Evidence map›Paper›PMID 25127739›Full record

ArticleAnnals of epidemiology2014

First-trimester nonsystemic corticosteroid use and the risk of oral clefts in Norway.

Hildur Skuladottir, Allen Wilcox, Robert McConnaughey, Hallvard Vindenes, Rolv T Lie

Open access · greenAbstract read
In one paragraph

Article in Annals of epidemiology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 2 pooled it
1.9field-weighted citation impact, top 13% 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

7 citing papers in PubMed, 2 syntheses or guidelines pooled it, 25 citations in OpenAlex.

  1. Guideline
  2. Safety of topical corticosteroids in pregnancy.The Cochrane database of systematic reviews · 2015
    Pooled it
  3. Article
  4. Review
  5. Review
  6. Review
  7. Psoriasis in pregnancy: challenges and solutions.Psoriasis (Auckland, N.Z.) · 2015
    Review
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

5 authors at 4 institutions in 3 countries.

Hildur SkuladottirDepartment of Plastic Surgery, Haukeland University Hospital, Bergen, Norway; Department of Global Public Health and Primary Care, University of Bergen, Bergen, Norway. Electronic address: hildur.skuladottir@gmail.com.
Allen WilcoxEpidemiology Branch, National Institute of Environmental Health Sciences, National Institutes of Health, Durham, NC.
Robert McConnaugheyWESTAT, Epidemiology Branch, Durham, NC.
Hallvard VindenesDepartment of Plastic Surgery, Haukeland University Hospital, Bergen, Norway.
Rolv T LieDepartment of Global Public Health and Primary Care, University of Bergen, Bergen, Norway.
Haukeland University Hospital · NODurham University · GBNational Institutes of Health · USUniversity of Bergen · NO

Funding

Environmental And Genetic Causes Of Birth DefectsZIAES049027 · NIEHS · NATIONAL INSTITUTE OF ENVIRONMENTAL HEALTH SCIENCES · PI WILCOX, ALLEN J · 2009 to 2020
$2.6M
ENVIRONMENTAL AND GENETIC CAUSES OF BIRTH DEFECTSZ01ES049027 · NIEHS · NATIONAL INSTITUTE OF ENVIRONMENTAL HEALTH SCIENCES · PI WILCOX, ALLEN J · 1997 to 2008
$522k
STATISTICAL METHODS IN REPRODUCTIVE EPIDEMIOLOGYZ01ES040007 · NIEHS · NATIONAL INSTITUTE OF ENVIRONMENTAL HEALTH SCIENCES · PI WEINBERG, CLARICE · 1997 to 2008
$512k
Intramural NIH HHS Z01 ES040007Intramural NIH HHS Z01 ES049027NIEHS NIH HHS N01-ES-75558NIEHS NIH HHS Z01 ES049027-11
6 · The paper itself

Abstract

purposeExposure of pregnant mice to corticosteroids can produce oral clefts in offspring. Although data in humans are more mixed, recent reports have suggested that dermatologic steroids are associated with oral clefts.

methodsWe investigated maternal first-trimester exposure to corticosteroids (focusing on dermatologic uses) and oral clefts in offspring using two population-based studies. The Norway Cleft Study (1996-2001) is a national case-control study including 377 infants with cleft lip ± palate (CLP), 196 infants with cleft palate only (CPO), and 763 controls. The Norwegian Mother and Child Cohort Study (MoBa, 1998-2008) is a national birth cohort including 123 infants with CLP, 61 infants with CPO, and 551 controls.

resultsIn the case-control study, there was the suggestion of an association of dermatologic corticosteroids with both CLP (adjusted OR [aOR], 2.3; 95% confidence interval [CI], 0.71-7.7) and CPO (aOR, 3.4; CI, 0.87-13). There was no evidence of this association in the cohort data (odds ratio for CLP, 1.2; CI, 0.50-2.8 and odds ratio for CPO, 1.0; CI, 0.30-3.4), although exposure to dermatologic steroids was less specifically ascertained. There were no associations with other types of corticosteroids.

conclusionsOur data add to the suggestive but inconsistent findings for this association.

Indexed as

Pregnancy Trimester, FirstAdministration, TopicalAdolescentAdrenal Cortex HormonesAdultAnti-Inflammatory AgentsCase-Control StudiesCleft LipCleft PalateConfidence IntervalsFemaleHumansLogistic ModelsMaternal ExposureMaternal-Fetal ExchangeNorwayAdrenal Cortex HormonesAnti-Inflammatory AgentsCleft lipCleft palateCorticosteroidsMaternal exposureMobaPregnancy

Identifiers

PMID25127739
PMCPMC4161959
OpenAlexW2135532813

What OpenQuestion holds

Textmetadata
LicenceTDM
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.