Evidence map›Paper›PMID 33348463›Full record

ArticleBirth defects research2021

Prevalence of structural birth defects among infants with Down syndrome, 2013-2017: A US population-based study.

Dominique Heinke, Jennifer L Isenburg, Erin B Stallings, Tyiesha D Short, Mimi Le, Sarah Fisher, Xiaoyi Shan, Russell S Kirby, Hoang H Nguyen, Eirini Nestoridi and 5 more

Open access · greenAbstract read
In one paragraph

Article in Birth defects research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 1 pooled it
1.6field-weighted citation impact, top 15% 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

21 citing papers in PubMed, 1 synthesis or guideline pooled it, 29 citations in OpenAlex.

  1. Pooled it
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  5. Impact of data sources and ascertainment methods on reporting paediatric genetic condition prevalence: A scoping review.Health information management : journal of the Health Information Management Association of Australia · 2026
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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

15 authors at 11 institutions in 1 country.

Dominique HeinkeCenter for Birth Defects Research and Prevention, Massachusetts Department of Public Health, Boston, Massachusetts, USA.ORCID 0000-0001-9217-3723
Jennifer L IsenburgNational Center on Birth Defects and Developmental Disabilities, Centers for Disease Control and Prevention, Atlanta, Georgia, USA.
Erin B StallingsNational Center on Birth Defects and Developmental Disabilities, Centers for Disease Control and Prevention, Atlanta, Georgia, USA.ORCID 0000-0002-0461-1410
Tyiesha D ShortNational Center on Birth Defects and Developmental Disabilities, Centers for Disease Control and Prevention, Atlanta, Georgia, USA.
Mimi LeBirth Defects Epidemiology and Surveillance Branch, Texas Department of State Health Services, Austin, Texas, USA.ORCID 0000-0003-3947-8936
Sarah FisherCongenital Malformations Registry, New York State Department of Health, Albany, New York, USA.ORCID 0000-0002-4702-1007
Xiaoyi ShanArkansas Reproductive Health Monitoring System, Arkansas Children's Research Institute, Little Rock, Arkansas, USA.
Russell S KirbyCollege of Public Health, University of South Florida, Tampa, Florida, USA.ORCID 0000-0002-3489-401X
Hoang H NguyenDepartment of Pediatrics, Division of Cardiology, UT Southwestern Medical Center, Dallas, Texas, USA.
Eirini NestoridiCenter for Birth Defects Research and Prevention, Massachusetts Department of Public Health, Boston, Massachusetts, USA.
Wendy N NembhardDepartment of Epidemiology, Fay W. Boozman College of Public Health, University of Arkansas for Medical Sciences and Arkansas Center for Birth Defects Research and Prevention, Little Rock, Arkansas, USA.ORCID 0000-0002-8318-4049
Paul A RomittiDepartment of Epidemiology, College of Public Health, University of Iowa, Iowa City, Iowa, USA.ORCID 0000-0001-5393-9984
Jason L SalemiCollege of Public Health, University of South Florida, Tampa, Florida, USA.ORCID 0000-0002-0077-6023
Philip J LupoDepartment of Pediatrics, Section of Hematology-Oncology, Baylor College of Medicine, Houston, Texas, USA.ORCID 0000-0003-0978-5863
National Birth Defects Prevention Network
Centers for Disease Control and Prevention · USMassachusetts Department of Public Health · USUniversity of South Florida · USArkansas Children's Hospital · USBaylor College of Medicine · USNew York State Department of Health · USOak Ridge Associated Universities · USSouthwestern Medical Center · USTexas Department of State Health Services · USUniversity of Arkansas for Medical Sciences · USUniversity of Iowa · US

Funding

RFA-DD-18-001 Birth Defects Study To Evaluate Pregnancy exposures (BD-STEPS) II Core & Component B Steps -StillbirthU01DD001285 · DD · UNIV OF ARKANSAS FOR MED SCIS · PI NEMBHARD, WENDY N · 2019 to 2022
$5.2M
Molecular epidemiology of acute lymphoblastic leukemia in children with Down syndromeR01CA249867 · NCI · BAYLOR COLLEGE OF MEDICINE · PI LUPO, PHILIP, RABIN, KAREN R · 2020 to 2024
$4.2M
Intramural CDC HHS CC999999NCBDD CDC HHS U01 DD001285NCI NIH HHS R01 CA249867NIH HHS R01CA24986701
6 · The paper itself

Abstract

backgroundDown syndrome is the most common chromosomal disorder at birth and is often accompanied by structural birth defects. Current data on major structural defects in this population are limited.

methodsStates and territorial population-based surveillance programs submitted data on identified cases of Down syndrome and identified structural birth defects during 2013-2017. We estimated prevalence by program type and maternal and infant characteristics. Among programs with active case ascertainment, we estimated the prevalence of birth defects by organ system and for specific defects by maternal age (<35, ≥35) and infant sex.

resultsWe identified 13,376 cases of Down syndrome. Prevalence among all programs was 12.7 per 10,000 live births. Among these children, 75% had at least one reported co-occurring birth defect diagnosis code. Among 6,210 cases identified by active programs, 66% had a cardiovascular defect with septal defects being the most common: atrial (32.5%), ventricular (20.6%), and atrioventricular (17.4%). Defect prevalence differed by infant sex more frequently than by maternal age. For example, atrioventricular septal defects were more common in female children (20.1% vs. 15.1%) while limb deficiencies were more prevalent in male children (0.4% vs. 0.1%).

conclusionsOur study provides updated prevalence estimates for structural defects, including rare defects, among children with Down syndrome using one of the largest and most recent cohorts to date. These data may aid clinical care and surveillance.

Indexed as

Down SyndromeChildFemaleHumansInfantInfant, NewbornLive BirthMaleMaternal AgePopulation SurveillancePregnancyPrevalencebirth defectsDown syndromeinfant sexmaternal agetrisomy 21

Identifiers

PMID33348463
PMCPMC7978493
OpenAlexW3117065194

What OpenQuestion holds

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Registered trials

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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.