Evidence map›Paper›PMID 29801440›Full record

SynthesisBMC pediatrics2018

A national estimate of the birth prevalence of congenital anomalies in India: systematic review and meta-analysis.

Prajkta Bhide, Anita Kar

Abstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in BMC pediatrics, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 46 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
46citing papers in PubMed, 4 pooled it
–field-weighted citation impact
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

46 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Guideline
  2. Pooled it
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  5. Review
  6. Article
  7. Review
  8. Care pathways for pediatric surgical conditions.World journal of pediatric surgery · 2026
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  15. Neural Tube Defects in Fetus Exposed to Valproate.Maternal-fetal medicine (Wolters Kluwer Health, Inc.) · 2025
    Article
  16. Review
  17. Article
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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

2 authors.

Prajkta BhideInterdisciplinary School of Health Sciences, Savitribai Phule Pune University, Pune, 411007, India.
Anita KarInterdisciplinary School of Health Sciences, Savitribai Phule Pune University, Pune, 411007, India. akar@unipune.ac.in.ORCID 0000-0003-1336-4244

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundA quarter of all global neonatal deaths occur in India. Congenital anomalies constitute the fifth largest cause of neonatal mortality in the country, but national estimates of the prevalence of these conditions are lacking. The objective of the study was to derive an estimate of the birth prevalence of congenital anomalies in India.

methodsThe search was carried out in PubMed and pooled prevalence was estimated using the inverse variance method. A random effects model was used due to high heterogeneity between the studies. Forest plots were generated using the Review Manager software.

resultsThe PubMed search identified 878 articles from which 52 hospital based and three community based studies were included in the meta-analysis. The pooled prevalence of congenital anomaly affected births was 184.48 per 10,000 births (95% CI 164.74-204.21) among 802,658 births. Anomalies of the musculoskeletal system were highest among live births while the prevalence of central nervous system defects was highest when stillbirths were included in the analysis. Anencephaly and talipes were the most commonly reported anomalies.

conclusionsData from this meta-analysis suggests that there may be as many as 472,177 (421,652 to 522,676) congenital anomaly affected births in India each year. Population based studies using standard definitions are needed to validate these estimates. The two most frequently reported anomalies were anencephaly that is potentially preventable through preconception folate supplementation, and talipes which can be corrected using relatively low cost interventions. Studies are needed to determine the impact of congenital anomalies on neonatal mortality in India.

Indexed as

AnencephalyCentral Nervous SystemCongenital AbnormalitiesHumansIndiaInfant, NewbornMusculoskeletal AbnormalitiesPrevalenceStillbirthTalipesBirth defectsBirth prevalenceCongenital anomaliesCongenital malformationsIndiaMeta-analysis

Identifiers

PMID29801440
PMCPMC5970488

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Registered trials

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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.