Evidence map›Paper›PMID 33847738›Full record

ArticleAmerican journal of epidemiology2021

Congenital Malformations and Perinatal Deaths Among the Children of Atomic Bomb Survivors: A Reappraisal.

Michiko Yamada, Kyoji Furukawa, Yoshimi Tatsukawa, Keiko Marumo, Sachiyo Funamoto, Ritsu Sakata, Kotaro Ozasa, Harry M Cullings, Dale L Preston, Paivi Kurttio

Open access · bronzeAbstract read
In one paragraph

Article in American journal of epidemiology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
4.2field-weighted citation impact, top 5% 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

19 citing papers in PubMed, 42 citations in OpenAlex.

  1. Article
  2. Article
  3. Detection of germline variants in human population chronically exposed to high level natural background radiation in Kerala coast.Genes and environment : the official journal of the Japanese Environmental Mutagen Society · 2026
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  18. Areas of research to support the system of radiological protection.Radiation and environmental biophysics · 2021
    Review
  19. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors at 3 institutions in 3 countries.

Michiko Yamada
Kyoji Furukawa
Yoshimi Tatsukawa
Keiko Marumo
Sachiyo Funamoto
Ritsu Sakata
Kotaro Ozasa
Harry M Cullings
Dale L Preston
Paivi Kurttio
Radiation Effects Research Foundation · JPISCO International (United States) · USRadiation and Nuclear Safety Authority · FI

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

From 1948 to 1954, the Atomic Bomb Casualty Commission conducted a study of pregnancy outcomes among births to atomic bomb survivors (Hiroshima and Nagasaki, Japan) who had received radiation doses ranging from 0 Gy to near-lethal levels. Past reports (1956, 1981, and 1990) on the cohort did not identify significant associations of radiation exposure with untoward pregnancy outcomes, such as major congenital malformations, stillbirths, or neonatal deaths, individually or in aggregate. We reexamined the risk of major congenital malformations and perinatal deaths in the children of atomic bomb survivors (n = 71,603) using fully reconstructed data to minimize the potential for bias, using refined estimates of the gonadal dose from Dosimetry System 2002 and refined analytical methods for characterizing dose-response relationships. The analyses showed that parental exposure to radiation was associated with increased risk of major congenital malformations and perinatal death, but the estimates were imprecise for direct radiation effects, and most were not statistically significant. Nonetheless, the uniformly positive estimates for untoward pregnancy outcomes among children of both maternal and paternal survivors are useful for risk assessment purposes, although extending them to populations other than the atomic bomb survivors comes with uncertainty as to generalizability.

Indexed as

AdultAtomic Bomb SurvivorsCongenital AbnormalitiesFemaleHumansInfant, NewbornJapanMalePerinatal MortalityPregnancyPregnancy OutcomeRadiation Dosageatomic bombcongenital malformationsgeneticsnuclear weaponsperinatal mortalitypregnancy outcomesradiation effects

Identifiers

PMID33847738
PMCPMC8561127
OpenAlexW3154596954

What OpenQuestion holds

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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.