Evidence map›Paper›PMID 27244789›Full record

Trial reportPediatrics2016

Pubertal Height Growth and Adult Height in Cystic Fibrosis After Newborn Screening.

Zhumin Zhang, Mary J Lindstrom, Philip M Farrell, HuiChuan J Lai, Wisconsin Cystic Fibrosis Neonatal Screening Group

Open access · bronzeAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Pediatrics, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
3.6field-weighted citation impact, top 7% 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

16 citing papers in PubMed, 1 synthesis or guideline pooled it, 39 citations in OpenAlex.

  1. Pooled it
  2. The endocrine complications of cystic fibrosis.Nature reviews. Endocrinology · 2026
    Review
  3. Review
  4. Article
  5. Article
  6. Review
  7. Review
  8. Brazilian Guidelines for Nutrition in Cystic Fibrosis.Einstein (Sao Paulo, Brazil) · 2022
    Article
  9. Review
  10. Article
  11. Article
  12. Review
  13. Growth failure and treatment in cystic fibrosis.Journal of cystic fibrosis : official journal of the European Cystic Fibrosis Society · 2019
    Review
  14. Observational
  15. Article
  16. Article
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

5 authors at 2 institutions in 2 countries.

Zhumin ZhangDepartments of Nutritional Sciences.
Mary J LindstromBiostatistics and Medical Informatics, and.
Philip M FarrellPediatrics, University of Wisconsin-Madison, Madison, Wisconsin.
HuiChuan J LaiDepartments of Nutritional Sciences, Biostatistics and Medical Informatics, and Pediatrics, University of Wisconsin-Madison, Madison, Wisconsin hlai@wisc.edu.
Wisconsin Cystic Fibrosis Neonatal Screening Group
Institute for Medical Informatics and Biostatistics · CHUniversity of Wisconsin–Madison · US

Funding

PULMONARY BENEFITS OF CYSTIC FIBROSIS NEONATAL SCREENINGR01DK034108 · NIDDK · UNIVERSITY OF WISCONSIN-MADISON · PI FARRELL, PHILIP M · 1986 to 2011
$6.9M
Newborn Screening, Malnutrition and Lung Disease in Children with Cystic FibrosisR01DK072126 · NIDDK · UNIVERSITY OF WISCONSIN-MADISON · PI LAI, HUICHUAN J · 2006 to 2015
$4.3M
NIDDK NIH HHS R01 DK034108NIDDK NIH HHS R01 DK072126
6 · The paper itself

Abstract

backgroundTo examine long-term growth benefit of newborn screening (NBS), adolescent peak height velocity (PHV), and adult height were compared between the screened (diagnosed early via NBS) and the control (identified generally by symptoms) in the Wisconsin Randomized Clinical Trial.

methodsData from 107 children born in 1985-1994 and followed through 2012 were analyzed. PHV was estimated by a semiparametric growth curve model and compared with Tanner reference.

resultsMeconium ileus (MI; n = 25) was associated with the worst pubertal growth and adult height, including 1 child who did not experience apparent PHV; children with pancreatic sufficiency (n = 18) achieved the best growth (normal PHV and adult height). In children with pancreatic insufficiency without meconium ileus (n = 64), the subgroup most likely to benefit from NBS, screened children had similar PHV but better adult height compared with controls. Specifically, in boys, the screened group (n = 22) achieved normal PHV (9.5 cm at 13.5 years); the control group (n = 19) had similar onset age (13.6 years) but 0.6-cm lower magnitude (P = .08). In girls, the screened group (n = 10) had somewhat later (12.5 years vs 11.7 years, P = .12) and lower PHV (7.3 cm vs 7.9 cm, P = .33) than the controls (n = 13), coinciding with later menarche (13.6 years vs 12.2 years, P = .10). Adult height was taller in the screened than the control (50th vs 29th percentile, P = .02), even after adjusted for genetic potential (32nd vs15th percentile, P = .006). Differences in adult height were primarily attributable to NBS and better prepubertal growth.

conclusionsEarly linear growth benefits of NBS were sustained through puberty, leading to better adult height in cystic fibrosis.

Indexed as

Body HeightNeonatal ScreeningAdolescentAdultCystic FibrosisExocrine Pancreatic InsufficiencyFemaleGrowthHumansIleusInfant, NewbornLongitudinal StudiesMalePuberty

Identifiers

PMID27244789
PMCPMC4845866
OpenAlexW2323409755

What OpenQuestion holds

Textmetadata
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.