Evidence map›Paper›PMID 30975444›Full record

ArticleJournal of the American Academy of Child and Adolescent Psychiatry2019

Proband and Familial Autoimmune Diseases Are Associated With Proband Diagnosis of Autism Spectrum Disorders.

Marisa N Spann, Laura Timonen-Soivio, Auli Suominen, Keely Cheslack-Postava, Ian W McKeague, Andre Sourander, Alan S Brown

Open access · greenAbstract read
In one paragraph

Article in Journal of the American Academy of Child and Adolescent Psychiatry, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 3 pooled it
2.0field-weighted citation impact, top 14% 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

17 citing papers in PubMed, 3 syntheses or guidelines pooled it, 34 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Review
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Review
  12. Article
  13. Article
  14. Review
  15. Review
  16. Review
  17. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 2 countries.

Marisa N SpannColumbia University Irving Medical Center, New York, NY. Electronic address: mns2125@cumc.columbia.edu.
Laura Timonen-SoivioUniversity of Turku and Turku University Central Hospital, Turku, Finland; Helsinki University Central Hospital, Finland.
Auli SuominenUniversity of Turku and Turku University Central Hospital, Turku, Finland.
Keely Cheslack-PostavaColumbia University Irving Medical Center, New York, NY.
Ian W McKeagueColumbia University Mailman School of Public Health, New York, NY.
Andre SouranderColumbia University Irving Medical Center, New York, NY; University of Turku and Turku University Central Hospital, Turku, Finland; Helsinki University Central Hospital, Finland.
Alan S BrownColumbia University Irving Medical Center, New York, NY; New York State Psychiatric Institute, New York, NY.
Columbia University Irving Medical Center · USTurku University Hospital · FIColumbia University · US

Funding

CTSA: K12 COMPONENTKL2RR024157 · NCRR · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI GINSBERG, HENRY N · 2006 to 2011
$8.9M
Prenatal factors and risk of autism in a Finnish national birth cohortR01ES019004 · NIEHS · NEW YORK STATE PSYCHIATRIC INSTITUTE DBA RESEARCH FOUNDATION FOR MENTAL HYGIENE, INC · PI BROWN, ALAN STEWART · 2009 to 2017
$3.5M
Clinical and Translational Science AwardKL2TR000081 · NCATS · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI GINSBERG, HENRY N · 2012 to 2015
$3.3M
Prenatal Factors in Autism and other Psychiatric Outcomes in a National Birth CohortR01ES028125 · NIEHS · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI BROWN, ALAN STEWART · 2017 to 2021
$2.3M
Maternal Immune Activation and Fetal-Infant Neurobehavioral DevelopmentK23HD092589 · NICHD · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI SPANN, MARISA N · 2018 to 2020
$481k
NCATS NIH HHS KL2 TR000081NCRR NIH HHS KL2 RR024157NICHD NIH HHS K23 HD092589NIEHS NIH HHS R01 ES019004NIEHS NIH HHS R01 ES028125
6 · The paper itself

Abstract

objectiveThere is evidence that parental autoimmune diseases (ADs) are associated with autism spectrum disorders (ASD) in offspring. The association between offspring ASD and ADs diagnosed in siblings and probands remains less clear. We examined whether proband and familial diagnoses of ADs were associated with increased odds of ASD in probands.

methodThe study is based on a nested case-control design that used data from a large national birth cohort (N = 1.2 million) in Finland. There were 4,600 cases of ASD and controls matched 1:4 on date of birth, sex, and residence. Data were accessed from national medical, birth, and central registries.

resultsProbands had a statistically significant increase in odds of ASD when they (adjusted odds ratio [OR] = 1.2), their mother (adjusted OR = 1.1), or their sibling (adjusted OR = 1.2) were diagnosed with an AD. With regard to specific ADs, we found a statistically significant increase in odds of ASD in probands diagnosed with autoimmune thyroiditis (adjusted OR = 2.7). Further analyses considering ADs by body system yielded a statistically significant increase in odds of ASD in probands with ADs associated with the central/peripheral nervous (adjusted OR = 4.8) and skin/mucous membrane (adjusted OR = 1.3) systems. Probands of mothers diagnosed with ear/eye (adjusted OR = 1.6) or respiratory (adjusted OR = 1.4) ADs, or siblings diagnosed with skin/mucous membrane ADs (adjusted OR = 1.3) also had increased odds of ASD.

conclusionThe findings suggest that there may be common pathogenic, developmental mechanisms related to autoimmunity that are associated with the etiology of ASD.

Indexed as

SiblingsAdolescentAdultAutism Spectrum DisorderAutoimmune DiseasesCase-Control StudiesChildChild, PreschoolFemaleFinlandGenetic Predisposition to DiseaseHumansMaleMothersRegistriesThyroiditis, Autoimmuneautismautoimmunefamilialprobandsibling

Identifiers

PMID30975444
PMCPMC6631342
OpenAlexW2911800052

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.