Evidence map›Paper›PMID 25099286›Full record

ArticleAmerican journal of medical genetics. Part A2014

Laterality defects in the national birth defects prevention study (1998-2007): birth prevalence and descriptive epidemiology.

Angela E Lin, Sergey Krikov, Tiffany Riehle-Colarusso, Jaime L Frías, John Belmont, Marlene Anderka, Tal Geva, Kelly D Getz, Lorenzo D Botto, National Birth Defects Prevention Study

Abstract readMulticenter Study
In one paragraph

Article in American journal of medical genetics. Part A, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 107 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
107citing papers in PubMed, 1 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.

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

107 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
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  4. Science advances · 2026
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  8. Journal of medical genetics · 2026
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  14. Review
  15. An Opto-Bio-Hydrodynamic Platform for Instructing Cardiac Left-Right Asymmetry Development.Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 2025
    Article
  16. Article
  17. Article
  18. Article
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47 more citing papers are in PubMed but not listed here.

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

10 authors.

Angela E LinMedical Genetics, MassGeneral Hospital for Children, Boston, Massachusetts; Massachusetts Center for Birth Defects Research and Prevention, Boston, Massachusetts.
Sergey Krikov
Tiffany Riehle-Colarusso
Jaime L Frías
John Belmont
Marlene Anderka
Tal Geva
Kelly D Getz
Lorenzo D Botto
National Birth Defects Prevention Study

Funding

BURPPE:BU Reproductive, Perinatal, and Pediatric Epidemiology Training ProgramT32HD052458 · NICHD · BOSTON UNIVERSITY MEDICAL CAMPUS · PI WERLER, MARTHA M. · 2007 to 2016
$2.0M
Intramural CDC HHS CC999999NICHD NIH HHS T32 HD052458PHS HHS U50/CCU925286
6 · The paper itself

Abstract

Little is known epidemiologically about laterality defects. Using data from the National Birth Defects Prevention Study (NBDPS), a large multi-site case-control study of birth defects, we analyzed prevalence and selected characteristics in children born with laterality defects born from 1998 to 2007. We identified 517 nonsyndromic cases (378 heterotaxy, 73.1%; 139 situs inversus totalis [SIT], 26.9%) resulting in an estimated birth prevalence of 1.1 per 10,000 live births (95% confidence interval 1.0–1.2). Prevalence did not differ significantly across sites, over time, or by inclusion of pregnancy termination. Laterality defects were more common among preterm cases compared to term cases, and in children born to mothers who were non-white or younger than 20 years compared to white mothers or those age 25–29 years. The distribution of associated cardiac and extra-cardiac defects, excluding the expected heterotaxy anomalies, varied by type of laterality defect. Cases with heterotaxy were significantly more likely than those with SIT to have double outlet right ventricle, atrioventricular canal defects, pulmonary stenosis, non-tetralogy of Fallot pulmonary atresia with ventricular septal defect, totally and partially anomalous pulmonary venous return; also more likely to have orofacial clefts, esophageal atresia, bowel atresias, and omphalocele, though not reaching statistical significance. Relatively more common among cases with SIT were Dandy- Walker malformation, anotia/microtia, and limb deficiency. The similarity in the demographic characteristics of heterotaxy and SIT supports the hypothesis that they are part of a continuum of abnormal left-right axis patterning. These findings on laterality defects may help guide clinical care, future research, and prevention strategies.

Indexed as

AdultCase-Control StudiesCongenital AbnormalitiesDouble Outlet Right VentricleFemaleHeart Septal Defects, VentricularHeterotaxy SyndromeHumansInfant, NewbornMalePregnancyPrevalenceSitus InversusWhite PeopleYoung Adultaspleniacardiovascular malformationscongenital heart defectsdextrocardiaheterotaxyisomerismlaterality defectsmalpositionprevalencerace/ethnic disparitiessitus ambiguoussitus inversus

Identifiers

PMID25099286
PMCPMC4462240

What OpenQuestion holds

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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.