Evidence map›Paper›PMID 29678409›Full record

ArticlePediatrics and neonatology2019

Phototherapy for neonatal hyperbilirubinemia and childhood eczema, rhinitis and wheeze.

Elizabeth Huiwen Tham, Evelyn Xiu Ling Loo, Anne Goh, Oon Hoe Teoh, Fabian Yap, Kok Hian Tan, Keith M Godfrey, Hugo Van Bever, Bee Wah Lee, Yap Seng Chong and 1 more

Registry-linked trialOpen access · diamondAbstract read
In one paragraph

Article in Pediatrics and neonatology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01174875 (Developmental Pathways to Health and Disease), which is not on this map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
2.9field-weighted citation impact, top 9% 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.

NCT01174875 active not recruitingnot on this map

Developmental Pathways to Health and Disease: Metabolic, Neurodevelopmental and Related Outcomes

TypeobservationalSponsorNational University Hospital, SingaporeRan2009 to 2029Enrolled1,247ConditionsMetabolic Diseases, Neurological and Mental Health Conditions, Genetic Predisposition, Skin Condition
3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 17 citations in OpenAlex.

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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 4 institutions in 2 countries.

Elizabeth Huiwen ThamDepartment of Paediatrics, Yong Loo Lin School of Medicine, National University of Singapore, Singapore; Khoo Teck Puat-National University Children's Medical Institute, National University Hospital, National University Health System, Singapore.
Evelyn Xiu Ling LooSingapore Institute for Clinical Sciences (SICS), Agency for Science, Technology and Research (A*STAR), Singapore.
Anne GohAllergy Service, Department of Paediatrics, KK Women's and Children's Hospital, Singapore.
Oon Hoe TeohRespiratory Service Medicine, Department of Paediatrics, KK Women's and Children's Hospital, Singapore.
Fabian YapDepartment of Endocrinology, KK Women's and Children's Hospital, Singapore.
Kok Hian TanDepartment of Maternal Fetal Medicine, KK Women's and Children's Hospital (KKH), Singapore.
Keith M GodfreyNIHR Southampton Biomedical Research Centre, University of Southampton and University Hospital Southampton NHS Foundation Trust, SO16 6YD, Southampton, United Kingdom; Medical Research Council Lifecourse Epidemiology Unit, SO16 6YD, Southampton, United Kingdom.
Hugo Van BeverDepartment of Paediatrics, Yong Loo Lin School of Medicine, National University of Singapore, Singapore; Khoo Teck Puat-National University Children's Medical Institute, National University Hospital, National University Health System, Singapore.
Bee Wah LeeDepartment of Paediatrics, Yong Loo Lin School of Medicine, National University of Singapore, Singapore.
Yap Seng ChongDepartment of Obstetrics & Gynaecology, Yong Loo Lin School of Medicine, National University of Singapore and National University Health System, Singapore.
Lynette Pei-Chi ShekDepartment of Paediatrics, Yong Loo Lin School of Medicine, National University of Singapore, Singapore; Khoo Teck Puat-National University Children's Medical Institute, National University Hospital, National University Health System, Singapore; Singapore Institute for Clinical Sciences (SICS), Agency for Science, Technology and Research (A*STAR), Singapore. Electronic address: lynette_shek@nuhs.edu.sg.
KK Women's and Children's Hospital · SGNational University of Singapore · SGAgency for Science, Technology and Research · SGUniversity Hospital Southampton NHS Foundation Trust · GB

Funding

British Heart Foundation RG/15/17/31749Medical Research Council MC_U147574222Medical Research Council MC_U147574226Medical Research Council MC_UP_A620_1017Medical Research Council MC_UU_12011/4
6 · The paper itself

Abstract

backgroundThe pathogenesis of allergic diseases in childhood may be attributed to influences of early environmental stimuli on fetal and neonatal immune regulation. Neonatal hyperbilirubinemia is common in the Asian population and up to 20% of infants require phototherapy. We examined the hypothesis that phototherapy for neonatal hyperbilirubinemia modulates the infant's risk of developing eczema, rhinitis and wheeze in the Growing Up in Singapore Towards healthy Outcomes (GUSTO) birth cohort.

methodInterviewers collected information on demographics, lifestyle, birth data and allergic outcomes. Atopic sensitization was assessed through skin prick testing (SPT) to aeroallergens and food allergens.

resultsA total of 135 (12.8%) children underwent phototherapy for neonatal hyperbilirubinemia. Infants who underwent phototherapy were of a significantly lower mean (SD) gestational age [37.5 (2.5) weeks] compared to those who did not [38.5 (1.2) weeks p < 0.01]. A higher proportion of infants born by Caesarean section underwent phototherapy compared to those who were born vaginally (17.5% vs 10.7%, p < 0.01). There were no differences in prevalence of allergen sensitization, eczema, rhinitis and early onset wheeze with use of nebulizer in the first 5 years of life between subjects that underwent phototherapy and those that did not. There were also no associations between mean bilirubin peak levels within the phototherapy group with development of eczema, rhinitis and early onset wheeze in the first 5 years of life.

conclusionWe found no evidence for a link between phototherapy for neonatal hyperbilirubinemia and childhood allergic outcomes in this prospective mother-offspring cohort.

trial registrationNCT01174875 Registered 1 July 2010, retrospectively registered.

Indexed as

PhototherapyCesarean SectionChildChild, PreschoolCohort StudiesEczemaFemaleHumansHyperbilirubinemia, NeonatalInfantInfant, NewbornMaleRespiratory SoundsRhinitisSkin Testsallergic rhinitisasthmaeczemajaundicephototherapy

Identifiers

PMID29678409
PMCPMC6129174
OpenAlexW2793912912

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Registered trials

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.