Evidence map›Paper›PMID 39298400›Full record

SynthesisPloS one2024

External ear malformations and cardiac and renal anomalies: A systematic review and meta-analysis.

Arman Ghafari, Leonardo Alaniz, Cindy Vu, Alejandra Ibarra, Medha Vallurupalli, Sierra Willens, Justin Cordero, Miles J Pfaff

Abstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in PloS one, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. The Relationship Between Microtia and Complex Chronic Conditions: A Comprehensive Analysis of 20 000 Patients.The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association · 2026
    Article
  2. 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

8 authors.

Arman GhafariUniversity of California Irvine, School of Medicine, Irvine, CA, United States of America.ORCID 0009-0005-3063-9272
Leonardo AlanizUniversity of California Irvine, School of Medicine, Irvine, CA, United States of America.
Cindy VuUniversity of California Irvine, School of Medicine, Irvine, CA, United States of America.
Alejandra IbarraUniversity of California Irvine, School of Medicine, Irvine, CA, United States of America.
Medha VallurupalliKeck School of Medicine of USC, Los Angeles, CA, United States of America.
Sierra WillensStanford University School of Medicine, Palo Alto, CA, United States of America.
Justin CorderoUniversity of California Riverside, School of Medicine, Riverside, CA, United States of America.
Miles J PfaffUniversity of California Irvine, School of Medicine, Irvine, CA, United States of America.ORCID 0000-0003-2344-6294

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

contextExternal Ear Malformations (EEM) continue to be a common malformation seen in the pediatric patient population. This study aims to further elucidate the correlation between EEM and cardiac and renal anomalies.

objectiveA systematic review and meta-analysis to study the incidence of cardiac and renal anomalies associated with syndromic and isolated (EEM). DATA SOURCES: The literature search spanned multiple databases, including Google Scholar, PubMed, Scopus, Web of Science, and MEDLINE. STUDY SELECTION: Studies must be focused on EEM and cardiac and/or renal anomalies. Only articles written in English were included. DATA EXTRACTION: General study characteristics, number of EEM patients, number of cardiac and renal anomalies and whether cases were syndromic were extracted from the studies.

resultsOf 1,058 initial studies, 33 were included for meta-analyses. Mean JBI score for all included studies was 92.06%, indicating acceptable study quality. Interrater reliability was high, with a Cohen kappa score for all studies of 0.94. The resulting pooled prevalence of cardiac abnormalities was 20% [95% CI:13-28%], while renal abnormalities were 13% [95% CI: 7-20%]. The most common anomalies were VSD (3.725%) and renal agenesis (2.04%). The presence of syndrome data across studies was not a significant modifier of prevalence rates. LIMITATIONS: Primary limitation is due to heterogeneity in individual study methodology and reporting standards.

conclusionsThese results highlight a higher prevalence of cardiac-related conditions than renal anomalies in patients with both syndromic and non-syndromic EEM in the included studies, underscoring the need for thorough clinical evaluations.

Indexed as

Ear, ExternalHeart Defects, CongenitalKidneyHumans

Identifiers

PMID39298400
PMCPMC11412664

What OpenQuestion holds

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Registered trials

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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.