Evidence map›Paper›PMID 23601190›Full record

SynthesisBMC pediatrics2013

A systematic review and meta-analysis to revise the Fenton growth chart for preterm infants.

Tanis R Fenton, Jae H Kim

10 registry-linked trialsAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in BMC pediatrics, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 10 registered trials, which are not on this map. Cited by 1,346 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1,346citing papers in PubMed, 7 pooled it
–field-weighted citation impact
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.

NCT03103022 phase1completednot on this mapstarted 2017, after this paper: background citation

Combination of Acetaminophen and Ibuprofen in the Management of Patent Ductus Arteriosus in Premature Infants: A Pilot Study

TypeinterventionalSponsorUniversity of FloridaRan2017 to 2019Enrolled20ConditionsPatent Ductus Arteriosus, NeonateArmsAcetaminophen, ibuprofen
NCT03839173 naunknown statusnot on this mapstarted 2019, after this paper: background citation

Growth and Nutritional Status of Very Low Birth Weight Infants Fed a High Protein Exclusive Human Milk Diet

TypeinterventionalSponsorAugusta UniversityRan2019 to 2020Enrolled51ConditionsPremature Infant, Breast Milk ExpressionArmsHuman milk based human milk fortifier
NCT04478487 naunknown statusnot on this mapstarted 2019, after this paper: background citation

TITLE OF STUDY: Safety and Efficacy of a Novel Human Milk-based Human Milk Fortifier in Very Low Birth Weight Infants

TypeinterventionalSponsorNorthwest HealthRan2019 to 2024Enrolled40ConditionsInfant, Premature, DiseasesArmsMedolac human milk based human milk fortifier (MHMHMF)
NCT04911452 narecruitingnot on this mapstarted 2021, after this paper: background citation

Creating a CALMER NICU: Pilot Testing a Robot for Optimizing Growth and Brain Development in Preterm Infants in the NICU

TypeinterventionalSponsorUniversity of British ColumbiaRan2021 to 2025Enrolled30ConditionsPrematurityArmsCalmer
NCT06035835 completednot on this map

Probiotics and Breastmilk Are Associated With a Decreased Risk of Atopic Dermatitis in Very Low Birth Weight Premature Infants

TypeobservationalSponsorJosé Uberos FernándezRan2009 to 2022Enrolled437ConditionsAtopic DermatitisArmsLacticaseibacillus rhamnosus, Lactobacillus acidophilus + Bifidobacterium bifidum
NCT06419777 narecruitingnot on this mapstarted 2024, after this paper: background citation

Strict Versus Permissive Threshold for Initiation of Pharmacotherapy in Gestational Diabetes Mellitus (GDM) With Glucometer Use - A Randomized Control Trial (START1)

TypeinterventionalSponsorThomas Jefferson UniversityRan2024 to 2026Enrolled430ConditionsGestational Diabetes, Pregnancy RelatedArmsInsulin
NCT06419803 narecruitingnot on this mapstarted 2024, after this paper: background citation

Strict Versus Permissive Threshold for Initiation of Pharmacotherapy in Gestational Diabetes Mellitus (GDM) With Continuous Glucose Monitoring Use - A Randomized Control Trial (START 2 Trial)

TypeinterventionalSponsorThomas Jefferson UniversityRan2024 to 2026Enrolled430ConditionsGestational Diabetes, Pregnancy RelatedArmsInsulin
NCT06893926 recruitingnot on this mapstarted 2024, after this paper: background citation

Evaluating the Utility of S100B Protein Concentration for Diagnosing Fetal Central Nervous System Hypoxia-Ischemia in Children With Late Fetal Growth Retardation: A Prospective Cohort Study

TypeobservationalSponsorInstitute of Mother and Child, Warsaw, PolandRan2024 to 2026Enrolled120Conditionss100b, Hypoxia-Ischemia, Brain, Fetal Growth Restriction (FGR)ArmsPrenatal ultrasound examination with blood flow analysis, Umbilical cord blood gas analysis, Umbilical cord blood S100B protein level, Neonatal transfontanelle ultrasound assessment
NCT06984445 recruitingnot on this mapstarted 2024, after this paper: background citation

Analysis of Cord Blood S100B Protein Levels in Neonates With Fetal Anemia Due to Hemolytic Disease Undergoing Intrauterine Transfusions: A Prospective Cohort Study

TypeobservationalSponsorInstitute of Mother and Child, Warsaw, PolandRan2024 to 2026Enrolled180Conditionss100b, Hypoxia-Ischemia, Brain, Hemolytic Disease of the Fetus and Newborn, Fetal AnemiaArmsCord blood S100B protein level prior to IUT, Umbilical cord blood gas analysis prior to IUT, Fetal blood count evaluation prior to IUT, Cord blood S100B protein concentration at birth, Umbilical cord blood gas analysis at birth
NCT07236957 nacompletednot on this mapstarted 2020, after this paper: background citation

Corrected Weight to the 10th Percentile vs. Actual Birth Weight for the Calculation of Nutritional Needs of Small for Gestational Age Neonates Fed on Parenteral Nutrition: a Randomized-controlled Trial

TypeinterventionalSponsorPanos PapandreouRan2020 to 2024Enrolled100ConditionsPreterm Infant Development, Preterm Infant Feeding OutcomesArmsIntervention Group, Control group
3 · Its place in the literature

Who cites it

1,346 citing papers in PubMed, 7 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Nutrition assessment of hospitalized very preterm infants: Best practices for accurate anthropometry in neonatal intensive care unit settings.Nutrition in clinical practice : official publication of the American Society for Parenteral and Enteral Nutrition · 2025
    Guideline
  5. Pooled it
  6. Pooled it
  7. Pooled it
  8. Trial
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  15. Article
  16. Comparison of growth and morbidity outcomes in preterm infants using two different intravenous lipid emulsions.Journal of perinatology : official journal of the California Perinatal Association · 2026
    Article
  17. Article
  18. Article
  19. Anthropometric differences between twins at birth and their association with later cognitive performance.Journal of child psychology and psychiatry, and allied disciplines · 2026
    Article
  20. Article

1,286 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

2 authors.

Tanis R FentonAlberta Children's Hospital Research Institute, The University of Calgary, Calgary, AB, Canada. tfenton@ucalgary.ca
Jae H Kim

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe aim of this study was to revise the 2003 Fenton Preterm Growth Chart, specifically to: a) harmonize the preterm growth chart with the new World Health Organization (WHO) Growth Standard, b) smooth the data between the preterm and WHO estimates, informed by the Preterm Multicentre Growth (PreM Growth) study while maintaining data integrity from 22 to 36 and at 50 weeks, and to c) re-scale the chart x-axis to actual age (rather than completed weeks) to support growth monitoring.

methodsSystematic review, meta-analysis, and growth chart development. We systematically searched published and unpublished literature to find population-based preterm size at birth measurement (weight, length, and/or head circumference) references, from developed countries with: Corrected gestational ages through infant assessment and/or statistical correction; Data percentiles as low as 24 weeks gestational age or lower; Sample with greater than 500 infants less than 30 weeks. Growth curves for males and females were produced using cubic splines to 50 weeks post menstrual age. LMS parameters (skew, median, and standard deviation) were calculated.

resultsSix large population-based surveys of size at preterm birth representing 3,986,456 births (34,639 births < 30 weeks) from countries Germany, United States, Italy, Australia, Scotland, and Canada were combined in meta-analyses. Smooth growth chart curves were developed, while ensuring close agreement with the data between 24 and 36 weeks and at 50 weeks.

conclusionsThe revised sex-specific actual-age growth charts are based on the recommended growth goal for preterm infants, the fetus, followed by the term infant. These preterm growth charts, with the disjunction between these datasets smoothing informed by the international PreM Growth study, may support an improved transition of preterm infant growth monitoring to the WHO growth charts.

Indexed as

Growth ChartsBody HeightBody WeightFemaleGestational AgeHeadHumansInfantInfant, NewbornInfant, PrematureMaleModels, StatisticalWorld Health Organization

Identifiers

PMID23601190
PMCPMC3637477

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.