Evidence map›Paper›PMID 27220677›Full record

Observational studyAutism research : official journal of the International Society for Autism Research2017

Prevalence and associated features of autism spectrum disorder in extremely low gestational age newborns at age 10 years.

Robert M Joseph, Thomas M O'Shea, Elizabeth N Allred, Tim Heeren, Deborah Hirtz, Nigel Paneth, Alan Leviton, Karl C K Kuban

Abstract readMulticenter StudyObservational Study
In one paragraph

Observational study in Autism research : official journal of the International Society for Autism Research, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 90 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
90citing papers in PubMed, 2 pooled it
6.0field-weighted citation impact, top 3% 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

90 citing papers in PubMed, 2 syntheses or guidelines pooled it, 139 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Article
  5. Developmental Trajectories of Autistic Social Traits in Youth Born Extremely Preterm.Journal of the American Academy of Child and Adolescent Psychiatry · 2026
    Article
  6. Factors associated with abnormal screening for autism spectrum disorder among Extremely Preterm Children.Journal of perinatology : official journal of the California Perinatal Association · 2026
    Article
  7. Article
  8. Article
  9. Article
  10. Prematurity and autism: a dose-response relationship across gestational age.Journal of perinatology : official journal of the California Perinatal Association · 2026
    Article
  11. Article
  12. Article
  13. Article
  14. Sex Differences in Autistic Youth Born Extremely Preterm.Journal of autism and developmental disorders · 2026
    Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Review

30 more citing papers are in PubMed but not listed here.

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

8 authors at 7 institutions in 1 country.

Robert M JosephDepartment of Anatomy and Neurobiology, Boston University School of Medicine, Boston, Massachusetts.
Thomas M O'SheaDepartment of Pediatrics, University of North Carolina, Chapel Hill, North Carolina.
Elizabeth N AllredHarvard Medical School, Boston, Massachusetts.
Tim HeerenDepartment of Biostatistics, Boston University School of Public Health, Boston, Massachusetts.
Deborah HirtzNational Institute of Neurological Disorders and Stroke, Bethesda, Maryland.
Nigel PanethDepartment of Epidemiology and Biostatistics, Michigan State University, East Lansing, Michigan.
Alan LevitonHarvard Medical School, Boston, Massachusetts.
Karl C K KubanDepartment of Pediatrics, Boston Medical Center, Boston, Massachusetts.
Boston University · USBoston Children's Hospital · USBoston Medical Center · USHarvard University · USMichigan State University · USNational Institute of Neurological Disorders and Stroke · USUniversity of North Carolina at Chapel Hill · US

Funding

Neonatal Biomarkers in Extremely Preterm Babies Predict Childhood Brain DisordersU01NS040069 · NINDS · CHILDREN'S HOSPITAL BOSTON · PI KUBAN, KARL · 2001 to 2014
$34.0M
SYNAPTIC MECHANISMS IN HIPPOCAMPAL EPILEPTOGENESISP30HD018655 · NICHD · CHILDREN'S HOSPITAL BOSTON · PI POMEROY, SCOTT LOREN · 1985 to 2015
$26.2M
NICHD NIH HHS P30 HD018655NINDS NIH HHS U01 NS040069
6 · The paper itself

Abstract

We sought to estimate the prevalence of autism spectrum disorder (ASD) in children born extremely preterm relative to the U.S. population risk of 1.5% [CDC, 2014] using the best-available diagnostic procedures and minimizing confounding with other neurodevelopmental impairments. Eight hundred and eighty nine of 966 (92%) 10-year-old children from the Extremely Low Gestational Age Newborn birth cohort, delivered at 23-27 weeks gestation in 2002-2004, participated. Children meeting ASD screening criteria on the Social Communication Questionnaire were evaluated with the Autism Diagnostic Interview-Revised (ADI-R). Those meeting ADI-R criteria were assessed with the Autism Diagnostic Observation Schedule-2 (ADOS-2). A positive ADOS-2 score was the criterion for ASD. Twenty-six participants were not assessed for ASD because of severe sensory or motor impairment. In the remaining sample, 61 children met criteria for ASD, resulting in a prevalence of 7.1% (95% CI = 5.5-9.0). ASD risk decreased with increasing gestational age, from 15.0% (95% CI = 10.0-21.2) for 23-24 weeks, 6.5% (95% CI = 4.2-9.4) for 25-26 weeks, to 3.4% (95% CI = 1.6-6.1) for 27 weeks gestational age, and this association was independent of IQ. Among children with ASD, 40% had intellectual disability. The male-to-female ratio of children with ASD was 2.1:1 (95% CI = 1.2:1-3.5:1), lower than in the general population (4:1). ASD prevalence in the ELGAN cohort was four times higher than in the general population, and was strongly associated with gestational age, underscoring the need for enhanced ASD screening of children born preterm, and suggesting that some risk factors associated with preterm birth may also play a role in the etiology of autism. Autism Res 2017, 10: 224-232. © 2016 International Society for Autism Research, Wiley Periodicals, Inc.

Indexed as

Gestational AgeInfant, Extremely PrematureAutism Spectrum DisorderChildCohort StudiesComorbidityFemaleHumansInfant, NewbornIntellectual DisabilityMalePrevalenceRisk FactorsSex DistributionUnited Statesdiagnosisepidemiology - descriptiveintellectual disabilitypre- and perinatal risk factorsprevalencesex differences

Identifiers

PMID27220677
PMCPMC5123971
OpenAlexW2404408606

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.