Evidence map›Paper›PMID 25024972›Full record

ReviewJournal of clinical neonatology2014

Patent ductus arteriosus ligation and adverse outcomes: causality or bias?

Dany E Weisz, Patrick J McNamara

Registry-linked trialOpen access · greenAbstract readReview
In one paragraph

Review in Journal of clinical neonatology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04205877 (The United States Patent Ductus Arteriosus Registry), which is not on this map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
6.7field-weighted citation impact, top 3% 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.

NCT04205877 not yet recruitingnot on this mapstarted 2020, after this paper: background citation

The United States Patent Ductus Arteriosus Registry

TypeobservationalSponsorLe Bonheur Children's HospitalRan2020 to 2031Enrolled5,000ConditionsDuctus Arteriosus, PatentArmsTranscatheter PDA Closure
3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 59 citations in OpenAlex.

  1. Trial
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  14. The impact of a dedicated patent ductus arteriosus ligation team on neonatal health-care outcomes.Journal of perinatology : official journal of the California Perinatal Association · 2016
    Article
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  16. 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

2 authors at 2 institutions in 1 country.

Dany E WeiszDepartment of Newborn and Developmental Paediatrics, Sunnybrook Health Sciences Centre, Toronto, Canada.
Patrick J McNamaraDepartment of Paediatrics, Division of Neonatology, University of Toronto, Toronto, Canada ; Department of Physiology, University of Toronto, Toronto, Canada ; Department of Physiology and Experimental Medicine Program, Hospital for Sick Children Research Institute, Toronto, Canada.
Health Sciences Centre · CAUniversity of Toronto · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Observational studies have associated patent ductus arteriosus (PDA) ligation in preterm infants with increased chronic lung disease (CLD), retinopathy of prematurity, and neurodevelopmental impairment at long-term follow-up. Although the biological rationale for this association is incompletely understood, there is an emerging secular trend toward a permissive approach to the PDA. However, insufficient adjustment for postnatal, pre-ligation confounders, such as intraventricular hemorrhage and the duration and intensity of mechanical ventilation, suggests the presence of residual bias due to confounding by indication, and obliges caution in interpreting the ligation-morbidity relationship. A period of conservative management after failure of medical PDA closure may be considered to reduce the number of infants treated with surgery. Increased mortality and CLD in infants with persistent symptomatic PDA suggests that surgical ligation remains an important treatment modality for preterm infants.

Indexed as

Chronic lung diseaseconfounding by indicationconservativemortalityneurodevelopmental impairmentneurosensory impairmentpretermretinopathy of prematurity

Identifiers

PMID25024972
PMCPMC4089132
OpenAlexW2075068117

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-SA
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.