Evidence map›Paper›PMID 28110288›Full record

Observational studyBMJ open2017

Screening for seemingly healthy newborns with congenital cytomegalovirus infection by quantitative real-time polymerase chain reaction using newborn urine: an observational study.

Akira Yamaguchi, Tsutomu Oh-Ishi, Takashi Arai, Hideaki Sakata, Nodoka Adachi, Satoshi Asanuma, Eiji Oguma, Hirofumi Kimoto, Jiro Matsumoto, Hidetoshi Fujita and 5 more

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in BMJ open, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed, 3 pooled it
4.5field-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

32 citing papers in PubMed, 3 syntheses or guidelines pooled it, 59 citations in OpenAlex.

  1. American Cochlear Implant Alliance Position Statement on Newborn Congenital Cytomegalovirus Screening.Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery · 2025
    Guideline
  2. Pooled it
  3. Pooled it
  4. Observational
  5. Review
  6. Article
  7. Review
  8. Review
  9. Article
  10. Article
  11. Article
  12. Congenital Cytomegalovirus Testing Outcomes From the ValEAR Trial.Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery · 2024
    Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Review
  18. 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

15 authors at 5 institutions in 1 country.

Akira YamaguchiLaboratory of Clinical Research, Saitama Children's Medical Center, Saitama, Japan.
Tsutomu Oh-IshiDivision of Infectious Disease, Saitama Children's Medical Center, Saitama, Japan.
Takashi AraiLaboratory of Clinical Research, Saitama Children's Medical Center, Saitama, Japan.
Hideaki SakataDivision of Otorhinolaryngology, Kawagoe Otology Institute, Saitama, Japan.
Nodoka AdachiDivision of Otolaryngology, Saitama Children's Medical Center, Saitama, Japan.
Satoshi AsanumaDivision of Otolaryngology, Saitama Children's Medical Center, Saitama, Japan.
Eiji OgumaDivision of Radiology, Saitama Children's Medical Center, Saitama, Japan.
Hirofumi KimotoDivision of Pediatrics, Sannoh Doom Clinic, Saitama, Japan.
Jiro MatsumotoDivision of Obstetrics and Gynecology, Sannoh Clinic, Saitama, Japan.
Hidetoshi FujitaDivision of Obstetrics and Gynecology, Aiwa Hospital, Saitama, Japan.
Tadashi UesatoDivision of Obstetrics and Gynecology, Aiwa Hospital, Saitama, Japan.
Jutaro FujitaDivision of Obstetrics and Gynecology, Aiwa Hospital, Saitama, Japan.
Ken ShiratoDepartment of Molecular Predictive Medicine and Sport Science, School of Medicine, Kyorin University, Tokyo, Japan.
Hideki OhnoDepartment of Molecular Predictive Medicine and Sport Science, School of Medicine, Kyorin University, Tokyo, Japan.
Takako KizakiDepartment of Molecular Predictive Medicine and Sport Science, School of Medicine, Kyorin University, Tokyo, Japan.
Saitama Children's Medical Center · JPKyorin University · JPSeiwa Hospital · JPMejiro University · JPSanno Medical Center · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveApproximately 8-10% of newborns with asymptomatic congenital cytomegalovirus (cCMV) infection develop sensorineural hearing loss (SNHL). However, the relationship between CMV load, SNHL and central nervous system (CNS) damage in cCMV infection remains unclear. This study aimed to examine the relationship between urinary CMV load, SNHL and CNS damage in newborns with cCMV infection. STUDY

designThe study included 23 368 newborns from two maternity hospitals in Saitama Prefecture, Japan. Urine screening for cCMV infection (quantitative real-time PCR) and newborn hearing screening (automated auditory brainstem response (AABR) testing) were conducted within 5 days of birth to examine the incidence of cCMV infection and SNHL, respectively. CNS damage was assessed by MRI of cCMV-infected newborns.

resultsThe incidence of cCMV infection was 60/23 368 (0.257%; 95% CI 0.192% to 0.322%). The geometric mean urinary CMV DNA copy number in newborns with cCMV was 1.79×10

conclusionsWe determined the incidence of cCMV infection and urinary CMV DNA copy number in seemingly healthy newborns from two hospitals in Saitama Prefecture. SNHL and CNS damage were associated with urinary CMV DNA copy number. Quantification of urinary CMV load may effectively predict the incidence of late-onset SNHL and neurodevelopmental disorders.

Indexed as

CytomegalovirusHearingHearing Loss, SensorineuralNeonatal ScreeningCentral Nervous SystemCongenital AbnormalitiesCytomegalovirus InfectionsDNA, ViralEvoked Potentials, Auditory, Brain StemFemaleHumansIncidenceInfant, NewbornJapanMagnetic Resonance ImagingMaleDNA, Viralcongenital cytomegalovirus infectionhearing lossquantitative real-time PCRuniversal screening

Identifiers

PMID28110288
PMCPMC5253530
OpenAlexW2575077685

What OpenQuestion holds

Textmetadata
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.