Evidence map›Paper›PMID 35357092›Full record

SynthesisBirth defects research2022

Periconceptional use of vitamin A and the risk of giving birth to a child with nonsyndromic orofacial clefts-A meta-analysis.

Azeez Alade, Wesam Ismail, Rajeshwari Nair, Marin Schweizer, Waheed Awotoye, Abimbola Oladayo, Kelli Ryckman, Azeez Butali

Open access · hybridAbstract readMeta-Analysis
In one paragraph

Synthesis in Birth defects research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
1.1field-weighted citation impact, top 21% 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

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 6 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Review
  6. Review
  7. Review
  8. MicroRNAs and Gene Regulatory Networks Related to Cleft Lip and Palate.International journal of molecular sciences · 2023
    Review
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 2 institutions in 1 country.

Azeez AladeDepartment of Epidemiology, College of Public Health, University of Iowa, Iowa City, Iowa, USA.ORCID 0000-0001-9176-0221
Wesam IsmailCollege of Pharmacy, University of Iowa, Iowa City, Iowa, USA.
Rajeshwari NairUniversity of Iowa Hospitals and Clinics, University of Iowa, Iowa City, Iowa, USA.
Marin SchweizerDepartment of Epidemiology, College of Public Health, University of Iowa, Iowa City, Iowa, USA.
Waheed AwotoyeIowa Institute of Oral Health Research, University of Iowa, Iowa City, Iowa, USA.
Abimbola OladayoIowa Institute of Oral Health Research, University of Iowa, Iowa City, Iowa, USA.
Kelli RyckmanDepartment of Epidemiology, College of Public Health, University of Iowa, Iowa City, Iowa, USA.
Azeez ButaliIowa Institute of Oral Health Research, University of Iowa, Iowa City, Iowa, USA.
University of Iowa · USUniversity of Iowa Hospitals and Clinics · US

Funding

Whole Genome Sequencing for Orofacial Clefts, Incidental Findings and Role of Community GatekeepersR01DE028300 · NIDCR · UNIVERSITY OF IOWA · PI BUTALI, AZEEZ · 2020 to 2024
$3.9M
NIDCR NIH HHS R01 DE028300
6 · The paper itself

Abstract

backgroundWe conducted a meta-analysis of observational epidemiological studies to evaluate the association between periconceptional use of vitamin A and the risk of giving birth to a child with nonsyndromic orofacial clefts (NSOFCs).

methodsWe carried out a systematic literature search of Embase, PubMed, Web of Science, Google Scholar, and OpenGrey from inception to June 30, 2021. Two reviewers independently evaluated the studies that met the inclusion criteria and filled out an abstraction form for each study. Study quality was assessed using the Newcastle-Ottawa Assessment Scale (NOS). Adjusted estimates were pooled with an inverse variance weighting using a random-effects model. Heterogeneity and publication bias were assessed using the Cochran's Q test and funnel plot, respectively.

resultsA total of six case-control studies with moderate risk of bias were included. The pooled OR showed a 20% reduction in the risk of NSOFCs for periconceptional use of vitamin A which was not statistically significant (OR = .80; 95% CI .54-1.17, p = .25). For nonsyndromic cleft lip with or without cleft palate (NSCL/P), the studies were homogenous, and the pooled estimate showed a 13% risk reduction, which was significant (OR = .87; 95% CI .77-.99, p = .03). For nonsyndromic cleft palate only (NSCPO), the pooled estimate showed a 33% lower likelihood, which was not statistically significant (OR = .67; 95% CI .42-1.08, p = .10).

conclusionOur results suggest a possible protective effect for the periconceptional use of vitamin A on the risk of NSCL/P. This finding should be investigated further in prospective studies across multiple populations.

Indexed as

Cleft LipCleft PalateBrainFemaleHumansInfant, NewbornPregnancyProspective StudiesVitamin AVitamin Acraniofacial birth defectsmultivitaminsorofacial cleftsretinolvitamin A

Identifiers

PMID35357092
PMCPMC9321711
OpenAlexW4220877933

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.