Evidence map›Paper›PMID 27684861›Full record

Observational studyMedicine2016

Longitudinal association between early atopic dermatitis and subsequent attention-deficit or autistic disorder: A population-based case-control study.

Chih-Ying Lee, Mu-Hong Chen, Mei-Jy Jeng, Ju-Wei Hsu, Shih-Jen Tsai, Ya-Mei Bai, Giun-Yi Hung, Hsiu-Ju Yen, Tzeng-Ji Chen, Tung-Ping Su

Open access · goldAbstract readMulticenter StudyObservational Study
In one paragraph

Observational study in Medicine, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed, 3 pooled it
5.1field-weighted citation impact, top 5% 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

35 citing papers in PubMed, 3 syntheses or guidelines pooled it, 60 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Defining the Potential for Disease Modification in Atopic Dermatitis.American journal of clinical dermatology · 2026
    Review
  5. Article
  6. Mast Cells in the Developing Brain.The Journal of neuroscience : the official journal of the Society for Neuroscience · 2026
    Review
  7. Article
  8. Article
  9. Article
  10. Review
  11. The Psychology of Atopic Dermatitis.Journal of clinical medicine · 2024
    Review
  12. Atopic Dermatitis: Disease Background and Risk Factors.Advances in experimental medicine and biology · 2024
    Article
  13. Article
  14. Proteomic characterization of atopic dermatitis blood from infancy to adulthood.Journal of the American Academy of Dermatology · 2023
    Observational
  15. Atopic dermatitis and risk of major neuropsychiatric disorders in children: A population-based cohort study.Journal of the European Academy of Dermatology and Venereology : JEADV · 2023
    Article
  16. Article
  17. Review
  18. Early childhood allergy linked with development of attention deficit hyperactivity disorder and autism spectrum disorder.Pediatric allergy and immunology : official publication of the European Society of Pediatric Allergy and Immunology · 2022
    Article
  19. Article
  20. 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

10 authors at 2 institutions in 1 country.

Chih-Ying LeeaDepartment of Pediatrics, Taipei Veterans General Hospital, Taipei, Taiwan , R.O.C bInstitute of Emergency and Critical Care Medicine, School of Medicine, National Yang-Ming University, Taipei, Taiwan, R.O.C cDepartment of Psychiatry, Taipei Veterans General Hospital, Taipei, Taiwan, R.O.C dInstitute of Hospital and Health Care Administration, School of Medicine, National Yang-Ming University, Taipei, Taiwan, R.O.C eDepartment of Family Medicine, Taipei Veterans General Hospital, Taipei, Taiwan, R.O.C.
Mu-Hong Chen
Mei-Jy Jeng
Ju-Wei Hsu
Shih-Jen Tsai
Ya-Mei Bai
Giun-Yi Hung
Hsiu-Ju Yen
Tzeng-Ji Chen
Tung-Ping Su
Taipei Veterans General Hospital · TWNational Yang Ming Chiao Tung University · TW

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Atopic dermatitis (AD) is one of the common allergic diseases in children. The presence of allergic diseases was found to have association with the risk of developing attention-deficit hyperactivity disorder (ADHD) or autistic spectrum disorder (ASD) in children, but it is still inconclusive. This study was to investigate the longitudinal relationship between AD developed during toddlerhood and subsequent development of ADHD or ASD in later childhood. Toddlers born between 1998 and 2008 and diagnosed with AD at the age younger than 3 years and older than 1 month were retrieved from Taiwan's National Health Insurance Research Database. Age- and gender-matched toddlers with no lifetime AD were enrolled as the control group. All enrolled toddlers were followed until 2011 to identify the development of ADHD or ASD. Multivariate Cox regression analysis was performed to analyze the hazard ratios (HRs). The risks associated with allergic comorbidities were analyzed. A total of 18,473 toddlers were enrolled into the AD group. The presence of AD significantly increased the risk of developing ADHD (HR = 2.92, 95% confidence interval [CI] = 2.48-3.45) or ASD (HR = 8.90, 95% CI = 4.98-15.92) when aged 3 years or older. Children from the AD group with 3 comorbidities together, namely, allergic rhinitis, allergic conjunctivitis, and asthma, had the greatest risk of developing ADHD and ASD (ADHD: HR = 4.67, 95% CI = 3.81-5.43; ASD: HR = 16.65, 95% CI = 8.63-30.60). In conclusion, toddlers who suffer from AD at the age younger than 3 years are at a higher risk of developing ADHD and ASD during later childhood. Pediatricians taking care of toddlers with AD should have knowledge of this increased risk of developing ADHD and ASD later in life, especially when children have certain comorbidities such as allergic rhinitis, allergic conjunctivitis, and asthma.

Indexed as

Attention Deficit Disorder with HyperactivityAutistic DisorderChild, PreschoolComorbidityDermatitis, AtopicFemaleFollow-Up StudiesHumansIncidenceInfantInfant, NewbornMalePopulation SurveillanceRetrospective StudiesRisk FactorsTaiwan

Identifiers

PMID27684861
PMCPMC5265954
OpenAlexW2525380275

What OpenQuestion holds

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LicenceCC BY-NC
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.