Evidence map›Paper›PMID 31313527›Full record

ArticleBirth defects research2019

Nuclear radiation and prevalence of structural birth defects among infants born to women from the Marshall Islands.

Wendy N Nembhard, Pearl A McElfish, Britni Ayers, R Thomas Collins, Xiaoyi Shan, Nader Z Rabie, Yuri A Zarate, Suman Maity, Ruiqi Cen, James A Robbins

Abstract read
In one paragraph

Article in Birth defects research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–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.

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

6 citing papers in PubMed.

  1. Article
  2. Multicomponent Informed Consent with Marshallese Participants.Journal of empirical research on human research ethics : JERHRE · 2021
    Article
  3. Review
  4. Article
  5. Review
  6. Review
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

10 authors.

Wendy N NembhardDepartment of Epidemiology, Fay W. Boozman College of Public Health, University of Arkansas for Medical Sciences, Little Rock, Arkansas.ORCID 0000-0002-8318-4049
Pearl A McElfishCollege of Medicine, University of Arkansas for Medical Science, Fayetteville, Arkansas.
Britni AyersCollege of Medicine, University of Arkansas for Medical Science, Fayetteville, Arkansas.
R Thomas CollinsDepartment of Pediatrics, Stanford University School of Medicine, Palo Alto, California.
Xiaoyi ShanArkansas Children's Research Institute, Little Rock, Arkansas.
Nader Z RabieDivision of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, Tripler Army Medical Center, Honolulu, Hawaii.
Yuri A ZarateSection of Genetics and Metabolism, Department of Pediatrics, College of Medicine, University of Arkansas for Medical Sciences, Little Rock, Arkansas.
Suman MaityDepartment of Epidemiology, Fay W. Boozman College of Public Health, University of Arkansas for Medical Sciences, Little Rock, Arkansas.
Ruiqi CenDepartment of Epidemiology, Fay W. Boozman College of Public Health, University of Arkansas for Medical Sciences, Little Rock, Arkansas.
James A RobbinsFay W. Boozman College of Public Health, University of Arkansas for Medical Sciences, Arkansas Center for Birth Defects Research and Prevention, Little Rock, Arkansas.

Funding

Expanding Translational Research in ArkansasUL1TR003107 · NCATS · UNIV OF ARKANSAS FOR MED SCIS · PI JAMES, LAURA P · 2019 to 2023
$21.6M
Centers for Birth Defects Research and Prevention (CBDRPs)U01DD000491 · DD · ARKANSAS CHILDREN'S HOSPITAL RES INST · PI HOBBS, CHARLOTTE A · 2009 to 2013
$4.3M
Birth Defects Study To Evaluate Pregnancy exposureSU01DD001039 · DD · ARKANSAS CHILDREN'S HOSPITAL RES INST · PI NEMBHARD, WENDY N · 2013 to 2017
$4.2M
Expanding Translational Research in ArkansasU54TR001629 · NCATS · UNIV OF ARKANSAS FOR MED SCIS · PI JAMES, LAURA P · 2017 to 2017
$3.5M
NCATS NIH HHS U54 TR001629NCATS NIH HHS UL1 TR003107NCBDD CDC HHS U01 DD000491NCBDD CDC HHS U01 DD001039NCBDD CDC HHS U01 DD001285
6 · The paper itself

Abstract

backgroundWith their unique history of exposure to extensive nuclear testing between 1946 and 1958, descendants of Marshall Island residents may have underappreciated genetic abnormalities, increasing their risk of birth defects.

methodsWe conducted a retrospective cohort study of resident women with at least one singleton live birth between 1997 and 2013 in northwest Arkansas using state birth certificate data linked to data from the Arkansas Reproductive Health Monitoring System, a statewide birth defects registry. We calculated unadjusted and adjusted prevalence ratios (PR) and 95% confidence intervals (CI) from modified Poisson regression analyses for non-Hispanic (NH) whites, NH-blacks, Hispanics and Marshallese, using NH-whites as the reference group.

resultsOf the 91,662 singleton births during the study period, 2,488 were to Marshallese women. Due to the relatively small number of Marshallese births, we could not calculate prevalence estimates for some defects. Marshallese infants had higher rates of congenital cataracts (PR = 9.3; 95% CI: 3.1, 27.9). Although the number of defects was low, Marshallese infants also had higher rates of truncus arteriosus (PR = 44.0; 95% CI: 2.2, 896.1).

conclusionsMarshallese infants may have increased risk of specific birth defects, but estimates are unstable because of small sample size so results are inconclusive. Larger population-based studies would allow for further investigation of this potential risk among Marshallese infants.

Indexed as

Abnormalities, Radiation-InducedAdultCataractCohort StudiesCongenital AbnormalitiesFemaleHumansInfant, NewbornLive BirthMicronesiaParturitionPregnancyPregnancy, MultiplePrevalenceRadioactive Hazard ReleaseRegistriesbirth defectsChernobylHiroshimaMarshall Islandsnuclear radiationPacific islanders

Identifiers

PMID31313527
PMCPMC7927675

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.