Evidence map›Paper›PMID 33948000›Full record

ReviewPediatric research2021

Diagnostic methods for neonatal hyperbilirubinemia: benefits, limitations, requirements, and novel developments.

Christian V Hulzebos, Libor Vitek, Carlos D Coda Zabetta, Aleš Dvořák, Paul Schenk, Eline A E van der Hagen, Christa Cobbaert, Claudio Tiribelli

Open access · bronzeAbstract readReview
PubMed Publisher
In one paragraph

Review in Pediatric research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
13.3field-weighted citation impact, top 1% 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

16 citing papers in PubMed, 50 citations in OpenAlex.

  1. Article
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  6. Gilbert's syndrome: The good, the bad and the ugly.World journal of hepatology · 2025
    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

8 authors at 6 institutions in 3 countries.

Christian V HulzebosBeatrix Children's Hospital, University Medical Center Groningen, Groningen, The Netherlands. c.v.hulzebos@umcg.nl.
Libor VitekInstitute of Medical Biochemistry and Laboratory Diagnostics, and 4th Department of Internal Medicine, 1st Faculty of Medicine, Charles University, Prague, Czech Republic.
Carlos D Coda ZabettaBilimetrix s.r.l., Trieste, Italy.
Aleš DvořákInstitute of Medical Biochemistry and Laboratory Diagnostics, and 4th Department of Internal Medicine, 1st Faculty of Medicine, Charles University, Prague, Czech Republic.
Paul SchenkClinical Chemistry and Laboratory Medicine, Leiden University Medical Center, Leiden, The Netherlands.
Eline A E van der HagenDutch Foundation for Quality Assessment in Medical Laboratories (SKML), Nijmegen, The Netherlands.
Christa CobbaertClinical Chemistry and Laboratory Medicine, Leiden University Medical Center, Leiden, The Netherlands.
Claudio TiribelliItalian Liver Foundation, Trieste, Italy.
Charles University · CZLeiden University Medical Center · NLElettra-Sincrotrone Trieste S.C.p.A. · ITFondazione Italiana Fegato · ITStreekziekenhuis Koningin Beatrix · NLUniversity Medical Center Groningen · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Invasive bilirubin measurements remain the gold standard for the diagnosis and treatment of infants with severe neonatal hyperbilirubinemia. The present paper describes different methods currently available to assess hyperbilirubinemia in newborn infants. Novel point-of-care bilirubin measurement methods, such as the BiliSpec and the Bilistick, would benefit many newborn infants, especially in low-income and middle-income countries where the access to costly multi-analyzer in vitro diagnostic instruments is limited. Total serum bilirubin test results should be accurate within permissible limits of measurement uncertainty to be fit for clinical purposes. This implies correct implementation of internationally endorsed reference measurement systems as well as participation in external quality assessment programs. Novel analytic methods may, apart from bilirubin, include the determination of bilirubin photoisomers and bilirubin oxidation products in blood and even in other biological matrices. IMPACT: Key message: Bilirubin measurements in blood remain the gold standard for diagnosis and treatment of severe neonatal hyperbilirubinemia (SNH). External quality assessment (EQA) plays an important role in revealing inaccuracies in diagnostic bilirubin measurements. What does this article add to the existing literature? We provide analytic performance data on total serum bilirubin (TSB) as measured during recent EQA surveys. We review novel diagnostic point-of-care (POC) bilirubin measurement methods and analytic methods for determining bilirubin levels in biological matrices other than blood. Impact: Manufacturers should make TSB test results traceable to the internationally endorsed total bilirubin reference measurement system and should ensure permissible limits of measurement uncertainty.

Indexed as

Neonatal ScreeningPoint-of-Care TestingBilirubinBiomarkersHumansHyperbilirubinemia, NeonatalInfant, NewbornJaundice, NeonatalPredictive Value of TestsPrognosisReproducibility of ResultsSeverity of Illness IndexUp-RegulationBilirubinBiomarkers

Identifiers

PMID33948000
OpenAlexW3158336237

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.