Evidence map›Paper›PMID 42272441›Full record

Observational studyBioMed research international2026

Unveiling Epidemiologic Insights: A Case-Control Study of Congenital Cleft Lip and/or Palate Using Association Rule Mining.

Salaheddin Delshad, Seyed Mohsen Laal Mousavi, Maryam Alidadi, Azam Sabahi, Abazar Hajavi, Seyed Mohammad Ayyoubzadeh, Sorayya Rezayi, Leila Shahmoradi

Abstract readObservational Study
In one paragraph

Observational study in BioMed research international, 2026. 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
–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. Observational
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.

Salaheddin DelshadCharity Foundation for Supporting Children With Congenital Malformation (MOHKAM) Institute, Tehran, Iran.ORCID https://orcid.org/0000-0003-2949-0122
Seyed Mohsen Laal MousaviDepartment of Health Information Management and Medical Informatics, School of Allied Medical Sciences, Tehran University of Medical Sciences, Tehran, Iran, tums.ac.ir.ORCID https://orcid.org/0000-0003-0723-1103
Maryam AlidadiDepartment of Health Information Technology and Management, School of Allied Medical Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran, sbmu.ac.ir.ORCID https://orcid.org/0000-0002-2278-5262
Azam SabahiDepartment of Health Information Technology, Ferdows Faculty of Medical Sciences, Birjand University of Medical Sciences, Birjand, Iran, bums.ac.ir.ORCID https://orcid.org/0000-0003-1507-5120
Abazar HajaviCharity Foundation for Supporting Children With Congenital Malformation (MOHKAM) Institute, Tehran, Iran.
Seyed Mohammad AyyoubzadehDepartment of Medical Education, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran, tums.ac.ir.ORCID https://orcid.org/0000-0001-8450-7818
Sorayya RezayiDepartment of Health Information Technology, School of Management and Medical Informatics, Tabriz University of Medical Sciences, Tabriz, Iran, tbzmed.ac.ir.ORCID https://orcid.org/0000-0001-7423-8853
Leila ShahmoradiDepartment of Health Information Management and Medical Informatics, School of Allied Medical Sciences, Tehran University of Medical Sciences, Tehran, Iran, tums.ac.ir.ORCID https://orcid.org/0000-0002-2269-9022

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCleft lip and/or palate (CLP) is one of the most prevalent birth abnormalities and is caused by incomplete growth and failure to close components of the face. The objective of this study was to describe the epidemiologic features of patients with congenital CLP and identify risk factors associated with the disorder.

methodsThe study used the Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) checklist for reporting on 1341 CLP patient records from MOHKAM Institute in Iran. We conducted a descriptive analysis on records spanning from September 2006 to May 2023. After applying eligibility criteria, 950 CLP cases and 950 controls with other congenital conditions were included. Data preprocessing removed bias. We then analyzed the preprocessed dataset using descriptive statistics, association rule mining (ARM), and the Apriori algorithm.

resultsThe study revealed that 88% of mothers did not use cosmetics during pregnancy. Additionally, 9% of cases had a history of disease during pregnancy, and 6% had a history of drug use. The study also examined the birth order of children and found that the highest number of children with congenital diseases occurred between the first and third children of the family. The age distribution of mothers showed the highest frequency in the age range of 18-24 years in both the case and control groups, whereas the frequency of fathers was highest in the age range of over 41 years. ARM identified five association rules with confidence values exceeding 0.567, indicating moderate associations between combined demographic and geographic variables and CLP occurrence. The rules demonstrated weak-to-moderate lift values, suggesting nonrandom associations within the dataset.

conclusionSeveral maternal and familial factors, including pregnancy-related conditions and parental age, were associated with CLP. Given the multifactorial nature of CLP and its susceptibility to multiple genetic and environmental influences, further large-scale and multicenter studies are required to validate these associations and explore additional contributing factors.

Indexed as

Cleft LipCleft PalateData MiningAdolescentAdultCase-Control StudiesChildChild, PreschoolFemaleHumansInfantInfant, NewbornIranMalePregnancyRisk FactorsApriori algorithmassociation rule miningcleft lipcleft palatecongenitalepidemiology

Identifiers

PMID42272441
PMCPMC13254541

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LicenceCC BY
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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.