Evidence map›Paper›PMID 22002800›Full record

ReviewAmerican journal of medical genetics. Part C, Seminars in medical genetics2011

Phocomelia: a worldwide descriptive epidemiologic study in a large series of cases from the International Clearinghouse for Birth Defects Surveillance and Research, and overview of the literature.

Eva Bermejo-Sánchez, Lourdes Cuevas, Emmanuelle Amar, Sebastiano Bianca, Fabrizio Bianchi, Lorenzo D Botto, Mark A Canfield, Eduardo E Castilla, Maurizio Clementi, Guido Cocchi and 12 more

Abstract readMulticenter StudyReview
In one paragraph

Review in American journal of medical genetics. Part C, Seminars in medical genetics, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
0.8field-weighted citation impact, top 29% 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

21 citing papers in PubMed, 48 citations in OpenAlex.

  1. Article
  2. Article
  3. Phocomelia: Bilateral limb deficiency in a neonate: A case report.World journal of clinical pediatrics · 2025
    Article
  4. Review
  5. Article
  6. Article
  7. Article
  8. Fetal Tetra-Amelia Birth: A Case Report.Case reports in obstetrics and gynecology · 2024
    Article
  9. Article
  10. Bilateral Upper Limb Complete Phocomelia: A Case Report.International medical case reports journal · 2023
    Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Review
  16. Article
  17. Article
  18. Review
  19. Tetra-phocomelia: a rarest of rare case.Journal of clinical and diagnostic research : JCDR · 2015
    Article
  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

22 authors at 18 institutions in 12 countries.

Eva Bermejo-SánchezInstituto de Investigación de Enfermedades Raras, Madrid, Spain. eva.bermejo@isciii.es
Lourdes Cuevas
Emmanuelle Amar
Sebastiano Bianca
Fabrizio Bianchi
Lorenzo D Botto
Mark A Canfield
Eduardo E Castilla
Maurizio Clementi
Guido Cocchi
Danielle Landau
Emanuele Leoncini
Zhu Li
R Brian Lowry
Pierpaolo Mastroiacovo
Osvaldo M Mutchinick
Anke Rissmann
Annukka Ritvanen
Gioacchino Scarano
Csaba Siffel
Elena Szabova
María-Luisa Martínez-Frías
Centre for Biomedical Network Research on Rare Diseases · ESAlberta Health Services · CAAzienda Ospedaliera G.Rummo · ITBiogem · ITCenters for Disease Control and Prevention · USFinnish Institute for Health and Welfare · FIInstituto de Salud Carlos III · ESInstituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán · MXIstituto di Fisiologia Clinica · ITNational Institute on Population Medical Genetics · BROtto-von-Guericke University Magdeburg · DEPeking University · CNSlovak Medical University · SKSoroka Medical Center · ILTexas Department of State Health Services · USUniversity of Bologna · ITUniversity of Padua · ITUtah Department of Health · US

Funding

COLLABORATIVE INTERNATIONAL BIRTH DEFECTS SURVEILLANCE PROGRAMU50DD000524 · DD · INTERNATIONAL CENTRE ON BIRTH DEFECTS · PI MASTROIACOVO, PIERPAOLO · 2009 to 2013
$1.0M
Intramural CDC HHS CC999999NCBDD CDC HHS 1U50DD000524-02NCBDD CDC HHS U50 DD000524
6 · The paper itself

Abstract

Epidemiologic data on phocomelia are scarce. This study presents an epidemiologic analysis of the largest series of phocomelia cases known to date. Data were provided by 19 birth defect surveillance programs, all members of the International Clearinghouse for Birth Defects Surveillance and Research. Depending on the program, data corresponded to a period from 1968 through 2006. A total of 22,740,933 live births, stillbirths and, for some programs, elective terminations of pregnancy for fetal anomaly (ETOPFA) were monitored. After a detailed review of clinical data, only true phocomelia cases were included. Descriptive data are presented and additional analyses compared isolated cases with those with multiple congenital anomalies (MCA), excluding syndromes. We also briefly compared congenital anomalies associated with nonsyndromic phocomelia with those presented with amelia, another rare severe congenital limb defect. A total of 141 phocomelia cases registered gave an overall total prevalence of 0.62 per 100,000 births (95% confidence interval: 0.52-0.73). Three programs (Australia Victoria, South America ECLAMC, Italy North East) had significantly different prevalence estimates. Most cases (53.2%) had isolated phocomelia, while 9.9% had syndromes. Most nonsyndromic cases were monomelic (55.9%), with an excess of left (64.9%) and upper limb (64.9%) involvement. Most nonsyndromic cases (66.9%) were live births; most isolated cases (57.9%) weighed more than 2,499 g; most MCA (60.7%) weighed less than 2,500 g, and were more likely stillbirths (30.8%) or ETOPFA (15.4%) than isolated cases. The most common associated defects were musculoskeletal, cardiac, and intestinal. Epidemiological differences between phocomelia and amelia highlighted possible differences in their causes.

Indexed as

International CooperationAdultAmericasAustraliaBiomedical ResearchChinaCongenital AbnormalitiesEctromeliaEpidemiologic StudiesEuropeFemaleHumansInfant, NewbornMalePopulation SurveillancePregnancy

Identifiers

PMID22002800
PMCPMC4427055
OpenAlexW2135369157

What OpenQuestion holds

Textmetadata
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.