Evidence map›Paper›PMID 29785060›Full record

ArticleJournal of perinatology : official journal of the California Perinatal Association2018

Cost effectiveness of vitamin c supplementation for pregnant smokers to improve offspring lung function at birth and reduce childhood wheeze/asthma.

Leah Yieh, Cindy T McEvoy, Scott W Hoffman, Aaron B Caughey, Kelvin D MacDonald, Dmitry Dukhovny

Abstract read
In one paragraph

Article in Journal of perinatology : official journal of the California Perinatal Association, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 2 pooled it
0.6field-weighted citation impact, top 33% 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

11 citing papers in PubMed, 2 syntheses or guidelines pooled it, 19 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Review
  4. Review
  5. The Role of Vitamins in the Pathogenesis of Asthma.International journal of molecular sciences · 2023
    Review
  6. Review
  7. Article
  8. Article
  9. Review
  10. Article
  11. Improving fetal lung development with vitamin C and reducing asthma in children.Journal of perinatology : official journal of the California Perinatal Association · 2018
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors at 1 institution in 1 country.

Leah YiehDepartment of Pediatrics, Oregon Health and Science University, Portland, OR, USA. yieh@ohsu.edu.ORCID http://orcid.org/0000-0002-6640-971X
Cindy T McEvoyDepartment of Pediatrics, Oregon Health and Science University, Portland, OR, USA.
Scott W HoffmanDepartment of Obstetrics and Gynecology, Oregon Health and Science University, Portland, OR, USA.
Aaron B CaugheyDepartment of Obstetrics and Gynecology, Oregon Health and Science University, Portland, OR, USA.
Kelvin D MacDonaldDepartment of Pediatrics, Oregon Health and Science University, Portland, OR, USA.
Dmitry DukhovnyDepartment of Pediatrics, Oregon Health and Science University, Portland, OR, USA.
Oregon Health & Science University · US

Funding

Maternal vitamin C supplementation to decrease effects of smoking during pregnancy on infant lung function and health:Follow-up of 2 randomized trials and association with changes in DNA methylationUH3OD023288 · OD · OREGON HEALTH & SCIENCE UNIVERSITY · PI Cynthia T McEvoy, ELIOT R SPINDEL · 2018 to 2026
$12.1M
VitC to Decrease Effects of Smoking in Pregnancy on Infant Lung Function-CCC-LeadR01HL105447 · NHLBI · OREGON HEALTH & SCIENCE UNIVERSITY · PI MCEVOY, CYNTHIA T · 2012 to 2021
$9.8M
Maternal vitamin C supplementation to decrease effects of smoking during pregnancy on infant lung function and health:Follow-up of 2 randomized trials and association with changes in DNA methylationUG3OD023288 · OD · OREGON HEALTH & SCIENCE UNIVERSITY · PI MCEVOY, CYNTHIA T, SPINDEL, ELIOT R · 2016 to 2024
$4.7M
CPAP Drives Lung Growth and Pulmonary Function in Moderately Preterm PrimatesR01HL129060 · NHLBI · OREGON HEALTH & SCIENCE UNIVERSITY · PI MCEVOY, CYNTHIA T, SPINDEL, ELIOT R · 2015 to 2019
$3.9M
NHLBI NIH HHS R01 HL105447NHLBI NIH HHS R01 HL129060NIH HHS UG3 OD023288NIH HHS UH3 OD023288
6 · The paper itself

Abstract

objectiveTo determine the implications of supplemental vitamin C for pregnant tobacco smokers and its effects on the prevalence of pediatric asthma, asthma-related mortality, and associated costs. STUDY

designA decision-analytic model built via TreeAge compared the outcome of asthma in a theoretical annual cohort of 480,000 children born to pregnant smokers through 18 years of life. Vitamin C supplementation (500 mg/day) with a standard prenatal vitamin was compared to a prenatal vitamin (60 mg/day). Model inputs were derived from the literature. Deterministic and probabilistic sensitivity analyses assessed the impact of assumptions.

resultAdditional vitamin C during pregnancy would prevent 1637 cases of asthma at the age of 18 per birth cohort of pregnant smokers. Vitamin C would reduce asthma-related childhood deaths and save $31,420,800 in societal costs over 18 years per birth cohort.

conclusionVitamin C supplementation in pregnant smokers is a safe and inexpensive intervention that may reduce the economic burden of pediatric asthma.

Indexed as

Cost-Benefit AnalysisAdolescentAscorbic AcidAsthmaChildChild, PreschoolDecision Support TechniquesDietary SupplementsFemaleHumansInfantInfant HealthInfant, NewbornPregnancyPrenatal CarePrimary PreventionAscorbic Acid

Identifiers

PMID29785060
PMCPMC6414472
OpenAlexW2803434439

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.