Evidence map›Paper›PMID 38446238›Full record

SynthesisPediatric surgery international2024

Factors affecting neurodevelopmental outcome following surgical necrotising enterocolitis: a systematic review.

E I Okten, M Frankl, S Wu, H Gamaty, H Thompson, I E Yardley

Open access · hybridAbstract readSystematic Review
In one paragraph

Synthesis in Pediatric surgery international, 2024. 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
1.2field-weighted citation impact, top 25% 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, 4 citations in OpenAlex.

  1. Review
  2. Necrotizing enterocolitis.Nature reviews. Disease primers · 2026
    Review
  3. Review
  4. Article
  5. [Risk factors for white matter damage in preterm infants with necrotizing enterocolitis].Zhongguo dang dai er ke za zhi = Chinese journal of contemporary pediatrics · 2025
    Article
  6. 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

6 authors at 2 institutions in 1 country.

E I OktenGKT School of Medical Education, King's College London, London, UK.
M FranklGKT School of Medical Education, King's College London, London, UK. miri.frankl@hotmail.co.uk.
S WuGKT School of Medical Education, King's College London, London, UK.
H GamatyGKT School of Medical Education, King's College London, London, UK.
H ThompsonDepartment of Paediatric Surgery, Evelina London Children's Hospital, London, UK.
I E YardleyGKT School of Medical Education, King's College London, London, UK.
King's College London · GBEvelina London Children's Healthcare · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Surgically treated necrotising enterocolitis (sNEC) is associated with significantly worse neurodevelopmental outcomes than that seen in premature infants without NEC. We aim to review the association between factors involved in the surgical treatment of NEC and subsequent neurodevelopmental outcomes to identify potential areas for improvement. The PubMed and Embase databases were interrogated for articles reporting neurodevelopmental outcomes in babies treated surgically for NEC using key terms including: "Infant", "Necrotising enterocolitis", "Surgical", "Neurodevelopmental" and "Outcomes". The search strategy yielded 1170 articles and after applying inclusion and exclusion criteria 22 studies remained and formed the review. A diverse range of neurodevelopmental outcomes were reported. Extreme prematurity and lower birth weight were associated with worse neurodevelopmental outcomes. The use of peritoneal drains and enterostomies were associated with worse outcomes. Modifications to surgical strategies in NEC may improve neurodevelopmental outcomes but the effect of confounding factors remains unclear. Further large scale studies are required to define the optimum strategies for treating NEC surgically and to develop a core outcome set for research into NEC.

Indexed as

Enterocolitis, NecrotizingEnterostomyInfant, Newborn, DiseasesBirth WeightDatabases, FactualHumansInfantInfant, NewbornInfant, PrematureInfantNecrotising enterocolitis, surgeryNeonatal surgeryNeurodevelopmental outcomes, impairment

Identifiers

PMID38446238
PMCPMC10917837
OpenAlexW4392519399

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.