Evidence map›Paper›PMID 25641238›Full record

ArticleThe Journal of pediatrics2015

Racial/ethnic differences in survival of United States children with birth defects: a population-based study.

Ying Wang, Gang Liu, Mark A Canfield, Cara T Mai, Suzanne M Gilboa, Robert E Meyer, Marlene Anderka, Glenn E Copeland, James E Kucik, Wendy N Nembhard and 2 more

Open access · greenAbstract readMulticenter Study
In one paragraph

Article in The Journal of pediatrics, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 47 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
47citing papers in PubMed, 4 pooled it
8.2field-weighted citation impact, top 2% 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

47 citing papers in PubMed, 4 syntheses or guidelines pooled it, 85 citations in OpenAlex.

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  8. Mortality in Cleft Lip and Palate Patients: A Systematic Review and Meta-analysis.Plastic and reconstructive surgery. Global open · 2025
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

12 authors at 9 institutions in 1 country.

Ying WangDivision of Data Analysis and Research, Office of Primary Care and Health System Management, New York State Department of Health, Albany, NY. Electronic address: ying.wang@health.ny.gov.
Gang LiuDepartment of Epidemiology and Biostatistics, School of Public Health, University at Albany, State University of New York, Albany, NY.
Mark A CanfieldTexas Department of State Health Services, Austin, TX.
Cara T MaiNational Center on Birth Defects and Developmental Disabilities, Centers for Disease Control and Prevention, Atlanta, GA.
Suzanne M GilboaNational Center on Birth Defects and Developmental Disabilities, Centers for Disease Control and Prevention, Atlanta, GA.
Robert E MeyerNorth Carolina Birth Defects Monitoring Program, Raleigh, NC.
Marlene AnderkaMassachusetts Department of Public Health, Boston, MA.
Glenn E CopelandMichigan Birth Defects Registry, Michigan Department of Community Health, Lansing, MI.
James E KucikNational Center on Birth Defects and Developmental Disabilities, Centers for Disease Control and Prevention, Atlanta, GA.
Wendy N NembhardArkansas Reproductive Health Monitoring System, Arkansas Children's Hospital Research Institute & University of Arkansas for Medical Sciences, Little Rock, AR.
Russell S KirbyDepartment of Community and Family Health, College of Public Health, University of South Florida, Tampa, FL.
National Birth Defects Prevention Network
Centers for Disease Control and Prevention · USAlbany State University · USArkansas Children's Hospital · USMassachusetts Department of Public Health · USMichigan Department of Health and Human Services · USNational Center on Birth Defects and Developmental Disabilities · USNew York State Department of Health · USTexas Department of State Health Services · USUniversity of South Florida · US

Funding

Intramural CDC HHS CC999999
6 · The paper itself

Abstract

objectivesTo examine racial/ethnic-specific survival of children with major birth defects in the US. STUDY

designWe pooled data on live births delivered during 1999-2007 with any of 21 birth defects from 12 population-based birth defects surveillance programs. We used the Kaplan-Meier method to calculate cumulative survival probabilities and Cox proportional hazards models to estimate mortality risk.

resultsFor most birth defects, there were small-to-moderate differences in neonatal (<28 days) survival among racial/ethnic groups. However, compared with children born to non-Hispanic white mothers, postneonatal infant (28 days to <1 year) mortality risk was significantly greater among children born to non-Hispanic black mothers for 13 of 21 defects (hazard ratios [HRs] 1.3-2.8) and among children born to Hispanic mothers for 10 of 21 defects (HRs 1.3-1.7). Compared with children born to non-Hispanic white mothers, a significantly increased childhood (≤ 8 years) mortality risk was found among children born to Asian/Pacific Islander mothers for encephalocele (HR 2.6), tetralogy of Fallot, and atrioventricular septal defect (HRs 1.6-1.8) and among children born to American Indian/Alaska Native mothers for encephalocele (HR 2.8), whereas a significantly decreased childhood mortality risk was found among children born to Asian/Pacific Islander mothers for cleft lip with or without cleft palate (HR 0.6).

conclusionChildren with birth defects born to non-Hispanic black and Hispanic mothers carry a greater risk of mortality well into childhood, especially children with congenital heart defect. Understanding survival differences among racial/ethnic groups provides important information for policy development and service planning.

Indexed as

EthnicityPopulation SurveillanceChildChild, PreschoolCongenital AbnormalitiesFemaleFollow-Up StudiesHumansInfantInfant, NewbornMalePrognosisProportional Hazards ModelsRetrospective StudiesRisk AssessmentRisk Factors

Identifiers

PMID25641238
PMCPMC4696483
OpenAlexW2078600064

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.