Evidence map›Paper›PMID 29877722›Full record

Trial reportBreastfeeding medicine : the official journal of the Academy of Breastfeeding Medicine

Beyond Necrotizing Enterocolitis: Other Clinical Advantages of an Exclusive Human Milk Diet.

Amy B Hair, David J Rechtman, Martin L Lee, Victoria Niklas

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Breastfeeding medicine : the official journal of the Academy of Breastfeeding Medicine. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06072976 (The Influence of Feeding Source on the Gut Microbiome and Time to Full Feeds in Neonates With Congenital Gastrointestinal Pathologies), which is not on this map. Cited by 15 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 2 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.

NCT06072976 narecruitingnot on this map

The Influence of Feeding Source on the Gut Microbiome and Time to Full Feeds in Neonates With Congenital Gastrointestinal Pathologies

TypeinterventionalSponsorSeattle Children's HospitalRan2023 to 2027Enrolled116ConditionsGastrointestinal Complication, Intestinal Obstruction, Gastroschisis, Hirschsprung DiseaseArmsStandard of Care, Exclusive Human Milk
3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Observational
  9. Dilemmas in human milk fortification.Journal of perinatology : official journal of the California Perinatal Association · 2023
    Review
  10. Article
  11. Percent mother's own milk feedings for preterm neonates predicts discharge feeding outcomes.Journal of perinatology : official journal of the California Perinatal Association · 2021
    Article
  12. Article
  13. Preterm Infants Fed Cow's Milk-Derived Fortifier Had Adverse Outcomes Despite a Base Diet of Only Mother's Own Milk.Breastfeeding medicine : the official journal of the Academy of Breastfeeding Medicine · 2020
    Article
  14. Very preterm infants who receive transitional formulas as a complement to human milk can achieve catch-up growth.Journal of perinatology : official journal of the California Perinatal Association · 2019
    Article
  15. Observational
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

4 authors.

Amy B Hair1 Section of Neonatology, Department of Pediatrics, Baylor College of Medicine, Texas Children's Hospital , Houston, Texas.
David J Rechtman2 Prolacta Bioscience , Duarte, California.
Martin L Lee2 Prolacta Bioscience , Duarte, California.
Victoria Niklas2 Prolacta Bioscience , Duarte, California.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveArticles previously published by Sullivan et al. and Cristofalo et al. were reanalyzed using the proportion of cow milk-based nutrition received to determine whether that affected clinical outcomes during hospitalization for infants birth weight 500-1250 g. Abrams et al. showed in the same cohort incidences of necrotizing enterocolitis (NEC), NEC requiring surgery and sepsis increased proportionally to the amount of dietary cow milk.

methodsThe data from the two studies conducted under essentially the same protocol were combined yielding a cohort of 260 infants receiving a diet ranging from 0% to 100% cow milk. Data analysis utilized negative binomial regression which mitigates differences between subjects in terms of their time on study by incorporating that number into the statistical model. The percent of cow milk-based nutrition was the only predictor investigated.

resultsFor all outcomes the larger the amount of cow's milk in the diet the greater the number of days of that intervention required. A trend toward statistical significance was seen for ventilator days; however, only parenteral nutrition (PN) days and days to full feeds achieved statistical significance.

conclusionsIncorporation of any cow milk-based nutrition into the diet of extremely premature infants correlates with more days on PN and a longer time to achieve full feeds. There was a nonstatistically significant trend toward increased ventilator days. These represent additional clinical consequences of the use of any cow milk-based protein in feeding EP infants.

Indexed as

Breast FeedingMilk, HumanAnimalsBirth WeightEnteral NutritionEnterocolitis, NecrotizingFemaleGestational AgeHumansInfant, Extremely PrematureInfant FormulaInfant, NewbornInfant Nutritional Physiological PhenomenaInfant, Very Low Birth WeightMaleMilkexclusive human milk diet (EHMD)extremely prematureoxygen therapyventilator support

Identifiers

PMID29877722
PMCPMC6065515

What OpenQuestion holds

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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.