Evidence map›Paper›PMID 27255904›Full record

ArticleEuropean journal of pediatrics2016

Defining small-for-gestational-age: prescriptive versus descriptive birthweight standards.

Liset Hoftiezer, Chantal W P M Hukkelhoven, Marije Hogeveen, Huub M P M Straatman, Richard A van Lingen

Abstract read
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In one paragraph

Article in European journal of pediatrics, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed, 1 pooled it
3.3field-weighted citation impact, top 8% 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

32 citing papers in PubMed, 1 synthesis or guideline pooled it, 57 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Impact of SGA, AGA, and LGA birthweight subclassification on NICU mortality risk identification: a cohort study.Journal of perinatology : official journal of the California Perinatal Association · 2026
    Article
  4. Article
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  7. Effect of gestational age on special education: a population-based matched cohort analysis.Archives of disease in childhood. Fetal and neonatal edition · 2025
    Article
  8. Care of neonates following in-utero growth restriction: A prospective cohort study exploring neonatal morbidity.Journal of perinatology : official journal of the California Perinatal Association · 2025
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  12. Observational
  13. Observational
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  18. Effects of Peri-Conception and Pregnancy Glycemic Variability on Pregnancy and Perinatal Complications in Type 1 Diabetes: A Pilot Study.Experimental and clinical endocrinology & diabetes : official journal, German Society of Endocrinology [and] German Diabetes Association · 2022
    Article
  19. 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

5 authors at 4 institutions in 1 country.

Liset HoftiezerPrincess Amalia Department of Paediatrics, Department of Neonatology, P.O. Box 10400, 8000 GK, Isala, Zwolle, The Netherlands. l.hoftiezer@isala.nl.
Chantal W P M HukkelhovenPerined, Utrecht, The Netherlands.
Marije HogeveenAmalia Children's Hospital, Department of Neonatology, Radboud University Medical Centre, Nijmegen, The Netherlands.
Huub M P M StraatmanPHARMO Institute for Drug Outcomes Research, Utrecht, The Netherlands.
Richard A van LingenPrincess Amalia Department of Paediatrics, Department of Neonatology, P.O. Box 10400, 8000 GK, Isala, Zwolle, The Netherlands.
Amalia Kinderziekenhuis · NLIsala · NLPharmo Institute · NLRadboud University Nijmegen · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

unlabelledDescriptive population-based birthweight standards possess low sensitivity in detecting infants with growth impairment. A prescriptive birthweight standard based on a 'healthy' subpopulation without risk factors for intrauterine growth restriction might be superior. We created two birthweight standards based on live born, singleton infants with gestational age 24-42 weeks and born in The Netherlands between 2000 and 2007. Inclusion criteria for the prescriptive birthweight standard were restricted to infants without congenital malformations, born to healthy mothers after uncomplicated pregnancies. We defined small-for-gestational-age (SGA) as birthweight <10th percentile and assessed the ability of both standards to predict adverse neonatal outcomes. The prescriptive birthweight standard identified significantly more infants as SGA, up to 38.0 % at 29 weeks gestation. SGA infants classified according to both standards as well as those classified according to the prescriptive birthweight standard only, were at increased risk of both major and minor adverse neonatal outcomes. The prescriptive birthweight standard was both more sensitive and less specific, with a maximum increase in sensitivity predicting bronchopulmonary dysplasia (+42.6 %) and a maximum decrease in specificity predicting intraventricular haemorrhage (-26.9 %) in infants aged 28-31 weeks.

conclusionPrescriptive birthweight standards could improve identification of infants born SGA and at risk of adverse neonatal outcomes. WHAT IS KNOWN: • Descriptive birthweight standards possess low sensitivity in detecting growth restricted infants at risk of adverse neonatal outcomes. • Prescriptive standards could improve identification of very preterm small-for-gestational-age (SGA) infants at risk of intraventricular haemorrhage. What is New: • Prescriptive standards identify more preterm and term SGA infants at risk of major adverse neonatal outcomes. • Late preterm and term SGA infants classified according to the prescriptive standard are at increased risk of minor adverse neonatal outcomes with potentially harmful implications.

Indexed as

Birth WeightInfant, Small for Gestational AgeAdolescentAdultDelivery, ObstetricFemaleGestational AgeHumansInfant, NewbornMaleNetherlandsPregnancyPregnancy OutcomeReference ValuesRegression AnalysisRetrospective StudiesIntrauterine growth restrictionPerinatal mortality and morbidityReference standardsSensitivity and specificitySmall for gestational age

Identifiers

PMID27255904
OpenAlexW2412547698

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.