Evidence map›Paper›PMID 34378009›Full record

SynthesisDiseases of the esophagus : official journal of the International Society for Diseases of the Esophagus2021

Long-term neurodevelopment in children born with esophageal atresia: a systematic review.

Camille E van Hoorn, Chantal A Ten Kate, Andre B Rietman, Leontien C C Toussaint-Duyster, Robert Jan Stolker, Rene M H Wijnen, Jurgen C de Graaff

Abstract readSystematic Review
In one paragraph

Synthesis in Diseases of the esophagus : official journal of the International Society for Diseases of the Esophagus, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing 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

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

  1. Guideline
  2. Pooled it
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  10. The risk of autism spectrum disorder and intellectual disability but not attention deficit/hyperactivity disorder is increased in individuals with esophageal atresia.Diseases of the esophagus : official journal of the International Society for Diseases of the Esophagus · 2023
    Article
  11. Article
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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

7 authors.

Camille E van HoornDepartment of Anaesthesiology, Erasmus MC-Sophia Children's Hospital University Medical Centre, Rotterdam, The Netherlands.ORCID 0000-0002-8222-1848
Chantal A Ten KateDepartment of Paediatric Surgery, Erasmus MC-Sophia Children's Hospital University Medical Centre, Rotterdam, The Netherlands.
Andre B RietmanDepartment of Child and Adolescent Psychiatry/Psychology, Erasmus MC-Sophia Children's Hospital University Medical Centre, Rotterdam, The Netherlands, and.
Leontien C C Toussaint-DuysterDepartment of Orthopaedics, Section of Physical Therapy, Erasmus MC-Sophia Children's Hospital University Medical Centre, Rotterdam, The Netherlands.
Robert Jan StolkerDepartment of Anaesthesiology, Erasmus MC-Sophia Children's Hospital University Medical Centre, Rotterdam, The Netherlands.
Rene M H WijnenDepartment of Paediatric Surgery, Erasmus MC-Sophia Children's Hospital University Medical Centre, Rotterdam, The Netherlands.
Jurgen C de GraaffDepartment of Anaesthesiology, Erasmus MC-Sophia Children's Hospital University Medical Centre, Rotterdam, The Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAlthough the survival rate of esophageal atresia (EA) has increased to over 90%, the risk of functional long-term neurodevelopmental deficits is uncertain. Studies on long-term outcomes of children with EA show conflicting results. Therefore, we provide an overview of the current knowledge on the long-term neurodevelopmental outcome of children with EA.

methodsWe performed a structured literature search in Embase, Medline Ovid, Web of Science, Cochrane CENTRAL, and Google scholar on November 8, 2020 with the keywords 'esophageal atresia', 'long-term outcome', 'motor development', 'cognitive development', and 'neurodevelopment'.

resultsThe initial search identified 945 studies, of which 15 were included. Five of these published outcomes of multiple tests or tested at multiple ages. Regarding infants, one of six studies found impaired neurodevelopment at 1 year of age. Regarding preschoolers, two of five studies found impaired neurodevelopment; the one study assessing cognitive development found normal cognitive outcome. Both studies on motor function reported impairment. Regarding school-agers, the one study on neurodevelopmental outcome reported impairment. Cognitive impairment was found in two out of four studies, and motor function was impaired in both studies studying motor function.

conclusionsLong-term neurodevelopment of children born with EA has been assessed with various instruments, with contrasting results. Impairments were mostly found in motor function, but also in cognitive performance. Generally, the long-term outcome of these children is reason for concern. Structured, multidisciplinary long-term follow-up programs for children born with EA would allow to timely detect neurodevelopmental impairments and to intervene, if necessary.

Indexed as

Esophageal AtresiaChildHumansInfantchildrenesophageal atresianeurology

Identifiers

PMID34378009
PMCPMC8597907

What OpenQuestion holds

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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.