Evidence map›Paper›PMID 28237380›Full record

ArticleThe Journal of pediatrics2017

Newborn Dried Blood Spot Polymerase Chain Reaction to Identify Infants with Congenital Cytomegalovirus-Associated Sensorineural Hearing Loss.

Shannon A Ross, Amina Ahmed, April L Palmer, Marian G Michaels, Pablo J Sánchez, Audra Stewart, David I Bernstein, Kristina Feja, Karen B Fowler, Suresh B Boppana and 1 more

Abstract readMulticenter Study
In one paragraph

Article in The Journal of pediatrics, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 1 pooled it
5.9field-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

21 citing papers in PubMed, 1 synthesis or guideline pooled it, 61 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Review
  4. 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
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  15. Metabolites · 2019
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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

11 authors at 8 institutions in 1 country.

Shannon A RossDepartment of Pediatrics, The University of Alabama at Birmingham, Birmingham, AL; Department of Microbiology, The University of Alabama at Birmingham, Birmingham, AL.
Amina AhmedDepartment of Pediatrics, Carolinas Medical Center, Charlotte, NC.
April L PalmerDepartment of Pediatrics, University of Mississippi Medical Center, Jackson, MS.
Marian G MichaelsDepartment of Pediatrics, University of Pittsburgh and the Children's Hospital of Pittsburgh of UPMC, Pittsburgh, PA.
Pablo J SánchezDepartment of Pediatrics, The Ohio State University and Nationwide Children's Hospital, Columbus, OH.
Audra StewartDepartment of Pediatrics, University of Texas Southwestern Medical School, Dallas, TX.
David I BernsteinDepartment of Pediatrics, Cincinnati Children's Hospital Medical Center and University of Cincinnati, Cincinnati, OH.
Kristina FejaSaint Peter's University Hospital, New Brunswick, NJ.
Karen B FowlerDepartment of Pediatrics, The University of Alabama at Birmingham, Birmingham, AL; Department of Epidemiology, The University of Alabama at Birmingham, Birmingham, AL.
Suresh B BoppanaDepartment of Pediatrics, The University of Alabama at Birmingham, Birmingham, AL; Department of Microbiology, The University of Alabama at Birmingham, Birmingham, AL.
CMV and Hearing Multicenter Screening (CHIMES) Study Group
University of Alabama at Birmingham · USCarolinas Medical Center · USCincinnati Children's Hospital Medical Center · USNationwide Children's Hospital · USSaint Peter's University Hospital · USThe University of Texas Southwestern Medical Center · USUniversity of Mississippi Medical Center · USUniversity of Pittsburgh · US

Funding

NIDCD NIH HHS N01 DC050008
6 · The paper itself

Abstract

objectiveTo determine the utility of dried blood spot (DBS) polymerase chain reaction (PCR) in identifying infants with cytomegalovirus (CMV) infection-associated sensorineural hearing loss (SNHL). STUDY

designNewborns at 7 US hospitals between March 2007 and March 2012 were screened for CMV by saliva rapid culture and/or PCR. Infected infants were monitored for SNHL during the first 4 years of life to determine sensitivity, specificity, and positive and negative likelihood ratios of DBS PCR for identifying CMV-associated SNHL.

resultsDBS at birth was positive in 11 of 26 children (42%) with SNHL at age 4 years and in 72 of 270 children (27%) with normal hearing (P = .11). The sensitivity (42.3%; 95% CI, 23.4%-63.1%) and specificity (73.3%; 95% CI, 67.6%-78.5%) was low for DBS PCR in identifying children with SNHL at age 4 years. The positive and negative likelihood ratios of DBS PCR positivity to detect CMV-associated SNHL at age 4 years were 1.6 (95% CI, 0.97-2.6) and 0.8 (95% CI, 0.6-1.1), respectively. There was no difference in DBS viral loads between children with SNHL and those without SNHL.

conclusionsDBS PCR for CMV has low sensitivity and specificity for identifying infants with CMV-associated hearing loss. These findings, together with previous reports, demonstrate that DBS PCR does not identify either the majority of CMV-infected newborns or those with CMV-associated SNHL early in life.

Indexed as

Dried Blood Spot TestingPolymerase Chain ReactionChild, PreschoolCytomegalovirus InfectionsFemaleHearing Loss, SensorineuralHumansInfantInfant, NewbornMaleProspective StudiesRisk Assessmentcytomegalovirusdried blood spothearing loss

Identifiers

PMID28237380
PMCPMC5459403
OpenAlexW2589378820

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.