Evidence map›Paper›PMID 34244451›Full record

ArticlePediatrics2021

Gestational Age at Term and Educational Outcomes at Age Nine.

Amanda Hedges, Hope Corman, Kelly Noonan, Nancy E Reichman

Abstract read
In one paragraph

Article in Pediatrics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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

12 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
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  12. Early Childcare Precarity and Subsequent Maternal Health.Women's health issues : official publication of the Jacobs Institute of Women's Health
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

4 authors.

Amanda HedgesDivision of Neonatology ahedges6981@gmail.com.
Hope CormanDepartment of Economics, Rider University and National Bureau of Economic Research, Lawrenceville, New Jersey.
Kelly NoonanDepartment of Economics, Princeton University, Princeton, New Jersey.
Nancy E ReichmanDepartment of Pediatrics, Robert Wood Johnson Medical School, and.

Funding

Fragile Families and the Transition to AdulthoodR01HD036916 · NICHD · PRINCETON UNIVERSITY · PI Kathryn Edin, Jane Waldfogel · 1999 to 2026
$46.3M
New Jersey Alliance for Clinical Translational Science: NJ ACTSUL1TR003017 · NCATS · RUTGERS BIOMEDICAL/HEALTH SCIENCES-RBHS · PI PANETTIERI, REYNOLD ALEXANDER · 2019 to 2023
$28.9M
Development CoreP2CHD058486 · NICHD · COLUMBIA UNIV NEW YORK MORNINGSIDE · PI Jennifer S Hirsch, Julien O Teitler · 2014 to 2026
$4.3M
Obstetric Interventions, Neonatal Health, and Child DevelopmentR01HD090119 · NICHD · COLUMBIA UNIV NEW YORK MORNINGSIDE · PI REICHMAN, NANCY E, TEITLER, JULIEN O · 2017 to 2020
$1.5M
Future of Families and Child Wellbeing Study Summer Data WorkshopR25HD074544 · NICHD · COLUMBIA UNIV NEW YORK MORNINGSIDE · PI Amanda Geller, Julien O Teitler · 2013 to 2026
$1.5M
NCATS NIH HHS UL1 TR003017NICHD NIH HHS P2C HD058486NICHD NIH HHS R01 HD036916NICHD NIH HHS R01 HD090119NICHD NIH HHS R25 HD074544
6 · The paper itself

Abstract

objectivesTo estimate associations between gestational age (GA) and teacher-reported academic outcomes at age 9 years among children born at term (37-41 weeks).

methodsA secondary data analysis of 1405 children participating in a national US birth cohort study was conducted. At age 9 years, students were evaluated by their teachers in the areas of mathematics, science and social studies, and language and literacy. Unadjusted and adjusted logistic regression models of associations between GA and teacher-reported academic outcomes were estimated and neonatal morbidities were explored as potential pathways.

resultsA continuous measure of GA in weeks was significantly associated with above-average rankings in all areas. The associations were similar across outcomes (eg, mathematics [odds ratio (OR): 1.13; confidence interval (CI): 1.02-1.25], science and social studies [OR: 1.13; CI: 1.01-1.26], and language and literacy [OR: 1.16; CI: 1.05-1.28]) in a model that adjusted for child sex, maternal characteristics, and obstetric risk factors and delivery complications. Other specifications indicate a positive association between late term (41 weeks) and mathematics and a negative association between early term (37-38 weeks) and language and literacy, compared with term (39-40). The associations did not appear to operate through neonatal morbidity.

conclusionsThe findings highlight the importance of GA, even at term. Whereas current guidelines suggest waiting until at least 39 weeks to deliver when possible, our findings add to a small group of studies suggesting that GA through 41 weeks is associated with improvements in some educational outcomes.

Indexed as

Educational StatusGestational AgeChildCohort StudiesFemaleHumansMaleTerm Birth

Identifiers

PMID34244451
PMCPMC8344335

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.