Evidence map›Paper›PMID 41545207›Full record

SynthesisBirth defects research2026

The Creation of a Weight of Evidence Scoring Database for Risk Factors for Adverse Impacts to Birth Outcomes Using Expert Elicitation.

Paul J Villeneuve, Ann Aschengrau, Michelle L Bell, Yang Cao, Mark Elwood, Guy Eslick, Shelley Harris, Leeka Kheifets, Babak Khoshnood, Robert Norman and 9 more

Abstract readSystematic Review
In one paragraph

Synthesis in Birth defects research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
–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

1 citing paper in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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

19 authors.

Paul J VilleneuveCarleton University, Ottawa, Ontario, Canada.
Ann AschengrauBoston University School of Public Health, Boston, Massachusetts, USA.
Michelle L BellYale University, New Haven, Connecticut, USA.
Yang CaoÖrebro University, Örebro, Sweden.
Mark ElwoodThe University of Auckland, Auckland, Australia.
Guy EslickThe University of Sydney, Sydney, Australia.
Shelley HarrisUniversity of Toronto, Toronto, Ontario, Canada.
Leeka KheifetsUniversity of California Los Angeles, Los Angeles, California, USA.
Babak KhoshnoodINSERM, Paris, France.
Robert NormanUniversity of Adelaide, Adelaide, Australia.
Nelson PaceAbbVie, Chicago, Illinois, USA.ORCID 0000-0002-6925-1444
Johan ReutforsKarolinska Institutet, Stockholm, Sweden.
Jeremy M SchrawBaylor College of Medicine, Houston, Texas, USA.ORCID 0000-0002-6674-9562
Jose R Suarez-LopezUniversity of California San Diego, San Diego, California, USA.
Gunnar ToftAarhus University Hospital, Aarhus, Sweden.
R Douglas WilsonUniversity of Calgary, Calgary, Alberta, Canada.ORCID 0000-0002-1686-7472
Christopher R KirmanSciPinion, Bozeman, Montana, USA.
Tyler CarnealSciPinion, Bozeman, Montana, USA.
Sean M HaysSciPinion, Bozeman, Montana, USA.ORCID 0000-0001-7233-8244

Funding

Translational Research Support CoreP30ES030285 · NIEHS · BAYLOR COLLEGE OF MEDICINE · PI Cheryl L. Walker · 2019 to 2026
$14.7M
Developmental Reprogramming of Prostate Carcinogenesis by BPARC2ES018789 · NIEHS · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI HO, SHUK-MEI, MANCINI, MICHAEL A. · 2009 to 2010
$1.9M
Corteva AgriscienceNIEHS NIH HHS P30 ES030285NIEHS NIH HHS RC2 ES018789SciPinion
6 · The paper itself

Abstract

backgroundAdverse birth outcomes are important public health measures and account for a substantial public health burden. There is considerable diversity of these health endpoints, as well as in the many factors suspected or recognized to increase their risk. This diversity renders it challenging to synthesize the totality of the evidence by carrying out a systematic review.

methodsWe undertook an expert elicitation to characterize the state of the literature on this topic, the interconnections amongst risk factors, and identify those that are a priority for future research. A panel of 30 scientists and physicians with expertise in birth outcome epidemiology were solicited to identify a series of health outcomes, and associated risk factors.

resultsThis resulted in a listing of 15 birth outcomes, and 247 possible risk factors in total, with varying numbers of risk factors for each health outcome. Each panel member was asked to score the weight of evidence (WOE) of each risk factor and birth outcome combination (n = 1127) on a scale of 1 (no evidence) to 5 (strong evidence) for which the expert had a working knowledge of the literature. Not all experts scored each/every outcome/risk factor combination, reflecting the different types of expertise on the panel. The compilation of these WOE scores was used to create a publicly available database for birth outcomes risk factors (https://scipinion-rfbo.onrender.com) that is intended to be updated over time so as to serve as an up to date resource for the research and medical community.

conclusionsThis expert approach serves as a unique and valuable approach to data reduction that can help to inform research priorities, while providing an open access resource to identify risk factors that may act as confounders and/or modifiers in future epidemiology studies and clinical trials.

Indexed as

Pregnancy OutcomeDatabases, FactualFemaleHumansInfant, NewbornPregnancyRisk Factorsadverse birth outcomesepidemiologyexpert elicitationmethodological considerationsobservational studiesrisk factors

Identifiers

PMID41545207
PMCPMC12811082

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.