Evidence map›Paper›PMID 27123570›Full record

Trial reportPloS one2016

Lack of a Negative Effect of BCG-Vaccination on Child Psychomotor Development: Results from the Danish Calmette Study - A Randomised Clinical Trial.

Jesper Kjærgaard, Lone Graff Stensballe, Nina Marie Birk, Thomas Nørrelykke Nissen, Kim Thestrup Foss, Lisbeth Marianne Thøstesen, Gitte Thybo Pihl, Andreas Andersen, Poul-Erik Kofoed, Ole Pryds and 1 more

Registry-linked trialOpen access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in PloS one, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01694108 (Bacille Calmette Guérin Immunisation at Birth and Childhood Morbidity in Danish Children. A Prospective, Randomised, Clinical Trial.), which is not on this map. Cited by 2 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 2 pooled it
0.8field-weighted citation impact, top 28% 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.

NCT01694108 phase4completednot on this map

Bacille Calmette Guérin Immunisation at Birth and Childhood Morbidity in Danish Children. A Prospective, Randomised, Clinical Trial.

TypeinterventionalSponsorLone Graff StensballeRan2012 to 2015Enrolled4,262ConditionsProspective, Single-blind, Clinical, TrialArmsBCG-vaccine (SSI)
3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 2 syntheses or guidelines pooled it, 5 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
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

11 authors at 4 institutions in 1 country.

Jesper KjærgaardThe Department of Paediatrics and Adolescent Medicine, Juliane Marie Centret, Rigshospitalet, Copenhagen University Hospital, Copenhagen, Denmark.
Lone Graff StensballeThe Department of Paediatrics and Adolescent Medicine, Juliane Marie Centret, Rigshospitalet, Copenhagen University Hospital, Copenhagen, Denmark.
Nina Marie BirkDepartment of Paediatrics 460, Copenhagen University Hospital Hvidovre, Hvidovre, Denmark.
Thomas Nørrelykke NissenDepartment of Paediatrics 460, Copenhagen University Hospital Hvidovre, Hvidovre, Denmark.
Kim Thestrup FossDepartment of Neurology, Copenhagen University Hospital Herlev, Herlev, Denmark.
Lisbeth Marianne ThøstesenDepartment of Paediatrics, Kolding Hospital, University of Southern Denmark, Kolding, Denmark.
Gitte Thybo PihlDepartment of Paediatrics, Kolding Hospital, University of Southern Denmark, Kolding, Denmark.
Andreas AndersenResearch Center for Vitamins and Vaccines (CVIVA), Bandim Health Project, Statens Serum Institut, Artillerivej 5, Copenhagen, Denmark.
Poul-Erik KofoedDepartment of Paediatrics, Kolding Hospital, University of Southern Denmark, Kolding, Denmark.
Ole PrydsDepartment of Paediatrics 460, Copenhagen University Hospital Hvidovre, Hvidovre, Denmark.
Gorm GreisenThe Neonatal Department, Juliane Marie Centret, Rigshospitalet, Copenhagen University Hospital, Copenhagen, Denmark.
Copenhagen University Hospital · DKKolding Hospital · DKHvidovre Hospital · DKStatens Serum Institut · DK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo assess the non-specific effect of Bacillus Calmette-Guérin (BCG) vaccination at birth on psychomotor development.

designThis is a pre-specified secondary outcome from a randomised, clinical trial.

settingMaternity units and paediatric wards at three university hospitals in Denmark.

participantsChildren born at gestational age (GA) 32 weeks and above. All women planning to give birth at the three sites were invited during the recruitment period. Out of 4262 randomised children, 144 were premature (GA < 37 weeks). There were 2129 children (71 premature) randomised to BCG and 2133 randomised (73 premature) to the control group.

interventionsBCG vaccination 0.05 ml was given intradermally in the upper left arm at the hospital within seven days of birth. Children in the control group did not receive any intervention. Parents were not blinded to allocation.

main outcome measuresPsychomotor development measured using Ages and Stages Questionnaire (ASQ) completed by the parents at 12 months. Additionally, parents of premature children (gestational age < 37 weeks) completed an ASQ at 6 and 22 months. Developmental assessment was available for 3453/4262 (81%).

resultsThe mean difference in ASQ score at 12 months adjusted for age and prematurity was -0.7 points (BCG vs. control, 95% confidence interval; -3.7 to 2.4), p = 0.67, corresponding to an effect size of Cohen's d = -0.015 (-0.082 to 0.052). The mean difference in ASQ score for premature children at 22 months was -7.8 points (-20.6 to 5.0, p = 0.23), d = -0.23 (-0.62 to 0.15).

conclusionsA negative non-specific effect of BCG vaccination at birth on psychomotor development was excluded in term children.

trial registrationClinicalTrials.gov NCT01694108.

Indexed as

VaccinationAdultBCG VaccineDenmarkFemaleHumansInfantInfant, NewbornInfant, PrematureMycobacterium bovisPsychomotor PerformanceSurveys and QuestionnairesTuberculosis, PulmonaryBCG Vaccine

Identifiers

PMID27123570
PMCPMC4849633
OpenAlexW2344455709

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.