Evidence map›Paper›PMID 36769422›Full record

ArticleJournal of clinical medicine2023

Incidence of Isolated Biliary Atresia during the COVID Lockdown in Europe: Results from a Collaborative Project by RARE-Liver.

Mark Nomden, Naved K Alizai, Pietro Betalli, Janneke L M Bruggink, Mara Cananzi, Vibeke Brix Christensen, Lorenzo D'Antiga, Mark Davenport, Björn Fischler, Luise Hindemith and 14 more

Abstract read
In one paragraph

Article in Journal of clinical medicine, 2023. 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
–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

5 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Review
  5. Biliary atresia.Nature reviews. Disease primers · 2024
    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

24 authors.

Mark NomdenDivision of Paediatric Surgery, Department of Surgery, University of Groningen, University Medical Centre Groningen, 9713 GZ Groningen, The Netherlands.
Naved K AlizaiDepartment of Paediatric Surgery & Liver Unit, Leeds General Infirmary, Leeds LS1 3EX, UK.
Pietro BetalliEuropean Reference Network for Hepatological Diseases (ERN RARE-LIVER), D-20246 Hamburg, Germany.
Janneke L M BrugginkDivision of Paediatric Surgery, Department of Surgery, University of Groningen, University Medical Centre Groningen, 9713 GZ Groningen, The Netherlands.
Mara CananziEuropean Reference Network for Hepatological Diseases (ERN RARE-LIVER), D-20246 Hamburg, Germany.
Vibeke Brix ChristensenEuropean Reference Network for Hepatological Diseases (ERN RARE-LIVER), D-20246 Hamburg, Germany.
Lorenzo D'AntigaEuropean Reference Network for Hepatological Diseases (ERN RARE-LIVER), D-20246 Hamburg, Germany.ORCID 0000-0001-7150-3148
Mark DavenportEuropean Reference Network for Hepatological Diseases (ERN RARE-LIVER), D-20246 Hamburg, Germany.ORCID 0000-0002-0938-2717
Björn FischlerEuropean Reference Network for Hepatological Diseases (ERN RARE-LIVER), D-20246 Hamburg, Germany.ORCID 0000-0001-8824-9991
Luise HindemithEuropean Reference Network for Hepatological Diseases (ERN RARE-LIVER), D-20246 Hamburg, Germany.
Maria HukkinenEuropean Reference Network for Hepatological Diseases (ERN RARE-LIVER), D-20246 Hamburg, Germany.
Lars S JohansenEuropean Reference Network for Hepatological Diseases (ERN RARE-LIVER), D-20246 Hamburg, Germany.
Ruben H de KleineEuropean Reference Network for Hepatological Diseases (ERN RARE-LIVER), D-20246 Hamburg, Germany.ORCID 0000-0003-3975-3184
Omid Madadi-SanjaniEuropean Reference Network for Hepatological Diseases (ERN RARE-LIVER), D-20246 Hamburg, Germany.ORCID 0000-0002-7239-8973
Evelyn G P OngEuropean Reference Network for Hepatological Diseases (ERN RARE-LIVER), D-20246 Hamburg, Germany.
Mikko P PakarinenEuropean Reference Network for Hepatological Diseases (ERN RARE-LIVER), D-20246 Hamburg, Germany.ORCID 0000-0001-6016-6334
Claus PetersenEuropean Reference Network for Hepatological Diseases (ERN RARE-LIVER), D-20246 Hamburg, Germany.ORCID 0000-0002-1789-7163
Mathias RuizEuropean Reference Network for Hepatological Diseases (ERN RARE-LIVER), D-20246 Hamburg, Germany.
Matthias SchunnEuropean Reference Network for Hepatological Diseases (ERN RARE-LIVER), D-20246 Hamburg, Germany.
Ekkehard SturmEuropean Reference Network for Hepatological Diseases (ERN RARE-LIVER), D-20246 Hamburg, Germany.
Henkjan J VerkadeEuropean Reference Network for Hepatological Diseases (ERN RARE-LIVER), D-20246 Hamburg, Germany.
Barbara E WildhaberEuropean Reference Network for Hepatological Diseases (ERN RARE-LIVER), D-20246 Hamburg, Germany.ORCID 0000-0003-4548-382X
Jan B F HulscherDivision of Paediatric Surgery, Department of Surgery, University of Groningen, University Medical Centre Groningen, 9713 GZ Groningen, The Netherlands.
On Behalf Of Members Of The Biliary Atresia And Related Disorders Bard Community The Ern Ra-Re-Liver

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundBiliary atresia (BA) is a rare cholangiopathy where one of the proposed aetiological mechanisms is an infectious viral trigger. Coronavirus disease-19 (COVID) lockdown restrictions were implemented to reduce the transmission of infections. Strictness of lockdown varied across European countries. This study aimed to investigate if there was an association between strictness of lockdown and change in isolated BA (IBA) incidence in Europe.

methodsWe approached European centres involved in the European Reference Network RARE-LIVER. We included IBA patients born between 2015 and June 2020. We calculated the number of IBA patients born per centre per month. The Stringency Index (SI) was used as lockdown strictness indicator. The association between percentage change of mean number of IBA patients born per month and the SI was assessed.

resultsWe included 412 IBA patients from thirteen different centres. The median number of patients per month did not change: 6 (1-15) pre-lockdown and 7 (6-9) during lockdown (

conclusionIn this European study, a stricter COVID-lockdown was seemingly accompanied by a simultaneous larger decrease in the number of IBA patients born per month in the lockdown. Results should be interpreted with caution due to the assumptions and limitations of the analysis.

Indexed as

biliary atresiaCOVID lockdownepidemiologyEuropean reference network RARE-LIVERstringency index

Identifiers

PMID36769422
PMCPMC9918263

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.