Evidence map›Paper›PMID 22000328›Full record

ArticleAnnals of epidemiology2011

Have secular changes in perinatal risk factors contributed to the recent autism prevalence increase? Development and application of a mathematical assessment model.

Laura A Schieve, Catherine Rice, Owen Devine, Matthew J Maenner, Li-Ching Lee, Robert Fitzgerald, Martha S Wingate, Diana Schendel, Sydney Pettygrove, Kim van Naarden Braun and 1 more

Abstract read
In one paragraph

Article in Annals of epidemiology, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 1 pooled it
3.2field-weighted citation impact, top 8% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

22 citing papers in PubMed, 1 synthesis or guideline pooled it, 59 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Perinatal and Obstetric Predictors for Autism Spectrum Disorder.Journal of autism and developmental disorders · 2021
    Article
  4. National and State Estimates of Adults with Autism Spectrum Disorder.Journal of autism and developmental disorders · 2020
    Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Reply: CDC analysis of ICSI/autism: association is not causation.Human reproduction (Oxford, England) · 2015
    Article
  13. Article
  14. Observational
  15. Article
  16. Article
  17. Article
  18. Recent increase in autism and ADHD: true or inflated?Journal of Korean medical science · 2013
    Article
  19. Genomics and autism spectrum disorder.Journal of nursing scholarship : an official publication of Sigma Theta Tau International Honor Society of Nursing · 2013
    Review
  20. 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

11 authors at 7 institutions in 1 country.

Laura A SchieveNational Center on Birth Defects and Developmental Disabilities, Centers for Disease Control and Prevention, Atlanta, GA 30333, USA. LSchieve@cdc.gov
Catherine Rice
Owen Devine
Matthew J Maenner
Li-Ching Lee
Robert Fitzgerald
Martha S Wingate
Diana Schendel
Sydney Pettygrove
Kim van Naarden Braun
Maureen Durkin
National Center on Birth Defects and Developmental Disabilities · USCenters for Disease Control and Prevention · USUniversity of Wisconsin–Madison · USJohns Hopkins University · USUniversity of Alabama at Birmingham · USUniversity of Arizona · USWashington University in St. Louis · US

Funding

WISCONSIN CENTER ON MENTAL RETARDATION: CORE SUPPORTP30HD003352 · NICHD · UNIVERSITY OF WISCONSIN-MADISON · PI MESSING, ALBEE · 1985 to 2015
$25.2M
NICHD NIH HHS P30 HD003352
6 · The paper itself

Abstract

backgroundA 57% increase in the U.S. prevalence of autism spectrum disorders (ASD) for 8-year-old children born in 1994 versus 1998 was recently reported.

methodsTo quantify the possible contributions of given risk/predictive factors on the recent ASD prevalence increase, we formulated a mathematical model based on the baseline risk factor prevalence (RFP), the proportionate change in RFP (cRFP), and the magnitude of the association between the risk factor and ASD [estimated relative risk (RR)]. We applied this model to several pregnancy-related factors (preterm, very preterm, low and very low birth weight, multiple birth, cesarean delivery, breech presentation, and assisted reproductive technology use). RFP and cRFP estimates for each factor were obtained from U.S. population-based surveillance datasets. Estimated RRs were obtained from a series of systematic literature reviews.

resultsWe estimate that each risk factor examined, alone or in various combinations, accounted for a very small proportion (<1%) of the ASD increase. Additionally, hypothetical scenarios indicate RFP, cRFP, and RR all need to be sizable for a risk factor to appreciably influence ASD prevalence.

conclusionsThus, although various pregnancy factors have been found to be associated with ASDs, the contribution of many of these factors to the recently observed ASD increase is likely minimal.

Indexed as

Models, TheoreticalAutistic DisorderChildChild, PreschoolFemaleHumansInfantInfant, NewbornMalePerinatal CarePopulation SurveillancePregnancyPrevalenceRiskRisk AssessmentUnited States

Identifiers

PMID22000328
PMCPMC4351770
OpenAlexW2160431279

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.