Evidence map›Paper›PMID 34497358›Full record

SynthesisPediatric research2022

Click-evoked auditory brainstem responses and autism spectrum disorder: a meta-analytic investigation of disorder specificity.

Nicole M Talge, Melanie Adkins, Paul R Kileny, Isabella Frownfelter

Open access · greenAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Pediatric research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.0field-weighted citation impact, top 30% 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

5 citing papers in PubMed, 13 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

4 authors at 2 institutions in 1 country.

Nicole M TalgeDepartment of Epidemiology and Biostatistics, Michigan State University, East Lansing, MI, 48824, USA. talgenic@msu.edu.ORCID http://orcid.org/0000-0001-7145-0867
Melanie AdkinsDepartment of Epidemiology and Biostatistics, Michigan State University, East Lansing, MI, 48824, USA.
Paul R KilenyDepartment of Otolaryngology-Head and Neck Surgery, University of Michigan, Ann Arbor, MI, 48109, USA.
Isabella FrownfelterCollege of Human Medicine, Michigan State University, East Lansing, MI, 48824, USA.
Michigan State University · USUniversity of Michigan · US

Funding

False positive newborn hearing screening results and autism spectrum disorderR01DC019098 · NIDCD · MICHIGAN STATE UNIVERSITY · PI TALGE, NICOLE · 2021 to 2023
$927k
Neonatal ABRs and Heritable Risk for ASDR21DC015550 · NIDCD · MICHIGAN STATE UNIVERSITY · PI TALGE, NICOLE · 2017 to 2018
$426k
NIDCD NIH HHS R01 DC019098NIDCD NIH HHS R21 DC015550
6 · The paper itself

Abstract

backgroundClick-evoked auditory brainstem response (ABR) alterations are associated with autism spectrum disorder (ASD), but the specificity of these findings to the disorder is unclear. We therefore performed a meta-analysis on ABRs and attention-deficit/hyperactivity disorder (ADHD), a neurodevelopmental disorder that shares some etiologic and symptom overlap with ASD.

methodsSeven papers compared ABR latency components (I, III, V, I-III, III-V, and I-V) between participants with and without ADHD. We used random-effects regression to generate component-specific estimates (Hedges's g) that adjusted for study sample sizes and the number of studies contributing to each estimate. We compared these estimates to our recently published meta-analysis of ABRs and ASD.

resultsAll ADHD studies employed cross-sectional designs. ADHD was associated with longer latencies for waves III and V (g = 0.6, 95% confidence interval (CI) 0.3, 1.0 and g = 0.6, 95% CI 0.3, 0.9) and waves I-III and I-V (g = 0.7, 95% CI 0.2, 1.3 and g = 0.6, 95% CI 0.3, 1.0). Effect sizes from the ASD and ADHD meta-analyses did not differ from each other.

conclusionsSimilar patterns of ABR alterations are observed in ADHD and ASD. However, studies rarely screen for middle ear dysfunction or hearing loss and rely upon cross-sectional designs. Addressing these issues will inform the viability of ABRs as a prognostic and/or etiologic biomarker for these disorders. IMPACT: Click-evoked ABR alterations are associated with ASD, but the specificity of these findings to the disorder is unclear. We therefore performed a meta-analysis of the association between ABRs and ADHD, a disorder that shares some etiologic and symptom overlap with ASD. ADHD was associated with longer ABR latencies for several components. These components are identical to those implicated in ASD. Effect sizes were similar in magnitude across disorders. The viability of ABRs as prognostic and/or etiologic biomarkers for neurodevelopmental risk requires addressing limitations in the literature (e.g., cross-sectional data, non-standardized ABR protocols, minimal characterization of symptom heterogeneity).

Indexed as

Attention Deficit Disorder with HyperactivityAutism Spectrum DisorderHearing LossCross-Sectional StudiesData CollectionEvoked Potentials, Auditory, Brain StemHumans

Identifiers

PMID34497358
PMCPMC8901768
OpenAlexW3196722116

What OpenQuestion holds

Textmetadata
LicenceTDM
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.