Evidence map›Paper›PMID 29954594›Full record

ReviewSeminars in perinatology2018

Changing patterns of patent ductus arteriosus surgical ligation in the United States.

Jeff Reese, Theresa A Scott, Stephen W Patrick

Open access · greenAbstract readReview
In one paragraph

Review in Seminars in perinatology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 1 pooled it
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.

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

19 citing papers in PubMed, 1 synthesis or guideline pooled it, 33 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Evaluation ofJournal of cardiovascular development and disease · 2026
    Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Oral Versus Intravenous Medications for Treatment of Patent Ductus Arteriosus in Preterm Neonates: A Cost-Saving Initiative.The journal of pediatric pharmacology and therapeutics : JPPT : the official journal of PPAG · 2021
    Article
  14. Review
  15. PDA: Does it matter?International journal of pediatrics & adolescent medicine · 2020
    Article
  16. Late Acetaminophen Therapy for Patent Ductus Arteriosus in the Preterm Neonate.The journal of pediatric pharmacology and therapeutics : JPPT : the official journal of PPAG · 2020
    Article
  17. Patent ductus arteriosus in preterm infants: is early transcatheter closure a paradigm shift?Journal of perinatology : official journal of the California Perinatal Association · 2019
    Review
  18. Article
  19. Pharmacogenomics · 2019
    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

3 authors at 1 institution in 1 country.

Jeff ReeseMildred T. Stahlman Division of Neonatology, Vanderbilt University Medical Center, 11111 Doctor's Office Tower, 2200 Children's Way, Nashville 37232-9544, TN.
Theresa A ScottMildred T. Stahlman Division of Neonatology, Vanderbilt University Medical Center, 11111 Doctor's Office Tower, 2200 Children's Way, Nashville 37232-9544, TN.
Stephen W PatrickMildred T. Stahlman Division of Neonatology, Vanderbilt University Medical Center, 11111 Doctor's Office Tower, 2200 Children's Way, Nashville 37232-9544, TN; Center for Health Services Research, Vanderbilt Center for Child Health Policy, Nashville, TN; Department of Health Policy, Vanderbilt University Medical Center, Nashville, TN. Electronic address: stephen.patrick@vanderbilt.edu.
Vanderbilt University Medical Center · US

Funding

Ductus Arteriosus Regulation by Anion ChannelsR01HL128386 · NHLBI · VANDERBILT UNIVERSITY MEDICAL CENTER · PI LAMB, FRED S, REESE, JOHN JEFFREY · 2016 to 2019
$2.3M
Neonatal Abstinence Syndrome: Risk of Drug Withdrawal in Opioid-Exposed InfantsK23DA038720 · NIDA · VANDERBILT UNIVERSITY MEDICAL CENTER · PI PATRICK, STEPHEN W · 2015 to 2019
$844k
NHLBI NIH HHS R01 HL128386NIDA NIH HHS K23 DA038720
6 · The paper itself

Abstract

Optimal management of patent ductus arteriosus (PDA) is unclear. One treatment, surgical ligation, is associated with adverse outcomes. We reviewed data from the Kids' Inpatient Database (2000-2012) to determine if PDA ligation rates: (1) changed over time, (2) varied geographically, or (3) influenced surgical complication rates. In 2012, 47,900 infants <1500g birth weight were born in the United States, including 2,800 undergoing PDA ligation (5.9%). Ligation was more likely in infants <1000g (85.9% vs. 46.2%), and associated with necrotizing enterocolitis (59.2% vs. 37.5%), BPD (54.6% vs. 15.2%), severe intraventricular hemorrhage (16.4% vs. 5.3%), and hospital transfer (37.6% vs. 16.4%). Ligation rates peaked in 2006 at 87.4 per 1000 hospital births, dropping to 58.8 in 2012, and were consistently higher in Western states. Infants undergoing ligation were more likely to experience comorbidities. Rates of ligation-associated vocal cord paralysis increased over time (1.2-3.9%); however, mortality decreased (12.4-6.5%). Thus, PDA ligation has become less frequent, although infants being ligated are smaller and more medically complex. Despite increase in some complications, mortality rates improved perhaps reflecting advances in care.

Indexed as

Infant, Very Low Birth WeightCerebral Intraventricular HemorrhageCross-Sectional StudiesDuctus Arteriosus, PatentEnterocolitis, NecrotizingFemaleHumansInfant, Extremely Low Birth WeightInfant, NewbornLigationMalePractice Patterns, Physicians'Retrospective StudiesTreatment OutcomeUnited StatesVocal Cord Paralysisgeographic variationkids' inpatient databasePatent ductus arteriosussurgical ligationvocal cord paralysis

Identifiers

PMID29954594
PMCPMC6512985
OpenAlexW2803433472

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.