Evidence map›Paper›PMID 26791055›Full record

ReviewSeminars in perinatology2016

Neonatal abstinence syndrome: Pharmacologic strategies for the mother and infant.

Walter K Kraft, Megan W Stover, Jonathan M Davis

Open access · greenAbstract readReview
In one paragraph

Review in Seminars in perinatology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
37citing papers in PubMed, 2 pooled it
16.3field-weighted citation impact, top 1% 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

37 citing papers in PubMed, 2 syntheses or guidelines pooled it, 66 citations in OpenAlex.

  1. Opioid treatment for opioid withdrawal in newborn infants.The Cochrane database of systematic reviews · 2021
    Pooled it
  2. Sedatives for opioid withdrawal in newborn infants.The Cochrane database of systematic reviews · 2021
    Pooled it
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  7. Association between NNNS-II profiles and pharmacological treatment in infants with prenatal opioid exposure.Journal of perinatology : official journal of the California Perinatal Association · 2026
    Article
  8. Article
  9. Article
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  11. Modulation of intestinal TLR4 expression in infants with neonatal opioid withdrawal syndrome.Journal of perinatology : official journal of the California Perinatal Association · 2024
    Article
  12. Review
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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

3 authors at 2 institutions in 1 country.

Walter K KraftDepartment of Pharmacology and Experimental Therapeutics, Thomas Jefferson University, Philadelphia, PA.
Megan W StoverDepartment of Obstetrics and Gynecology, Tufts Medical Center, Boston, MA.
Jonathan M DavisDepartment of Pediatrics, Floating Hospital for Children, Tufts Medical Center, TMC 44, 800 Washington St, Boston, MA 02111; Tufts Clinical and Translational Science Institute, Tufts, Boston, MA. Electronic address: jdavis@tuftsmedicalcenter.org.
Tufts Medical Center · USThomas Jefferson University · US

Funding

Improving Outcome in Neonatal Abstinence SyndromeR01DA032889 · NIDA · TUFTS MEDICAL CENTER · PI DAVIS, JONATHAN M., LESTER, BARRY M. · 2012 to 2015
$2.8M
Establishing Risk in Neonatal Abstinence SyndromeR21DA041706 · NIDA · TUFTS MEDICAL CENTER · PI DAVIS, JONATHAN M., LESTER, BARRY M. · 2016 to 2017
$524k
DRUG ABUSE, STRESS, AND ADAPTATION IN OLD PEOPLER01DA002976 · NIDA · UNIVERSITY OF CALIFORNIA BERKELEY · PI LAZARUS, RICHARD S · 1985 to 1985
–
NIDA NIH HHS R01DA02976NIDA NIH HHS R01 DA032889NIDA NIH HHS R01DA032889-02NIDA NIH HHS R21 DA041706
6 · The paper itself

Abstract

Opioid use in pregnancy has increased dramatically over the past decade. Since prenatal opioid use is associated with numerous obstetrical and neonatal complications, this now has become a major public health problem. In particular, in utero opioid exposure can result in neonatal abstinence syndrome (NAS) which is a serious condition characterized by central nervous system hyperirritability and autonomic nervous system dysfunction. The present review seeks to define current practices regarding the approach to the pregnant mother and neonate with prenatal opiate exposure. Although the cornerstone of prenatal management of opioid dependence is opioid maintenance therapy, the ideal agent has yet to be definitively established. Pharmacologic management of NAS is also highly variable and may include an opioid, barbiturate, and/or α-agonist. Genetic factors appear to be associated with the incidence and severity of NAS. Establishing pharmacogenetic risk factors for the development of NAS has the potential for creating opportunities for "personalized genomic medicine" and novel, individualized therapeutic interventions.

Indexed as

Neonatal Abstinence SyndromeAdrenergic alpha-AgonistsAnalgesics, OpioidBarbituratesFemaleHumansInfant, NewbornMedication Therapy ManagementOpiate Substitution TreatmentOpioid-Related DisordersPharmacogenomic VariantsPregnancyPregnancy ComplicationsPrenatal Exposure Delayed EffectsAdrenergic alpha-AgonistsAnalgesics, OpioidBarbituratesNeonatal abstinence syndromeNewbornOpioidsPregnancy

Identifiers

PMID26791055
PMCPMC4808371
OpenAlexW2236244105

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.