Evidence map›Paper›PMID 34172781›Full record

ArticleScientific reports2021

Exposures associated with the onset of Kawasaki disease in infancy from the Japan Environment and Children's Study.

Sayaka Fukuda, Shiro Tanaka, Chihiro Kawakami, Tohru Kobayashi, Shuichi Ito, Japan Environment and Children’s Study (JECS) Group

Open access · goldAbstract read
In one paragraph

Article in Scientific reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
2.3field-weighted citation impact, top 12% 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

10 citing papers in PubMed, 14 citations in OpenAlex.

  1. Article
  2. Article
  3. An Update on Kawasaki Disease.Current rheumatology reports · 2024
    Review
  4. Article
  5. The etiologies of Kawasaki disease.The Journal of clinical investigation · 2024
    Review
  6. Article
  7. Article
  8. Article
  9. Article
  10. 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 17 institutions in 1 country.

Sayaka FukudaDepartment of Pediatrics, Graduate School of Medicine, Yokohama City University, 3-9 Fukuura, Kanazawa-ku, Yokohama, Kanagawa, 236-0004, Japan.
Shiro TanakaDepartment of Clinical Biostatistics/Clinical Biostatistics Course, Graduate School of Medicine, Kyoto University, Kyoto, Japan.
Chihiro KawakamiDepartment of Pediatrics, Graduate School of Medicine, Yokohama City University, 3-9 Fukuura, Kanazawa-ku, Yokohama, Kanagawa, 236-0004, Japan.
Tohru KobayashiDepartment of Data Science, Clinical Research Center, Hospital, National Center for Child Health and Development, Tokyo, Japan.
Shuichi ItoDepartment of Pediatrics, Graduate School of Medicine, Yokohama City University, 3-9 Fukuura, Kanazawa-ku, Yokohama, Kanagawa, 236-0004, Japan. itoshu@yokohama-cu.ac.jp.
Japan Environment and Children’s Study (JECS) Group
Yokohama City University · JPKyoto University · JPNational Center For Child Health and Development · JPChiba University · JPFukushima Medical University · JPHokkaido University · JPHyogo Medical University · JPKōchi University · JPKumamoto University · JPNagoya City University · JPNational Institute for Environmental Studies · JPThe University of Osaka · JPTohoku University · JPTottori University Hospital · JPUniversity of Occupational and Environmental Health Japan · JPUniversity of Toyama · JPUniversity of Yamanashi · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Kawasaki disease (KD) is an acute systemic vasculitis that mainly affects infants and young children. The etiology of KD has been discussed for several decades; however, no reproducible risk factors have yet been proven. We used the Japan Environment and Children's Study data to explore the association between the causal effects of exposure during the fetal and neonatal periods and KD onset. The Japan Environment and Children's Study, a nationwide birth cohort study, has followed approximately 100,000 children since 2011. We obtained data on exposures and outcomes from the first trimester to 12 months after birth. Finally, we included 90,486 children who were followed for 12 months. Among them, 343 children developed KD. Multivariate logistic regression revealed that insufficient intake of folic acid during pregnancy (odds ratio [OR], 1.37; 95% CI 1.08-1.74), maternal thyroid disease during pregnancy (OR, 2.03; 95% CI 1.04-3.94), and presence of siblings (OR, 1.33; 95% CI 1.06-1.67) were associated with KD onset in infancy. In this study, we identified three exposures as risk factors for KD. Further well-designed studies are needed to confirm a causal relationship between these exposures and KD onset.

Indexed as

AdolescentAdultChildCohort StudiesFemaleHumansInfantInfant, NewbornJapanMaleMiddle AgedMucocutaneous Lymph Node SyndromeOdds RatioPregnancyYoung Adult

Identifiers

PMID34172781
PMCPMC8233341
OpenAlexW3177026896

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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.