Evidence map›Paper›PMID 30061446›Full record

Observational studyBMJ open2018

Prospective investigation of folic acid supplements before and during early pregnancy and paediatric and adult cancers in the Chinese children and families cohort: a pilot study in a sample of rural and urban families.

Martha S Linet, Linhong Wang, Ning Wang, Robert J Berry, Ann Chao, Ling Hao, Zhu Li, Liwen Fang, Peng Yin, Nancy Potischman and 18 more

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in BMJ open, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.1field-weighted citation impact, top 20% 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

5 citing papers in PubMed, 7 citations in OpenAlex.

  1. Article
  2. Physical Activity, Step Counts, and Grip Strength in the Chinese Children and Families Cohort Study.International journal of environmental research and public health · 2020
    Article
  3. Article
  4. Article
  5. 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

28 authors at 17 institutions in 6 countries.

Martha S Linet *Division of Cancer Epidemiology and Genetics, National Cancer Institute, Bethesda, Maryland, USA.
Linhong Wang *National Center for Chronic and Noncommunicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing, China.
Ning WangNational Center for Chronic and Noncommunicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing, China.
Robert J BerryNational Center on Birth Defects and Developmental Disabilities, Centers for Disease Control and Prevention, Atlanta, Georgia, USA.
Ann ChaoCenter for Global Health, National Cancer Institute, National Institutes of Health, Bethesda, Maryland, USA.
Ling HaoCDC Center for Global Health, Centers for Disease Control and Prevention, Atlanta, Georgia, USA.
Zhu LiIndependent Consultant, Beijing, China.
Liwen FangNational Center for Chronic and Noncommunicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing, China.
Peng YinNational Center for Chronic and Noncommunicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing, China.
Nancy PotischmanOffice of Dietary Supplements, National Institutes of Health, Bethesda, Maryland, USA.
Xin SunNational Institute of Occupational Health and Poison Control, Chinese Center for Disease Control and Prevention, Beijing, China.
Fanweng MengDepartment of Surgery, Laoting County Maternal and Child Health Hospital, Laoting, China.
Ruilan YangTaicang County Maternal and Child Hospital, Taicang, China.
Shu CongNational Center for Chronic and Noncommunicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing, China.
Jing FanNational Center for Chronic and Noncommunicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing, China.
Cari M KitaharaDivision of Cancer Epidemiology and Genetics, National Cancer Institute, Bethesda, Maryland, USA.
Xiaofeng LiangChinese Center for Disease Control and Prevention, Beijing, China.
Fang LiuCenter of Pediatric Blood Diseases, Tianjin Hematology Institute and Hospital, Tianjin, China.
Xiaojun LuDepartment of Surgery, Taicang First People's Hospital, Taicang, China.
Fan LvDepartment of Pediatric Oncology, Shanghai Xinhua Hospital, Shanghai, China.
Chunhua MuLaoting County Hospital, Laoting, China.
Joshua SampsonDivision of Cancer Epidemiology and Genetics, National Cancer Institute, Bethesda, Maryland, USA.
Yongmin TangDepartment of Hematology, Zhejiang University School of Medicine Children's Hospital, Hangzhou, China.
Weiqing WanDepartment of Neurosurgery, Tiantan Hospital, Beijing, China.
Baohua WangNational Center for Chronic and Noncommunicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing, China.
Hongsheng WangDepartment of Hematology/Oncology, Fudan University Children's Hospital, Shanghai, China.
Leping ZhangDepartment of Pediatric Hematology/Oncology, Peking University Renmin Hospital, Beijing, China.
Yu WangChinese Center for Disease Control and Prevention, Beijing, China.
Center for Disease Control · TWCancer Genetics (United States) · USNational Center for Chronic and Noncommunicable Disease Control and Prevention · CNBeijing Tian Tan Hospital · CNCenters for Disease Control and Prevention · USChildren's Clinical University Hospital · LVChildren's Hospital of Zhejiang University · CNCounty Hospital · GBDivision of Cancer Epidemiology and GeneticsInstitute of Hematology & Blood Diseases Hospital · CNNational Center on Birth Defects and Developmental Disabilities · USNational Institutes of Health · USOffice of Dietary Supplements · USPeking University · CNTaiyuan Maternity and Child Care Hospital · CNTaizhou First People's Hospital · CNXinHua Hospital · CN

Funding

CGH CDC HHS U01 GH000029
6 · The paper itself

Abstract

objectiveTo determine the feasibility of long-term prospective follow-up and ascertainment of cancer in offspring and mothers from the 1993-1995 Chinese Community Intervention Program that provided folic acid supplements before and during early pregnancy to reduce neural tube defects.

designFeasibility pilot study for a prospective cohort study.

settingFamilies residing during 2012-2013 in one rural and one urban county from 21 counties in 3 provinces in China included in the Community Intervention Program campaign.

participantsThe feasibility study targeted 560 families, including 280 from the rural and 280 from the urban county included in the large original study; about half of mothers in each group had taken and half had not taken folic acid supplements.

interventionThe planned new study is observational. PRIMARY AND SECONDARY OUTCOME MEASURES: Primary: incidence of paediatric cancers in offspring; secondary: other chronic diseases in offspring and chronic diseases in mothers

resultsOnly 3.4% of pilot study families could not be found, 3.9% had moved out of the study area and 8.8% refused to participate. Interviews were completed by 82% of mothers, 79% of fathers and 83% of offspring in the 560 families. Almost all mothers and offspring who were interviewed also participated in anthropometric measurements. We found notable urban-rural differences in sociodemographic and lifestyle characteristics of the parents, but fewer differences among the offspring. In eight catchment area hospitals, we identified a broad range of paediatric cancers diagnosed during 1994-2013, although paediatric brain tumours, lymphomas and rarer cancers were likely under-represented.

conclusionsOverall, 20 years after the original Community Intervention Program, the pilot study achieved high levels of follow-up and family member interview participation, and identified substantial numbers of paediatric malignancies during 1994-2013 in catchment area hospitals. Next steps and strategies for overcoming limitations are described.

Indexed as

AdolescentAdultChildChinaCohort StudiesDietary SupplementsFeasibility StudiesFemaleFolic AcidHumansIncidenceMaleNeoplasmsNeural Tube DefectsPilot ProjectsPregnancyFolic AcidVitamin B Complexepidemiologyfolic acid supplementspediatric cancerpilot study

Identifiers

PMID30061446
PMCPMC6067353
OpenAlexW2885569471

What OpenQuestion holds

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LicenceCC BY-NC
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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.