Evidence map›Paper›PMID 25917765›Full record

ArticleThe Journal of pediatrics2015

Predictors of Enteral Autonomy in Children with Intestinal Failure: A Multicenter Cohort Study.

Faraz A Khan, Robert H Squires, Heather J Litman, Jane Balint, Beth A Carter, Jeremy G Fisher, Simon P Horslen, Tom Jaksic, Samuel Kocoshis, J Andres Martinez and 11 more

Registry-linked trialAbstract 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. It is linked to trial NCT03105362 (Tolerability of an Amino Acid-based Oral Rehydration Solution in Children With Short Bowel Syndrome), which is not on this map. Cited by 50 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
50citing papers in PubMed, 3 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.

NCT03105362 naterminatednot on this mapstarted 2017, after this paper: background citation

Tolerability of an Amino Acid-based Oral Rehydration Solution in Children With Short Bowel Syndrome

TypeinterventionalSponsorBoston Children's HospitalRan2017 to 2018Enrolled4ConditionsShort Bowel SyndromeArmsEnterade® oral rehydration solution
3 · Its place in the literature

Who cites it

50 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Article
  5. Article
  6. Article
  7. Review
  8. Article
  9. Review
  10. Current operative approaches for necrotizing enterocolitis.World journal of pediatric surgery · 2026
    Review
  11. Article
  12. Article
  13. Article
  14. Article
  15. Review
  16. Article
  17. The Development of the International Intestinal Failure Registry and an Overview of its Results.European journal of pediatric surgery : official journal of Austrian Association of Pediatric Surgery ... [et al] = Zeitschrift fur Kinderchirurgie · 2024
    Review
  18. Article
  19. Review
  20. Dilemmas in feeding infants with intestinal failure: a neonatologist's perspective.Journal of perinatology : official journal of the California Perinatal Association · 2023
    Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

21 authors.

Faraz A KhanBoston Children's Hospital, Boston, MA.
Robert H SquiresChildren's Hospital of Pittsburgh of University of Pittsburgh Medical Center, Pittsburgh, PA.
Heather J LitmanBoston Children's Hospital, Boston, MA.
Jane BalintNationwide Children's Hospital, Columbus, OH.
Beth A CarterTexas Children's Hospital, Houston, TX.
Jeremy G FisherBoston Children's Hospital, Boston, MA.
Simon P HorslenSeattle Children's Hospital, Seattle, WA.
Tom JaksicBoston Children's Hospital, Boston, MA.
Samuel KocoshisCincinnati Children's Hospital Medical Center, Cincinnati, OH.
J Andres MartinezMonroe Carrell Jr. Children's Hospital, Nashville, TN.
David MercerChildren's Hospital and Medical Center, Omaha, NE.
Susan RheeUniversity of California, San Francisco, Benioff Children's Hospital, San Francisco, CA.
Jeffrey A RudolphChildren's Hospital of Pittsburgh of University of Pittsburgh Medical Center, Pittsburgh, PA.
Jason SodenChildren's Hospital Colorado Medical Center, Denver, CO.
Debra SudanDuke Children's Hospital and Health Center, Durham, NC.
Riccardo A SuperinaChildren's Memorial Hospital, Chicago, IL.
Daniel H TeitelbaumMott's Children's Hospital, Ann Arbor, MI.
Robert VenickMattel Children's Hospital University of California, Los Angeles, Los Angeles, CA.
Paul W WalesHospital for Sick Children, Toronto, Ontario, Canada.
Christopher DugganBoston Children's Hospital, Boston, MA. Electronic address: christopher.duggan@childrens.harvard.edu.
Pediatric Intestinal Failure Consortium

Funding

LCenter for Clinical and Translational Science and TrainingUL1TR001425 · NCATS · UNIVERSITY OF CINCINNATI · PI HEUBI, JAMES E., KISSELA, BRETT M · 2015 to 2024
$37.5M
ROLE OF DIETARY CONSTITUENTS ON GENE EXPRESSION IN INTESTINAL EPITHELIUMP30DK040561 · NIDDK · MASSACHUSETTS GENERAL HOSPITAL · PI Alessio Fasano · 1994 to 2026
$31.6M
Cincinnati Center for Clinical and Translational Sciences and TrainingUL1TR000077 · NCATS · UNIVERSITY OF CINCINNATI · PI HEUBI, JAMES E., TSEVAT, JOEL · 2012 to 2014
$9.9M
Patient-oriented Research in Pediatric Diarrheal DiseasesK24HD058795 · NICHD · BOSTON CHILDREN'S HOSPITAL · PI DUGGAN, CHRISTOPHER P · 2010 to 2014
$956k
Patient-oriented Research in Pediatric Diarrheal DiseasesK24DK104676 · NIDDK · BOSTON CHILDREN'S HOSPITAL · PI DUGGAN, CHRISTOPHER P · 2015 to 2019
$903k
Intestinal failure in children: A contemporary retrospective review by the PediatR21DK081059 · NIDDK · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI SQUIRES, ROBERT H · 2008 to 2009
$473k
NCATS NIH HHS UL1 TR000077NCATS NIH HHS UL1 TR001425NICHD NIH HHS K24 HD058795NICHD NIH HHS K24HD058795NIDDK NIH HHS 1 R21 DK081059-01NIDDK NIH HHS K24 DK104676NIDDK NIH HHS K24DK104676-06NIDDK NIH HHS P30 DK040561NIDDK NIH HHS R21 DK081059
6 · The paper itself

Abstract

objectivesIn a large cohort of children with intestinal failure (IF), we sought to determine the cumulative incidence of achieving enteral autonomy and identify patient and institutional characteristics associated with enteral autonomy. STUDY

designA multicenter, retrospective cohort analysis from the Pediatric Intestinal Failure Consortium was performed. IF was defined as severe congenital or acquired gastrointestinal diseases during infancy with dependence on parenteral nutrition (PN) >60 days. Enteral autonomy was defined as PN discontinuation >3 months.

resultsA total of 272 infants were followed for a median (IQR) of 33.5 (16.2-51.5) months. Enteral autonomy was achieved in 118 (43%); 36 (13%) remained PN dependent and 118 (43%) patients died or underwent transplantation. Multivariable analysis identified necrotizing enterocolitis (NEC; OR 2.42, 95% CI 1.33-4.47), care at an IF site without an associated intestinal transplantation program (OR 2.73, 95% CI 1.56-4.78), and an intact ileocecal valve (OR 2.80, 95% CI 1.63-4.83) as independent risk factors for enteral autonomy. A second model (n = 144) that included only patients with intraoperatively measured residual small bowel length found NEC (OR 3.44, 95% CI 1.36-8.71), care at a nonintestinal transplantation center (OR 6.56, 95% CI 2.53-16.98), and residual small bowel length (OR 1.04 cm, 95% CI 1.02-1.06 cm) to be independently associated with enteral autonomy.

conclusionsA substantial proportion of infants with IF can achieve enteral autonomy. Underlying NEC, preserved ileocecal valve, and longer bowel length are associated with achieving enteral autonomy. It is likely that variations in institutional practices and referral patterns also affect outcomes in children with IF.

Indexed as

Parenteral NutritionCanadaChild, PreschoolCohort StudiesEnterocolitis, NecrotizingFemaleFollow-Up StudiesHumansIleocecal ValveInfantInfant, NewbornIntestinal DiseasesIntestinesMaleMultivariate AnalysisRetrospective Studies

Identifiers

PMID25917765
PMCPMC4485931

What OpenQuestion holds

Textmetadata
LicenceTDM
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.