Evidence map›Paper›PMID 31831504›Full record

SynthesisCanadian family physician Medecin de famille canadien2019

Effects of opioid use in pregnancy on pediatric development and behaviour in children older than age 2: Systematic review.

Stephanie Welton, Brittany Blakelock, Sharen Madden, Len Kelly

Abstract readSystematic Review
In one paragraph

Synthesis in Canadian family physician Medecin de famille canadien, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
–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

11 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Review
  4. Article
  5. Review
  6. Review
  7. Review
  8. Frontiers in pediatrics · 2023
    Article
  9. Article
  10. Review
  11. 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

4 authors.

Stephanie WeltonResearcher for the Anishinaabe Bimaadiziwin Research Program in Sioux Lookout, Ont.
Brittany BlakelockResearcher for the Anishinaabe Bimaadiziwin Research Program in Sioux Lookout, Ont.
Sharen MaddenAssociate Professor in the Division of Clinical Sciences at the Northern Ontario School of Medicine in Sioux Lookout.
Len KellyResearch consultant for the Sioux Lookout Meno Ya Win Health Centre. lkelly@mcmaster.ca.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo summarize information on the effects of opioid use in pregnancy on subsequent pediatric development and behaviour. DATA SOURCES: Searches were performed in EMBASE, MEDLINE, and PsycINFO for peer-reviewed, English articles, including a manual search of their references, that were published between January 1, 2000, and May 1, 2018. STUDY SELECTION: Of the 543 articles reviewed, 19 relevant articles that focused on developmental effects of opioid exposure in utero were identified. Most of the studies provided level II evidence. One level I meta-analysis and 1 level III expert committee report were included. SYNTHESIS: The literature was divided between documenting some level of impairment or normalization of early development deficits over time. Often no opioid effect was found once researchers controlled for socioenvironmental factors. The degree to which environmental factors, opioid exposure, or both affect pediatric development remains to be determined.

conclusionThe effect of maternal opioid use on pediatric development is unclear and the evidence is inconsistent. However, opioid exposure in pregnancy does define these children as a population at risk. They might experience developmental delays compared with their peers, yet remain within population norms in cognition, fine-motor skills, hand-eye coordination, executive function, and attention and impulsivity levels.

Indexed as

AdolescentAnalgesics, OpioidChildChild, PreschoolDevelopmental DisabilitiesFemaleHumansOpioid-Related DisordersPregnancyPrenatal Exposure Delayed EffectsRandomized Controlled Trials as TopicRiskAnalgesics, Opioid

Identifiers

PMID31831504
PMCPMC6907383

What OpenQuestion holds

Textmetadata
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.