Evidence map›Paper›PMID 35757961›Full record

ArticleBirth defects research2022

Maternal cigarette smoking and alcohol consumption and congenital diaphragmatic hernia.

Julia Finn, Jonathan Suhl, Vijaya Kancherla, Kristin M Conway, Jacob Oleson, Alpa Sidhu, Eirini Nestoridi, Sarah C Fisher, Sonja A Rasmussen, Wei Yang and 2 more

Open access · hybridAbstract read
In one paragraph

Article 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 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.7field-weighted citation impact, top 16% 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

6 citing papers in PubMed, 8 citations in OpenAlex.

  1. Review
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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

12 authors at 7 institutions in 1 country.

Julia FinnDepartment of Epidemiology, Rollins School of Public Health, Emory University, Atlanta, Georgia, USA.
Jonathan SuhlDepartment of Epidemiology, College of Public Health, University of Iowa, Iowa City, Iowa.
Vijaya KancherlaDepartment of Epidemiology, Rollins School of Public Health, Emory University, Atlanta, Georgia, USA.ORCID 0000-0002-2803-8030
Kristin M ConwayDepartment of Epidemiology, College of Public Health, University of Iowa, Iowa City, Iowa.ORCID 0000-0001-8633-966X
Jacob OlesonDepartment of Biostatistics, College of Public Health, University of Iowa, Iowa City, Iowa.
Alpa SidhuDivision of Medical Genetics and Genomics, Stead Family Department of Pediatrics, University of Iowa Hospitals and Clinics, Iowa City, Iowa, USA.
Eirini NestoridiCenter for Birth Defects Research and Prevention, Massachusetts Department of Public Health, Boston, Massachusetts, USA.
Sarah C FisherBirth Defects Registry, New York State Department of Health, Albany, New York, USA.ORCID 0000-0002-4702-1007
Sonja A RasmussenDepartments of Pediatrics, Obstetrics and Gynecology, and Epidemiology, College of Public Health and Health Professions, University of Florida College of Medicine, Gainesville, Florida, USA.ORCID 0000-0002-0574-4928
Wei YangDepartment of Pediatrics, Stanford University School of Medicine, Stanford, California, USA.
Paul A RomittiDepartment of Epidemiology, College of Public Health, University of Iowa, Iowa City, Iowa.ORCID 0000-0001-5393-9984
National Birth Defects Prevention Study
University of Iowa · USEmory University · USMassachusetts Department of Public Health · USNew York State Department of Health · USStanford University · USUniversity of Florida Health · USUniversity of Iowa Hospitals and Clinics · US

Funding

BD-STEPS II (Birth Defects Study To Evaluate Pregnancy exposures) - Core (Component A) & Steps Stillbirth (Component B)U01DD001224 · DD · MASSACHUSETTS STATE DEPT OF PUB HEALTH · PI MITCHELL, ALLEN A, YAZDY, MAHSA M · 2018 to 2022
$6.5M
Iowa CBDRP: Component A BD-STEPS II CoreU01DD001223 · DD · UNIVERSITY OF IOWA · PI CONWAY, KRISTIN, ROMITTI, PAUL A · 2018 to 2022
$4.3M
New York State Component A: BD-STEPS II CoreU01DD001227 · DD · CENTER OF ENVIRONMENTAL HEALTH · PI HOWLEY, MEREDITH M · 2018 to 2022
$4.2M
Iowa CBDRP: Birth Defects Study To Evaluate Pregnancy exposureSU01DD001035 · DD · UNIVERSITY OF IOWA · PI ROMITTI, PAUL A · 2013 to 2017
$3.5M
NCBDD CDC HHS U01 DD001035NCBDD CDC HHS U01 DD001223NCBDD CDC HHS U01 DD001224NCBDD CDC HHS U01 DD001227
6 · The paper itself

Abstract

backgroundCongenital diaphragmatic hernia (CDH) occurs when abnormal diaphragm development allows herniation of abdominal organs into the thoracic cavity. Its etiopathogenesis is not well understood, but cigarette smoking and alcohol exposure may impact diaphragm development. Using data from a large, population-based case-control study, we examined associations between maternal cigarette smoking and alcohol consumption and CDH in offspring.

methodsWe analyzed maternal interview reports of cigarette smoking and alcohol consumption during early pregnancy for 831 children with CDH and 11,416 children without birth defects with estimated dates of delivery during 1997-2011. Generalized linear mixed effects models with a random intercept for study site were used to estimate associations between measures of exposure to smoking (any, type, frequency, duration) and alcohol (any, quantity, frequency, variability, type) for all CDH combined and selected subtypes (Bochdalek and Morgagni).

resultsMothers of 280 (34.0%) case and 3,451 (30.3%) control children reported early pregnancy exposure to cigarette smoking. Adjusted odds ratios for all CDH were increased for any (1.3; 95% confidence interval 1.1-1.5), active (1.3, 1.0-1.7), and passive (1.4, 1.1-1.7) smoking. Early pregnancy alcohol consumption was reported by mothers of 286 (34.9%) case and 4,200 (37.0%) control children; odds were near the null for any consumption (0.9, 0.8-1.1) and consumption with (0.9, 0.7, 1.1) or without (0.9, 0.8, 1.1) binging. Estimates for smoking and alcohol tended to be higher for Bochdalek CDH and Morgagni CDH than those for all CDH.

conclusionsFindings suggest that maternal early pregnancy exposure to cigarette smoking, but less so to alcohol consumption, contributes to CDH. These findings need to be replicated in additional large studies that use systematic case ascertainment and classification, detailed exposure assessment, and examine subtype-specific associations.

Indexed as

Alcohol DrinkingCigarette SmokingHernias, Diaphragmatic, CongenitalMaternal ExposureCase-Control StudiesChildFemaleHumansPregnancyalcoholcase-controlcongenital diaphragmatic herniapopulation-basedpregnancysmoking

Identifiers

PMID35757961
PMCPMC9545134
OpenAlexW4283585998

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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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.