Evidence map›Paper›PMID 29263124›Full record

Trial reportHospital pediatrics2018

Randomized Clinical Trial of Standard- Versus High-Calorie Formula for Methadone-Exposed Infants: A Feasibility Study.

Debra L Bogen, Barbara H Hanusa, Robyn Baker, Barbara Medoff-Cooper, Barbara Cohlan

Open access · bronzeAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Hospital pediatrics, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 3 pooled it
5.4field-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

12 citing papers in PubMed, 3 syntheses or guidelines pooled it, 28 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Non-pharmacological care for opioid withdrawal in newborns.The Cochrane database of systematic reviews · 2020
    Pooled it
  4. Lactose-free infant formula does not change outcomes of neonatal abstinence syndrome (NAS): a randomized clinical trial.Journal of perinatology : official journal of the California Perinatal Association · 2021
    Trial
  5. Stochastic vibration and early weight growth in opioid-exposed newborns: a randomized trial.Journal of perinatology : official journal of the California Perinatal Association · 2026
    Article
  6. Review
  7. Article
  8. Article
  9. Growth failure in infants with neonatal abstinence syndrome in the neonatal intensive care unit.Journal of perinatology : official journal of the California Perinatal Association · 2022
    Article
  10. Review
  11. Observational
  12. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors at 3 institutions in 1 country.

Debra L BogenDivisions of General Academic Pediatrics and bogendl@upmc.edu.
Barbara H HanusaDivisions of General Academic Pediatrics and.
Robyn BakerNewborn Medicine, Department of Pediatrics, Children's Hospital of Pittsburgh of UPMC, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania.
Barbara Medoff-CooperDepartment of Family and Community Health, School of Nursing, University of Pennsylvania, Philadelphia, Pennsylvania.
Barbara CohlanNewborn Medicine, Department of Pediatrics, Children's Hospital of Pittsburgh of UPMC, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania.
Magee-Womens Hospital · USUniversity of Pennsylvania · USUniversity of Pittsburgh · US

Funding

WITHIN SUBJ VARIABILITY IN MEASUREMENTS DRUG METABOL ENZYMES IN HLTY SUBJM01RR000056 · NCRR · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI LEVINE, ARTHUR S · 1985 to 2006
$29.2M
Randomized Clinical Trial of High vs. Standard-Calorie Formula for Methadone-ExpoR21DA029257 · NIDA · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI BOGEN, DEBRA L · 2010 to 2011
$418k
NCRR NIH HHS M01 RR000056NIDA NIH HHS R21 DA029257
6 · The paper itself

Abstract

backgroundNewborns who are prenatally exposed to methadone are at risk for neonatal abstinence syndrome and the associated excess weight loss and poor weight gain. This pilot feasibility study aimed to evaluate early caloric enhancement on weight patterns among infants born to women receiving methadone maintenance therapy while pregnant.

methodsIn this double-blind pilot feasibility study, we randomly assigned infants with fetal methadone exposure to 24 or 20 kcal/oz formula from days 3 to 21. Randomization was stratified by any breastfeeding, sex of the infant, and gestational age. Eligible infants were ≥35 weeks' gestation and weighed ≥2200 g. Outcomes were days to weight nadir, maximum percent weight loss, days to birth weight, percentage weight change per day, and feasibility.

resultsA total of 49 infants were randomly assigned (22 to standard- and 27 to high-calorie formula); groups had comparable demographic characteristics. Main outcomes comparing standard- to high-calorie formula groups were not significant (days to weight nadir, 5.0 vs 4.4 days;

conclusionsStudy findings suggest that early initiation of high-calorie formula for infants with prenatal methadone exposure may be beneficial for weight gain; evaluation in a larger study is warranted.

Indexed as

Energy IntakeInfant FormulaDouble-Blind MethodFeasibility StudiesFemaleHumansInfant, NewbornIntention to Treat AnalysisMaleMethadoneNeonatal Abstinence SyndromeOpiate Substitution TreatmentOpioid-Related DisordersPilot ProjectsPregnancyPregnancy ComplicationsMethadone

Identifiers

PMID29263124
PMCPMC5744267
OpenAlexW2782441412

What OpenQuestion holds

Textmetadata
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.