Evidence map›Paper›PMID 30519970›Full record

ArticleEuropean journal of pediatrics2019

Growth of children with biliary atresia living with native livers: impact of corticoid therapy after portoenterostomy.

Satu Maria Ruuska, Mitja Tapani Lääperi, Maria Hukkinen, Hannu Jalanko, Kaija-Leena Kolho, Mikko P Pakarinen

Open access · hybridAbstract read
In one paragraph

Article in European journal of pediatrics, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.5field-weighted citation impact, top 31% 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

2 citing papers in PubMed, 6 citations in OpenAlex.

  1. Review
  2. 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

6 authors at 2 institutions in 1 country.

Satu Maria RuuskaDepartment of Gastroenterology, Children's Hospital, Helsinki University Hospital, PL 347, 00029 HUS, Helsinki, Finland. satu.ruuska@hus.fi.ORCID http://orcid.org/0000-0002-2768-855X
Mitja Tapani LääperiPediatric Research Center, Children's Hospital, Helsinki University Hospital, Helsinki, Finland.
Maria HukkinenPediatric Liver and Gut Research Group, Children's Hospital, Helsinki University Hospital, Helsinki, Finland.
Hannu JalankoDepartment of Pediatric Nephrology and Transplantation, Children's Hospital, Helsinki University Hospital, Helsinki, Finland.
Kaija-Leena KolhoUniversity of Tampere, Tampere, Finland.
Mikko P PakarinenPediatric Liver and Gut Research Group, Children's Hospital, Helsinki University Hospital, Helsinki, Finland.
Helsinki University Hospital · FITampere University · FI

Funding

Helsingin ja Uudenmaan Sairaanhoitopiiri 1234Lastentautien Tutkimussäätiö 1234Sigrid Juséliuksen Säätiö 1234
6 · The paper itself

Abstract

We addressed growth of biliary atresia (BA) patients living with native livers between ages 0-6 and effects of post-surgical corticosteroid treatment on growth. Growth charts of 28 BA patients born in Finland between 1987 and 2017 were retrospectively evaluated. Dosage and length of corticosteroid treatment and hydrocortisone substitution were reviewed. At birth, BA patients were shorter (median height - 0.6 (interquartile range (IQR) - 1.3 to - 0.1) SDS, n = 28, P < 0.001) than general population. Height remained stable during early childhood (median height - 0.6 (IQR - 1.4 to 0.1) SDS for girls and - 0.4 (IQR - 1.6 to 0.2) SDS for boys at 6 years of age). Patients were of normal height adjusted weight at 6 years with a median age and sex-adjusted body mass index (ISO-BMI) of 20.9 (IQR 19.3 to 25.0) for girls and 22.1 (IQR 20.7 to 25.6) for boys. Higher (≥ 50 mg/kg) cumulative post-portoenterostomy prednisolone dosage resulted in 0.18 SDS lower height per treatment week (β - 0.18, SE 0.04, P < 0.001) compared to lower dosage (< 50 mg/kg).Conclusion: BA patients grow normally during early childhood. As high postoperative corticosteroid dosage has a short-term negative effect on height, very high dosages should be avoided. What Is Known: • Growth of biliary atresia patients has mostly been shown to be within normal limits • Corticosteroids may decrease growth rate What Is New: • Biliary atresia patients surviving with their native livers are shorter than general population and their mid-parental target height at birth • A high (> 50 mg/kg) cumulative prednisolone dosage has a negative transitory impact on height gain after portoenterostomy.

Indexed as

Portoenterostomy, HepaticBiliary AtresiaBody HeightChildChild, PreschoolCombined Modality TherapyDose-Response Relationship, DrugDrug Administration ScheduleFemaleFollow-Up StudiesGlucocorticoidsHumansInfantInfant, NewbornMaleRetrospective StudiesGlucocorticoidsAge and sex-adjusted body mass index (ISO-BMI)Biliary atresia (BA)CorticosteroidsPortoenterostomy

Identifiers

PMID30519970
PMCPMC6437119
OpenAlexW2902899011

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.