Evidence map›Paper›PMID 24861339›Full record

ArticleEuropean journal of epidemiology2014

Risk of birth defects associated with maternal pregestational diabetes.

Marco Vinceti, Carlotta Malagoli, Kenneth J Rothman, Rossella Rodolfi, Gianni Astolfi, Elisa Calzolari, Aurora Puccini, Marco Bertolotti, Mark Lunt, Luisa Paterlini and 2 more

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In one paragraph

Article in European journal of epidemiology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 3 pooled it
4.5field-weighted citation impact, top 6% 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

16 citing papers in PubMed, 3 syntheses or guidelines pooled it, 61 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Review
  11. The status of diabetic embryopathy.Upsala journal of medical sciences · 2016
    Review
  12. Article
  13. The Rotterdam Study: 2016 objectives and design update.European journal of epidemiology · 2015
    Article
  14. Article
  15. Article
  16. Maternal alloxan exposure induces damage in rat offspring lumbar vertebrae and protective role of arachidonic acid.Romanian journal of morphology and embryology = Revue roumaine de morphologie et embryologie
    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

12 authors at 7 institutions in 3 countries.

Marco VincetiCREAGEN - Environmental, Genetic and Nutritional Epidemiology Research Center, University of Modena and Reggio Emilia, Reggio Emilia, Italy, marco.vinceti@unimore.it.
Carlotta Malagoli
Kenneth J Rothman
Rossella Rodolfi
Gianni Astolfi
Elisa Calzolari
Aurora Puccini
Marco Bertolotti
Mark Lunt
Luisa Paterlini
Mariella Martini
Fausto Nicolini
Azienda Sanitaria Unità Locale di Reggio Emilia · ITUniversity of Modena and Reggio Emilia · ITUniversity of Ferrara · ITAgenzia Regionale Prevenzione e Ambiente della Regione Emilia-Romagna · ITAzienda Unita' Sanitaria Locale Di Modena · ITBoston University · USUniversity of Manchester · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Maternal diabetes preceding pregnancy may increase the risk of birth defects in the offspring, but not all studies confirm this association, which has shown considerable variation over time, and the effect of having type 1 versus type 2 diabetes is unclear. We conducted a population-based cohort study in the Northern Italy Emilia-Romagna region linking administrative databases with a Birth Defects Registry. From hospital discharge records we identified all diabetic pregnancies during 1997-2010, and a population of non-diabetic parturients matched for age, residence, year and delivery hospital. We collected available information on education, smoking and drug prescriptions, from which we inferred the type of diabetes. We found 62 malformed infants out of 2,269 births among diabetic women, and 162 out of 10,648 births among non-diabetic women. The age-standardized prevalence ratio (PR) of malformation associated with maternal pregestational diabetes was 1.79 (95 % confidence interval 1.34-2.39), a value that varied little by age. Type of diabetes strongly influenced the PR, with higher values related to type 2 diabetic women. Most major subgroups of anomalies had PRs above 1, including cardiovascular, genitourinary, musculoskeletal, and chromosomal abnormalities. There was an unusually high PR for the rare defect 'extra-ribs', but it was based on only two cases. This study indicates that maternal pregestational type 2 diabetes is associated with a higher prevalence of specific birth defects in offspring, whereas for type 1 diabetic mothers, particularly in recent years, the association was unremarkable.

Indexed as

AdultCase-Control StudiesConfidence IntervalsCongenital AbnormalitiesDiabetes Mellitus, Type 2FemaleHumansInfant, NewbornItalyPopulation SurveillancePregnancyPregnancy in DiabeticsPregnancy OutcomePrevalenceRegistriesRisk Assessment

Identifiers

PMID24861339
OpenAlexW2114763547

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.