outdoor exposure

NA

Risk of myopia progression

Gong et al. 2017 [9]

SR & meta-analysis

PubMed, EMBASE, Cochrane Central Register of Controlled Trials (04/2016)

19 (3137)

Taiwan, USA, Singapore, China, Hong Kong

5–17

Atropine

Atropine, control conditions

Myopia progression, adverse events

Saw et al. 2002 [6]

SR

MEDLINE, EMBASE, Cochrane Library, Science Citation Index (2000)

26 (32–247)

Taiwan, USA, Finland, Denmark

NA

Atropine, timolol, bifocals, multifocal lenses, multifocal lenses + atropine, contact lenses

Tropicamide, cyclopentolate, lenses, bifocals, single vision spectacles

Change in RE

Wei et al. 2011 [27]

SR

CENTRAL, MEDLINE, EMBASE, AMED, LILACS, mRCT, ClinicalTrials.gov, NCCAM, CBM, CNKI, VIP (07/2011)

2 (131)

Taiwan

<  18

Auricular stimulation with 0.25% atropine, acupressure and interactive multimedia

Placebo, sham acupuncture, atropine eyedrops 0.25% or 0.5%, non-specific treatment, e.g. vitamin E, spectacles

Change in RE, change in AL

Chassine et al. 2015 [38]

SR

MEDLINE, Google Scholar (12/2014)

19 (26–1209)

Αustralia, Singapore, China, USA,

Malaysia, Canada,

New Zealand,

Russia

NA

Outdoor activity, atropine, undercorrection, bifocal (prismatic) spectacles, CLs,

multifocal SCLs, OK, RGPCLs

Full correction,

SVLs, atropine,

PALs, SCLs

Myopia progression

Shih et al. 2016 [28]

SR

US FDA website, PubMed, ClinicalTrials.gov, Cochrane Library (04/2015)

5 (96–400)

Taiwan,

Singapore

6–13

Atropine 0.1–1%

Saline,

cyclopentolate,

atropine,

tropicamide,

atropine + multifocal spectacles,

multifocal spectacles, SVLs

Change in RE, adverse events

Song et al. 2011 [29]

Meta-analysis

Cochrane Library, PubMed, US FDA website, ClinicalTrials.gov, European regulatory authorities, manufacturer’s product information sheets, CBMDISC (2009)

6 (823)

Taiwan, Hong Kong, Singapore

5–15

Atropine 0.1–1%

Atropine,

atropine + multifocal spectacles, multifocal spectacles/SVLs,

auricular acupoints,

tropicamide,

cyclopentolate

Change in RE, change in AL

Li et al. 2011 [30]

Meta-analysis

MEDLINE, EMBASE, Cochrane Library, Science Citation Index, Chinese Clinical Trial Registry, WHO international Clinical Trials Registry Platform, ClinicalTrials.gov (10/2010)

9 (1464)

USA, Hong Kong, China, Taiwan, Japan, Canada, Finland

6–13

Multifocal lenses (bifocal lenses, PALs)

SVLs

Change in RE, change in AL

Li et al. 2014 [37]

Meta-analysis

MEDLINE, EMBASE, Cochrane Library, WHO international Clinical Trials Registry Platform, ClinicalTrials.gov (04/2013)

11 (1815)

Taiwan, Hong Kong, Singapore, United States

8–15

Atropine 0.025–1%

Placebo,

Tropicamide, blank

Change in RE

Sun et al. 2015 [31]

Meta-analysis

MEDLINE, EMBASE (01/2014)

7 (435)

Hong Kong, Japan, Spain,

USA

6–16

OK

Spectacles,

SCLs

Change in AL

Si et al. 2015 [32]

Meta-analysis

PubMed, EMBASE, Cochrane Library (11/2013)

7 (435)

Hong Kong, Japan, Spain,

USA

6–16

OK

SVLs, spectacles, SCLs

Change in AL

Li et al. 2016 [10]

Meta-analysis

MEDLINE, EMBASE, Cochrane Library, Chinese Clinical Trial Registry, WHO international Clinical Trials Registry Platform, ClinicalTrials.gov (01/2015)

9 (667)

Hong Kong, Japan, China,

Spain

6–16

OK

SVLs

Change in AL, adverse events

Li et al. 2017 [11]

Meta-analysis

MEDLINE, EMBASE, Cochrane Library, Chinese Clinical Trial Registry, WHO international Clinical Trials Registry Platform, ClinicalTrials.gov (05/2016)

8 (587)

USA, China,

Hong Kong,

New Zealand, Japan, Spain

6–18

SCLs with concentric ring bifocal and peripheral add multifocal designs

single vision SCLs or spectacles

Change in RE, change in AL

Cui et al. 2017 [35]

Meta-analysis

MEDLINE, Cochrane, EMBASE, Google Scholar (09/2015)

5 (673)

USA, Singapore, East Asia

6–16

RGPCLs

SCLs, spectacles, OK

Change in RE, change in AL

Huang et al. 2016 [34]

Network meta-analysis

MEDLINE, EMBASE, Cochrane Central Register of Controlled Trials, WHO international Clinical Trials Registry Platform, ClinicalTrials.gov (08/2014)

30 (5387)

Israel, Malaysia, Hong Kong, USA, Denmark,

Finland, Japan,

China, New England,

Singapore, Taiwan

< 18

Atropine, pirenzepine,

timolol, cyclopentolate, SVLs,

OK, RGPCLs, bifocal spectacles

outdoor activity, PALs,

prismatic bifocals, peripheral defocus modifying spectacles and lenses, SCLs

Tropicamide, SVLs

Change in RE, change in AL

  1. AL axial length, AMED Allied and Complementary Medicine Database, CBM Chinese Biological Medicine Database, CBMDISC Chinese Biomedical Literature Analysis and Retrieval System for Compact Disc, CLs contact lenses, CNKI China National Knowledge Infrastructure, FDA Food and Drug Administration, LILACS Latin American and Caribbean Health Sciences Literature Database, mRCT metaRegister of Controlled Trials, NA not available, NCCAM National Center for Complementary and Alternative Medicine, No. number, OK orthokeratology, RE refractive error, RCTs randomized controlled trials, RGPCLs rigid gas permeable contact lenses, PALs progressive addition lenses, SCLs soft contact lenses, SVLs single vision lenses, SVSCLs single vision soft contact lenses, SR systematic review, WHO World Health Organization
  2. aAge range refers to the majority of participants