Evidence map›Paper›PMID 33952334›Full record

ArticleItalian journal of pediatrics2021

Neonatal screening for congenital hypothyroidism in an Italian Centre: a 5-years real-life retrospective study.

Maria Cristina Maggio, Saveria Sabrina Ragusa, Tommaso Silvano Aronica, Orazia Maria Granata, Eleonora Gucciardino, Giovanni Corsello

Open access · goldAbstract read
In one paragraph

Article in Italian journal of pediatrics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
1.9field-weighted citation impact, top 13% 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

13 citing papers in PubMed, 19 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. Article
  5. Observational
  6. Review
  7. Article
  8. History of Neonatal Screening of Congenital Hypothyroidism in Portugal.International journal of neonatal screening · 2024
    Article
  9. Article
  10. Review
  11. Article
  12. Review
  13. Article
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 2 institutions in 2 countries.

Maria Cristina MaggioDepartment of Health Promotion Sciences, Maternal and Infantile Care, Internal Medicine and Medical Specialities PROMISE, "G. D'Alessandro", University of Palermo, Via del Vespro 133, 90127, Palermo, Italy. mariacristina.maggio@unipa.it.ORCID http://orcid.org/0000-0002-7777-1239
Saveria Sabrina RagusaDepartment of Health Promotion Sciences, Maternal and Infantile Care, Internal Medicine and Medical Specialities PROMISE, "G. D'Alessandro", University of Palermo, Via del Vespro 133, 90127, Palermo, Italy.
Tommaso Silvano AronicaU.O.S. Screening Neonatale e Metabolico Allargato of the Children Hospital "G. Di Cristina", ARNAS, Palermo, Italy.
Orazia Maria GranataU.O.S. Screening Neonatale e Metabolico Allargato of the Children Hospital "G. Di Cristina", ARNAS, Palermo, Italy.
Eleonora GucciardinoU.O.S. Screening Neonatale e Metabolico Allargato of the Children Hospital "G. Di Cristina", ARNAS, Palermo, Italy.
Giovanni CorselloDepartment of Health Promotion Sciences, Maternal and Infantile Care, Internal Medicine and Medical Specialities PROMISE, "G. D'Alessandro", University of Palermo, Via del Vespro 133, 90127, Palermo, Italy.
Azienda di Rilievo Nazionale ed Alta Specializzazione · ITDepartment of Health · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionCongenital hypothyroidism is an endocrine disease with a significant incidence in the general population (1:2000-1:3000 newborns in Italy) and a different geographical distribution, partially explained by endemic iodine deficiency, genetic traits and autoimmune thyroid diseases.

objectivesAims of this study are: to evaluate the incidence of positive neonatal blood spot screening for CH in western Sicily, identified by the screening centre of the Children Hospital "G. Di Cristina", ARNAS, Palermo; to evaluate the impact of a lower TSH cutoff in the neonatal blood spot screening for CH. MATERIALS AND

methodsThe TSH threshold of the neonatal screening was established as ≥6 mU/L of whole blood. We analysed the screening centre data in the period January 2013-April 2018, for a total number of 85.373 babies (45.7% males; 54.3% females).

results4.082 Babies (4.8%) required a second screening. Among these, 372 (0.44%) were out of range. The diagnosis of congenital hypothyroidism (CH) was confirmed in 182 babies (0.21%). 77/372 newborns (20.7%) with confirmed high TSH levels showed whole blood TSH levels ≥6 - < 7 mU/L. In synthesis, 48.9% of the out of range re-testing had a confirmed diagnosis of CH.

conclusionThe reduction of TSH cutoff to 6 mU/L allowed to identify 77/372 neonates (20.7%) with confirmed out of range TSH, otherwise not recruited by the previously employed TSH cutoff.

Indexed as

Neonatal ScreeningCongenital HypothyroidismFemaleHumansIncidenceInfant, NewbornMaleRetrospective StudiesRisk FactorsSicilyCongenital hypothyroidismIodine deficiencyNeonatal screeningTSHTwins

Identifiers

PMID33952334
PMCPMC8097769
OpenAlexW3158112934

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.