Evidence map›Paper›PMID 34282604›Full record

SynthesisJournal of Korean medical science2021

Environmental and Genetic Risk Factors of Congenital Anomalies: an Umbrella Review of Systematic Reviews and Meta-Analyses.

Kyung Shin Lee, Yoon Jung Choi, Jinwoo Cho, Hyunji Lee, Heejin Lee, Soo Jin Park, Joong Shin Park, Yun Chul Hong

Open access · goldAbstract readSystematic Review
In one paragraph

Synthesis in Journal of Korean medical science, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 52 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
52citing papers in PubMed, 5 pooled it
8.5field-weighted citation impact, top 2% 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

52 citing papers in PubMed, 5 syntheses or guidelines pooled it, 82 citations in OpenAlex.

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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 4 institutions in 2 countries.

Kyung Shin Lee *Department of Preventive Medicine, Seoul National University College of Medicine, Seoul, Korea.ORCID https://orcid.org/0000-0003-3451-3763
Yoon Jung Choi *Department of Preventive Medicine, Seoul National University College of Medicine, Seoul, Korea.ORCID https://orcid.org/0000-0001-8168-0228
Jinwoo ChoDepartment of Statistics, University of Pittsburgh, Pittsburgh, PA, USA.ORCID https://orcid.org/0000-0002-5848-1770
Hyunji LeeInstitute of Environmental Medicine, Seoul National University Medical Research Center, Seoul, Korea.ORCID https://orcid.org/0000-0003-4388-2229
Heejin LeeInstitute of Environmental Medicine, Seoul National University Medical Research Center, Seoul, Korea.ORCID https://orcid.org/0000-0002-5327-4609
Soo Jin ParkDepartment of Surgery, Wonkwang University Sanbon Hospital, Gunpo, Korea.ORCID https://orcid.org/0000-0001-8008-2445
Joong Shin ParkDepartment of Obstetrics and Gynecology, Seoul National University College of Medicine, Seoul, Korea.ORCID https://orcid.org/0000-0002-5246-0477
Yun Chul HongDepartment of Preventive Medicine, Seoul National University College of Medicine, Seoul, Korea.ORCID https://orcid.org/0000-0001-9010-7271
Seoul National University · KRSeoul National University Hospital · KRUniversity of Pittsburgh · USWonkwang University · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe prevalence of congenital anomalies in newborns in South Korea was 272.9 per 100,000 in 2005, and 314.7 per 100,000 in 2006. In other studies, the prevalence of congenital anomalies in South Korea was equivalent to 286.9 per 10,000 livebirths in 2006, while it was estimated 446.3 per 10,000 births during the period from 2008 to 2014. Several systematic reviews and meta-analyses analyzing the factors contributing to congenital anomalies have been reported, but comprehensive umbrella reviews are lacking.

methodsWe searched PubMed, Google Scholar, Cochrane, and EMBASE databases up to July 1, 2019, for systematic reviews and meta-analyses that investigated the effects of environmental and genetic factors on any type of congenital anomalies. We categorized 8 subgroups of congenital anomalies classified according to the 10th revision of the International Statistical Classification of Diseases (ICD-10). Two researchers independently searched the literature, retrieved the data, and evaluated the quality of each study.

resultsWe reviewed 66 systematic reviews and meta-analyses that investigated the association between non-genetic or genetic risk factors and congenital anomalies. Overall, 269 associations and 128 associations were considered for environmental and genetic risk factors, respectively. Congenital anomalies based on congenital heart diseases, cleft lip and palate, and others were associated with environmental risk factors based on maternal exposure to environmental exposures (air pollution, toxic chemicals), parental smoking, maternal history (infectious diseases during pregnancy, pregestational and gestational diabetes mellitus, and gestational diabetes mellitus), maternal obesity, maternal drug intake, pregnancy through artificial reproductive technologies, and socioeconomic factors. The association of maternal alcohol or coffee consumption with congenital anomalies was not significant, and maternal folic acid supplementation had a preventive effect on congenital heart defects. Genes or genetic loci associated with congenital anomalies included

conclusionThis study provides a wide perspective on the distribution of environmental and genetic risk factors of congenital anomalies, thus suggesting future studies and providing health policy implications.

Indexed as

Meta-Analysis as TopicSystematic Reviews as TopicCleft LipCleft PalateCongenital AbnormalitiesDiabetes, GestationalEnvironmental ExposureFemaleHeart Defects, CongenitalHumansInfant, NewbornMaternal ExposurePregnancyPregnancy ComplicationsPrenatal Exposure Delayed EffectsRisk FactorsCongenital DiseaseGeneticMeta-AnalysisNon-GeneticRisk Factor

Identifiers

PMID34282604
PMCPMC8289720
OpenAlexW3175803896

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.