Evidence map›Paper›PMID 36200375›Full record

ArticlePediatrics2022

Long-Term Outcome of Necrotizing Enterocolitis and Spontaneous Intestinal Perforation.

Ruben Vaidya, Joe X Yi, T Michael O'Shea, Elizabeth T Jensen, Robert M Joseph, Jeffrey Shenberger, Semsa Gogcu, Kathryn Wagner, Michael E Msall, Amanda L Thompson and 4 more

Registry-linked trialOpen access · greenAbstract read
In one paragraph

Article in Pediatrics, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07207915 (Analysis of Integrated Clinical, Laboratory and Prognostic Data of Neonates With Necrotizing Enterocolitis), which is not on this map. Cited by 25 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 3 pooled it
3.6field-weighted citation impact, top 6% 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.

NCT07207915 completednot on this mapstarted 2023, after this paper: background citation

Analysis of Integrated Clinical, Laboratory and Prognostic Data of Neonates With Necrotizing Enterocolitis

TypeobservationalSponsorSixth Affiliated Hospital, Sun Yat-sen UniversityRan2023 to 2025Enrolled400ConditionsNecrotizing EnterocolitisArmsObservational retrospective cohort study
3 · Its place in the literature

Who cites it

25 citing papers in PubMed, 3 syntheses or guidelines pooled it, 33 citations in OpenAlex.

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  20. Cholestasis is associated with a higher rate of complications in both medical and surgical necrotizing enterocolitis.Journal of perinatology : official journal of the California Perinatal Association · 2024
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

14 authors at 12 institutions in 4 countries.

Ruben VaidyaDepartment of Pediatrics, University of Massachusetts Chan Medical School, Baystate, Springfield, Massachusetts.
Joe X YiFrank Porter Graham Child Development Institute.
T Michael O'SheaDepartments of Pediatrics.
Elizabeth T JensenDepartments of Epidemiology and Prevention, Internal Medicine.
Robert M JosephDepartment of Anatomy and Neurobiology, Boston University School of Medicine, Boston, Massachusetts.
Jeffrey ShenbergerPediatrics, Wake Forest School of Medicine, Winston-Salem, North Carolina.
Semsa GogcuPediatrics, Wake Forest School of Medicine, Winston-Salem, North Carolina.
Kathryn WagnerDepartment of Pediatrics, University of Massachusetts Chan Medical School, Baystate, Springfield, Massachusetts.
Michael E MsallKennedy Research Center on Intellectual and Neurodevelopmental Disabilities, University of Chicago, Chicago, Illinois.
Amanda L ThompsonAnthropology, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina.
Jean A FrazierDepartment of Psychiatry, Eunice Kennedy Shriver Center, University of Massachusetts Chan Medical School, Worcester, Massachusetts.
Rebecca FryInstitute for Environmental Health Solutions.
Rachana SinghDepartment of Pediatrics, Tufts Children's Hospital, Tufts University School of Medicine, Boston, Massachusetts.
ELGAN-ECHO Study Investigators
Wake Forest University · USBoston University · USChild Development Center · QAEunice Kennedy Shriver Center · USGeneral Department of Preventive Medicine · VNHealth Solutions (Sweden) · SEPediatrics and Genetics · USTufts Children's Hospital · USUniversity of Chicago · USUniversity of Massachusetts Amherst · USUniversity of Massachusetts Chan Medical School · USUniversity of North Carolina at Chapel Hill · US

Funding

UNC-CH CENTER FOR ENVIRONMENTAL HEALTH &SUSCEPTIBILITYP30ES010126 · NIEHS · UNIV OF NORTH CAROLINA CHAPEL HILL · PI Stephanie Engel · 2001 to 2026
$36.3M
Neonatal Biomarkers in Extremely Preterm Babies Predict Childhood Brain DisordersU01NS040069 · NINDS · CHILDREN'S HOSPITAL BOSTON · PI KUBAN, KARL · 2001 to 2014
$34.0M
Environment, Epigenetics, Neurodevelopment & Health of Extremely Preterm ChildrenUG3OD023348 · OD · UNIV OF NORTH CAROLINA CHAPEL HILL · PI FRY, REBECCA, O'SHEA, MICHAEL · 2016 to 2024
$7.4M
NIEHS NIH HHS P30 ES010126NIH HHS UG3 OD023348NINDS NIH HHS U01 NS040069
6 · The paper itself

Abstract

objectivesNecrotizing enterocolitis (NEC) and spontaneous intestinal perforation (SIP) are complications in preterm infants associated with high morbidity, mortality, impaired growth, and neurodevelopmental (ND) outcomes. Few studies have reported growth or ND outcomes of infants born extremely preterm with NEC/SIP beyond early childhood. Here, we compared anthropometric and ND outcomes, at 10 and 15 years, for children with medical NEC, surgical NEC, SIP, and neither NEC nor SIP.

methodsParticipants from the prospective longitudinal extremely low gestational age newborns study were evaluated at ages 10 and 15 years for anthropometrics, neurocognition, attention-deficit/hyperactivity disorder, epilepsy, and gross motor function.

resultsAt age 10 years, 889 children were followed-up (medical NEC = 138, surgical NEC = 33, SIP = 29, no NEC/SIP = 689), and 694 children were followed up-at 15 years. Children with medical NEC had similar weight, BMI, height, and head circumference compared with controls at both 10 and 15 years. At 15 years, children with surgical NEC had lower weight z-score (adjusted β: -0.75, 95% confidence interval [CI]: -1.25 to -0.25), lower BMI z-score (adjusted β: -0.55, 95% CI: -1.09 to -0.01), and lower height z-score (adjusted β: -0.65, 95% CI: -1.16 to -0.14). Children with SIP had lower weight and height z-scores at age 10 years when adjusted for sample attrition, but these differences were not significant when adjusted for confounders. We observed no differences in long-term ND outcomes.

conclusionsSurgical NEC- and SIP-associated growth impairment may persist through late childhood. ND outcomes among school-aged children born extremely preterm with any NEC or SIP are no different from children without NEC/SIP.

Indexed as

Enterocolitis, NecrotizingInfant, Newborn, DiseasesInfant, Premature, DiseasesIntestinal PerforationAdolescentChildChild, PreschoolHumansInfantInfant, NewbornInfant, PrematureProspective StudiesRetrospective Studies

Identifiers

PMID36200375
PMCPMC9647591
OpenAlexW4302299182

What OpenQuestion holds

Textmetadata
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Registered trials

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.