Evidence map›Paper›PMID 28554929›Full record

ArticleBMJ open2017

Nutritional rickets in Norway: a nationwide register-based cohort study.

Haakon E Meyer, Kristina Skram, Ingvill Almås Berge, Ahmed A Madar, Hilde Johanne Bjørndalen

Open access · goldAbstract read
In one paragraph

Article in BMJ open, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
1.3field-weighted citation impact, top 21% 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

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 18 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Review
  6. Variation in disease in children according to immigrant background.Scandinavian journal of public health · 2023
    Article
  7. An Overview of Rickets in Children.Kidney international reports · 2020
    Review
  8. Vitamin D, and Maternal and Child Health.Calcified tissue international · 2020
    Review
  9. 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

5 authors at 3 institutions in 1 country.

Haakon E MeyerDepartment of Community Medicine and Global Health, University of Oslo, Oslo, Norway.
Kristina SkramDepartment of Pediatrics, Oslo University Hospital, Oslo, Norway.
Ingvill Almås BergeDepartment of Pediatrics, Oslo University Hospital, Oslo, Norway.
Ahmed A MadarDepartment of Community Medicine and Global Health, University of Oslo, Oslo, Norway.
Hilde Johanne BjørndalenDepartment of Pediatrics, Oslo University Hospital, Oslo, Norway.
Oslo University Hospital · NONorwegian Institute of Public Health · NOUniversity of Oslo · NO

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesPoor vitamin D status has been reported to be highly prevalent in many non-western immigrant groups living in Norway and other western countries. However, data on rickets are scarce, and the aim of the current study was to identify new cases of nutritional rickets in Norway in the period 2008-2012 among children under the age of 5 years.

designRegister-based cohort study.

settingThe Norwegian population from 2008 to 2012.

participantsChildren with nutritional rickets under the age of 5 years.

main outcome measureNutritional rickets. Patients with ICD10 (International Statistical Classification of Diseases and Related Health Problems, 10th revision) diagnosis code E55.0 (active rickets) treated at all Norwegian hospitals were identified in the Norwegian Patient Registry. We were able to review 85% of the medical records for diagnosis confirmation. In addition, we identified patients with the diagnoses E55.9, E64.3 and E83.3 to identify individuals with rickets who had been given other diagnoses.

resultsNutritional rickets was confirmed in 39 children aged 0-4 years with the diagnosis of E55.0. In addition, three patients with the diagnosis of unspecified vitamin D deficiency (E55.9) were classified as having nutritional rickets, giving a total of 42 patients. Mean age at diagnosis was 1.40 years (range 0.1-3.5 years), and 93% had a non-western immigrant background. The incidence rate of rickets was estimated to be 0.3 per 10 000 person-years in the total Norwegian child population under the age of 5 years and 3.1 per 10 000 person-years in those with an immigrant background from Asia or Africa.

conclusionThe number of children with nutritional rickets in Norway remained low in the period 2008-2012. Nearly all children had a non-western immigrant background.

Indexed as

Emigrants and ImmigrantsAsian PeopleBlack PeopleChild, PreschoolCohort StudiesFemaleHumansInfantMaleNorwayRicketsRisk FactorsVitamin DVitamin Dimmigrantnutritionricketsvitamin D

Identifiers

PMID28554929
PMCPMC5729986
OpenAlexW2617326953

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.