Evidence map›Paper›PMID 28479623›Full record

SynthesisBulletin of the World Health Organization2017

Under-five mortality according to maternal survival: a systematic review and meta-analysis.

Lana Clara Chikhungu, Marie-Louise Newell, Nigel Rollins

Abstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Bulletin of the World Health Organization, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

12 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Observational
  4. Observational
  5. Review
  6. Article
  7. Article
  8. Article
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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

3 authors.

Lana Clara ChikhunguSchool of Languages and Area Studies, University of Portsmouth, Park Building, King Henry 1 Street, Portsmouth, PO1 2DZ, England.
Marie-Louise NewellAcademic Unit of Health and Development, University of Southampton, Southampton, England.
Nigel RollinsDepartment of Maternal, Newborn, Child and Adolescent Health, World Health Organization, Geneva, Switzerland.

Funding

World Health Organization 001
6 · The paper itself

Abstract

objectiveTo investigate, within so-called general populations, the relationship between maternal survival and mortality of children younger than five years.

methodsWe conducted a systematic review of literature published between January 1990 and November 2016 that reported maternal vital status and the corresponding mortality of children younger than five years. Seven studies were included in a qualitative analysis and four in a random-effects meta-analysis. Summary estimates of the odds of dying by maternal survival were obtained and statistical heterogeneity estimated. Quality of the included studies and evidence was assessed using a Cochrane tool for assessing risk of bias and the Grading of Recommendations Assessment, Development and Evaluation criteria, respectively.

findingsAmong children younger than five years, those whose mother had died were found to be 4.09 times (95% confidence interval, CI: 2.40-6.98) more likely to die than those with surviving mothers. Due to heterogeneity (I

conclusionThe loss of a mother was associated with increased mortality among children, especially when maternal death occurred in the first year of the child's life.

Indexed as

Child MortalityInfant MortalityMothersChild, PreschoolHumansInfantInfant, NewbornMaternal DeathSurvivors

Identifiers

PMID28479623
PMCPMC5407247

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.