Evidence map›Paper›PMID 29368410›Full record

ArticleBirth defects research2018

Recognition of clinical characteristics for population-based surveillance of fetal alcohol syndrome.

Jennifer G Andrews, Maureen K Galindo, F John Meaney, Argelia Benavides, Linnette Mayate, Deborah Fox, Sydney Pettygrove, Leslie O'Leary, Christopher Cunniff

Open access · greenAbstract read
In one paragraph

Article in Birth defects research, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.7field-weighted citation impact, top 23% 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

2 citing papers in PubMed, 4 citations in OpenAlex.

  1. Article
  2. 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

9 authors at 4 institutions in 1 country.

Jennifer G AndrewsDepartment of Pediatrics, University of Arizona, Tucson, Arizona.ORCID 0000-0002-0064-3933
Maureen K GalindoDepartment of Pediatrics, University of Arizona, Tucson, Arizona.
F John MeaneyDepartment of Pediatrics, University of Arizona, Tucson, Arizona.
Argelia BenavidesDepartment of Pediatrics, University of Arizona, Tucson, Arizona.
Linnette MayateDepartment of Pediatrics, University of Arizona, Tucson, Arizona.
Deborah FoxNew York State Department of Health, Bureau of Environmental & Occupational Epidemiology, Albany, New York.
Sydney PettygroveDepartment of Epidemiology and Biostatistics, University of Arizona, Tucson, Arizona.
Leslie O'LearyCenters for Disease Control and Prevention, National Center on Birth Defects and Developmental Disabilities, Atlanta, Georgia.
Christopher CunniffDivision of Medical Genetics, Weill Cornell Medical College, New York, New York.
University of Arizona · USCenters for Disease Control and Prevention · USCornell University · USNew York State Department of Health · US

Funding

Intramural CDC HHS CC999999
6 · The paper itself

Abstract

backgroundThe diagnosis of fetal alcohol syndrome (FAS) rests on identification of characteristic facial, growth, and central nervous system (CNS) features. Public health surveillance of FAS depends on documentation of these characteristics. We evaluated if reporting of FAS characteristics is associated with the type of provider examining the child.

methodsWe analyzed cases aged 7-9 years from the Fetal Alcohol Syndrome Surveillance Network II (FASSNetII). We included cases whose surveillance records included the type of provider (qualifying provider: developmental pediatrician, geneticist, neonatologist; other physician; or other provider) who evaluated the child as well as the FAS diagnostic characteristics (facial dysmorphology, CNS impairment, and/or growth deficiency) reported by the provider.

resultsA total of 345 cases were eligible for this analysis. Of these, 188 (54.5%) had adequate information on type of provider. Qualifying physicians averaged more than six reported FAS characteristics while other providers averaged less than five. Qualifying physicians reported on facial characteristics and developmental delay more frequently than other providers. Also, qualifying physicians reported on all three domains of characteristics (facial, CNS, and growth) in 97% of cases while others reported all three characteristics on two thirds of cases.

conclusionsDocumentation in medical records during clinical evaluations for FAS is lower than optimal for cross-provider communication and surveillance purposes. Lack of documentation limits the quality and quantity of information in records that serve as a major source of data for public health surveillance systems.

Indexed as

Clinical CompetenceAdultChildFemaleFetal Alcohol Spectrum DisordersHealth CommunicationHealth PersonnelHealth WorkforceHumansMaleMedical RecordsPopulation SurveillancePublic Healthclinical diagnosisdiagnostic characteristicsfetal alcohol syndromepublic health surveillance

Identifiers

PMID29368410
PMCPMC6066339
OpenAlexW2794031980

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.