Evidence map›Paper›PMID 42471466›Full record

ArticlePediatric research2026

"Necrotizing enterocolitis": a paradigm shift.

Parvesh Mohan Garg, Jeffrey Shenberger, Camilia R Martin, Josef Neu

Abstract read
In one paragraph

Article in Pediatric research, 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. 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

4 authors.

Parvesh Mohan GargDepartment of Pediatrics/Neonatology, Atrium Health Wake Forest Baptist, Wake Forest School of Medicine, Winston Salem, NC, USA.
Jeffrey ShenbergerDepartment of Pediatrics/Neonatology, Connecticut Children's, Hartford, CT, USA.
Camilia R MartinDivision of Neonatology, Weill Cornell Medicine, New York, NY, USA.
Josef NeuDepartment of Pediatrics/Neonatology, University of Florida, Gainesville, FL, USA. neuj@peds.ufl.edu.

Funding

Tracking and Evaluation CoreU54GM115428 · NIGMS · UNIVERSITY OF MISSISSIPPI MED CTR · PI GOMEZ-SANCHEZ, CELSO ENRIQUE · 2016 to 2025
$38.2M
NIGMS NIH HHS U54 GM115428
6 · The paper itself

Abstract

Necrotizing enterocolitis (NEC) reveals substantial heterogeneity in presentation and underlying mechanisms. Conventional diagnostic tools, especially radiographic criteria and Bell staging, fail to distinguish between biologically distinct forms of intestinal injury, leading to imprecise management and research practices. The continued search for universal biomarkers is hindered by a lack of NEC mechanistic clarity. This commentary discusses abandoning the monolithic "NEC" label in favor of a data-driven, cluster-based taxonomy that integrates clinical trajectories with multiomic analyses. Such a shift would enable mechanism-informed diagnoses, personalized interventions, and more meaningful clinical trials, ultimately improving care and outcomes for vulnerable neonatal patients. IMPACT: NEC diagnosis lacks precision, leading to overtreatment and research confusion. Bell staging and biomarkers fail due to the heterogeneity of the diagnosis. Moving to data-driven, mechanism-based classification will enable targeted, effective care and better research outcomes.

Identifiers

PMID42471466
PMCPMC13479360

What OpenQuestion holds

Textmetadata
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.