Evidence map›Paper›PMID 34548007›Full record

SynthesisJournal of neurodevelopmental disorders2021

The prevalence and profile of autism in individuals born preterm: a systematic review and meta-analysis.

Catherine Laverty, Andrew Surtees, Rory O'Sullivan, Daniel Sutherland, Christopher Jones, Caroline Richards

Erratum issuedAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Journal of neurodevelopmental disorders, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 45 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
45citing 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

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

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Article
  5. Mental health outcomes in young adolescents born preterm reveal the need for earlier screening.European psychiatry : the journal of the Association of European Psychiatrists · 2026
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  17. Development of Respiratory Sinus Arrhythmia in Young Infants With Autism Spectrum Disorder, Preterm Birth, and Typical Development.Autism research : official journal of the International Society for Autism Research · 2025
    Article
  18. Article
  19. The Association of Preterm Birth With Autism Spectrum Disorder.Biological psychiatry global open science · 2025
    Article
  20. Factors influencing participation in home, school, and community settings by 6- to 9-year-old children born preterm: a qualitative descriptive study.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2025
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors.

Catherine LavertySchool of Psychology, University of Birmingham, Birmingham, B15 2TT, UK. cml704@student.bham.ac.uk.ORCID http://orcid.org/0000-0003-1101-3942
Andrew SurteesSchool of Psychology, University of Birmingham, Birmingham, B15 2TT, UK.
Rory O'SullivanSchool of Psychology, Loughborough University, Loughborough, LE11 3TU, UK.
Daniel SutherlandSchool of Psychology, University of Birmingham, Birmingham, B15 2TT, UK.
Christopher JonesSchool of Psychology, University of Birmingham, Birmingham, B15 2TT, UK.
Caroline RichardsSchool of Psychology, University of Birmingham, Birmingham, B15 2TT, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionPreterm birth (<37 weeks) adversely affects development in behavioural, cognitive and mental health domains. Heightened rates of autism are identified in preterm populations, indicating that prematurity may confer an increased likelihood of adverse neurodevelopmental outcomes. The present meta-analysis aims to synthesise existing literature and calculate pooled prevalence estimates for rates of autism characteristics in preterm populations.

methodsSearch terms were generated from inspection of relevant high-impact papers and a recent meta-analysis. Five databases were searched from database creation until December 2020 with PRISMA guidelines followed throughout.

results10,900 papers were retrieved, with 52 papers included in the final analyses, further classified by assessment method (screening tools N=30, diagnostic assessment N=29). Pooled prevalence estimates for autism in preterm samples was 20% when using screening tools and 6% when using diagnostic assessments. The odds of an autism diagnosis were 3.3 times higher in individuals born preterm than in the general population.

conclusionsThe pooled prevalence estimate of autism characteristics in individuals born preterm is considerably higher than in the general population. Findings highlight the clinical need to provide further monitoring and support for individuals born preterm.

Indexed as

Autistic DisorderPremature BirthFemaleHumansInfant, NewbornPregnancyPrevalenceAutismLow birth weightMeta-analysisPrematurityPreterm

Identifiers

PMID34548007
PMCPMC8454175

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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.