Evidence map›Paper›PMID 37722553›Full record

ArticleThe Journal of pediatrics2024

Comparing Gastrointestinal Endoscopy Findings in Children with Autism, Developmental Delay, or Typical Development.

Sonia A Ballal, Saige Greenwell, Enju Liu, Timothy Buie, Jocelyn Silvester, McKenzie Leier, Maura Filippelli, Athos Bousvaros, Bridget Hron

Open access · greenAbstract read
In one paragraph

Article in The Journal of pediatrics, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
1.0field-weighted citation impact, top 24% 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

1 citing paper in PubMed, 3 citations in OpenAlex.

  1. Article
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

9 authors at 1 institution in 1 country.

Sonia A BallalDivision of Gastroenterology, Hepatology and Nutrition, Boston Children's Hospital, Boston, MA. Electronic address: sonia.ballal@childrens.harvard.edu.
Saige GreenwellDivision of Gastroenterology, Hepatology and Nutrition, Boston Children's Hospital, Boston, MA.
Enju LiuInstitutional Centers for Clinical and Translational Research, Boston Children's Hospital, Boston, MA.
Timothy BuieDivision of Gastroenterology, Hepatology and Nutrition, Boston Children's Hospital, Boston, MA.
Jocelyn SilvesterDivision of Gastroenterology, Hepatology and Nutrition, Boston Children's Hospital, Boston, MA.
McKenzie LeierDivision of Gastroenterology, Hepatology and Nutrition, Boston Children's Hospital, Boston, MA.
Maura FilippelliDivision of Gastroenterology, Hepatology and Nutrition, Boston Children's Hospital, Boston, MA.
Athos BousvarosDivision of Gastroenterology, Hepatology and Nutrition, Boston Children's Hospital, Boston, MA.
Bridget HronDivision of Gastroenterology, Hepatology and Nutrition, Boston Children's Hospital, Boston, MA.
Boston Children's Hospital · US

Funding

STRUCTURE-FUNCTION RELATIONSHIPS IN THE ALIMENTARY TRACTP30DK034854 · NIDDK · HARVARD UNIVERSITY (MEDICAL SCHOOL) · PI Scott B Snapper · 1986 to 2026
$32.4M
A Novel N-of-1 Randomized, Controlled, Clinical Trial to Assess the Effect of Blenderized Tube Feeds on Esophagogastric PhysiologyK23DK133679 · NIDDK · BOSTON CHILDREN'S HOSPITAL · PI Bridget Mary Hron · 2022 to 2026
$1.0M
Mechanisms and Markers of Small Intestinal Epithelial Injury and Villous AtrophyK23DK119584 · NIDDK · BOSTON CHILDREN'S HOSPITAL · PI SILVESTER, JOCELYN ANNE · 2019 to 2023
$971k
NIDDK NIH HHS K23 DK119584NIDDK NIH HHS K23 DK133679NIDDK NIH HHS P30 DK034854
6 · The paper itself

Abstract

objectiveTo compare endoscopic and histologic upper endoscopy (esophagogastroduodenoscopy [EGD]) findings in children with autism spectrum disorders (ASD) to age- and gender-matched controls with developmental delay (DD) or with typical development (TD).

methodsRetrospective, cross-sectional study of children undergoing EGD, identifying those diagnosed with ASD, and matching on age and gender to children with DD or TD in ratio of 1:1:2. Rates of EGD findings were compared between the 3 groups using χ² or Fisher exact test. Multivariable linear regression was performed to identify predictors of abnormal histology.

resultsA total of 2104 patients were included (526 ASD; 526 DD; 1052 TD). Children with ASD had higher rates of abnormal esophageal histology (ASD 38.4%; DD 33.4%; TD 30.4%, P = .008), particularly esophagitis. In multivariable modeling, ASD diagnosis was an independent predictor of abnormal esophageal histology (OR [95% CI] 1.38 [1.09, 1.76]) compared with TD. Stomach findings did not differ among the groups. In the duodenum, histologic abnormalities were observed with lower frequency in ASD (ASD 17.0%; DD 20.1%; TD 24.2%, P = .005). In multivariable analysis, ASD diagnosis was not a significant predictor (OR 0.78 [0.56, 1.09]) of abnormal duodenal histology.

conclusionsChildren with ASD have higher rates of histologic esophagitis compared with age- and gender-matched DD and TD controls. ASD was a significant independent predictor of abnormal esophageal, but not, duodenal, histology. These results underscore the importance of EGD in children with ASD.

Indexed as

Autism Spectrum DisorderAutistic DisorderEsophagitisChildCross-Sectional StudiesDevelopmental DisabilitiesEndoscopy, GastrointestinalHumansRetrospective Studies

Identifiers

PMID37722553
PMCPMC10872435
OpenAlexW4386806315

What OpenQuestion holds

Textmetadata
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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.