Evidence map›Paper›PMID 31968355›Full record

ArticlePediatric research2020

Preterm birth and the future risk of orthopedic fracture.

Jonathan Michaud, Thuy Mai Luu, John C LeBlanc, Jessica Healy-Profitós, Aimina Ayoub, Nathalie Auger

Abstract read
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In one paragraph

Article in Pediatric research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
1.6field-weighted citation impact, top 16% 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

9 citing papers in PubMed, 15 citations in OpenAlex.

  1. Article
  2. Article
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  4. Preterm birth and risk of bone fractures during childhood and early adulthood.Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research · 2025
    Article
  5. Is there an association between birth characteristics and fractures in young adults? The HUNT Study, Norway.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2025
    Article
  6. Maternal diabetes and fracture risk in offspring: a population-based analysis.Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research · 2024
    Article
  7. Article
  8. Review
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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 3 institutions in 1 country.

Jonathan MichaudDepartment of Social and Preventive Medicine, University of Montreal, Montreal, Canada.
Thuy Mai LuuDepartment of Pediatrics, Sainte-Justine Hospital Centre, University of Montreal, Montreal, Canada.
John C LeBlancDepartments of Pediatrics, Psychiatry, and Community Health and Epidemiology, Dalhousie University, Halifax, Canada.
Jessica Healy-ProfitósHealth Innovation and Evaluation Hub, University of Montreal Hospital Research Centre, Montreal, Canada.
Aimina AyoubHealth Innovation and Evaluation Hub, University of Montreal Hospital Research Centre, Montreal, Canada.
Nathalie AugerDepartment of Social and Preventive Medicine, University of Montreal, Montreal, Canada. nathalie.auger@inspq.qc.ca.
Institut National de Santé Publique du Québec · CACentre Hospitalier Universitaire Sainte-Justine · CADalhousie University · CA

Funding

CIHR PJT-162300
6 · The paper itself

Abstract

backgroundPreterm birth occurs during a critical period of bone mineralization. We assessed whether preterm birth increases the risk of childhood fracture.

methodsWe analyzed a cohort of 788,903 infants born between 2006 and 2016 in Quebec, Canada. The exposure was preterm birth (<37 weeks). The outcome was any future hospitalization for fracture before 2018. We estimated hazard ratios (HR) and 95% confidence intervals (CI) for the association of prematurity with fractures in adjusted Cox regression models. We determined if the risk of facture varied by the child's age.

resultsThe incidence of fracture hospitalizations was higher in preterm children than in term children (17.9 vs. 15.3 per 10,000 person-years). Compared with term, preterm children had 1.27 times the risk of femur fracture hospitalization (95% CI 1.01-1.60) and 2.27 times the risk of assault-related fractures (95% CI 1.37-3.76). Preterm children had 2.20 times the risk of femur fracture between 6 and 17 months of age (95% CI 1.45-3.35).

conclusionsPreterm birth is associated with an increased risk of hospitalization for femur fractures and assault-related fractures. Associations are stronger before 18 months of age. Families of preterm children may benefit from counseling and support for fracture prevention during early childhood.

Indexed as

Premature BirthAdultChild, PreschoolDatabases, FactualFemaleFractures, BoneGestational AgeHospitalizationHumansIncidenceInfantInfant, NewbornInfant, PrematureLongitudinal StudiesMaleMaternal Age

Identifiers

PMID31968355
OpenAlexW3001552341

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.