Evidence map›Paper›PMID 21884606›Full record

Trial reportBMC pediatrics2011

The impact of different doses of vitamin A supplementation on male and female mortality. A randomised trial from Guinea-Bissau.

Dorthe Yakymenko, Christine S Benn, Cesario Martins, Birgitte R Diness, Ane B Fisker, Amabelia Rodrigues, Peter Aaby

Registry-linked trialOpen access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC pediatrics, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00168636 (The Impact of Different Doses of Vitamin A Supplementation on Male and Female Childhood Morbidity and Mortality), which is not on this map. Cited by 7 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 2 pooled it
1.1field-weighted citation impact, top 23% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT00168636 phase4completednot on this map

The Impact of Different Doses of Vitamin A Supplementation on Male and Female Childhood Morbidity and Mortality

TypeinterventionalSponsorBandim Health ProjectRan2004Enrolled11,000ConditionsMortality, MorbidityArmsVitamin A
3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 2 syntheses or guidelines pooled it, 18 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Review
  5. Heterologous and sex differential effects of administering vitamin A supplementation with vaccines.Transactions of the Royal Society of Tropical Medicine and Hygiene · 2015
    Review
  6. Article
  7. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 2 countries.

Dorthe YakymenkoBandim Health Project, Indepth Network, Apartado 861, Bissau, Guinea-Bissau. dortheyakymenko@gmail.com
Christine S Benn
Cesario Martins
Birgitte R Diness
Ane B Fisker
Amabelia Rodrigues
Peter Aaby
Bandim Health Project · GWAarhus University Hospital · DKStatens Serum Institut · DK

Funding

European Research Council 243149
6 · The paper itself

Abstract

backgroundVitamin A supplementation (VAS) given to children between 6 months and 5 years of age is known to reduce mortality in low-income countries. We have previously observed that girls benefit more from a lower dose of VAS than the one recommended by WHO, the effect being strongest if diphtheria-tetanus-pertussis vaccine (DTP) was the most recent vaccination. We aimed to test these observations.

methodsDuring national immunisations days in Guinea-Bissau, West Africa, combining oral polio vaccination and VAS, we randomised 8626 children between 6 months and 5 years of age to receive the dose of VAS recommended by WHO or half this dose. Mortality rate ratios (MRRs) were assessed after 6 and 12 month.

resultsThe overall mortality rate among participants was lower than expected. There was no significant difference in mortality at 6 months and 12 months of follow up between the low dose VAS group and the recommended dose VAS group. The MRRs were 1.23 (0.60-2.54) after 6 months and 1.17 (0.73-1.87) after 12 months. This tendency was similar in boys and girls. The low dose was not associated with lower mortality in girls if the most recent vaccine was DTP (MRR = 0.60 (0.14-2.50) after 6 months).

conclusionOur sample size does not permit firm conclusions since mortality was lower than expected. We could not confirm a beneficial effect of a lower dose of VAS on mortality in girls.

trial registrationThe study was registered under clinicaltrials.gov, number NCT00168636.

Indexed as

MortalityChild, PreschoolDeveloping CountriesDose-Response Relationship, DrugFemaleFollow-Up StudiesGuinea-BissauHumansInfantMalePopulation SurveillanceSex DistributionVaccinationVitamin AVitaminsVitamin AVitamins

Identifiers

PMID21884606
PMCPMC3175170
OpenAlexW2114350698

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.