Evidence map›Paper›PMID 9623398›Full record

ArticleArchives of disease in childhood1998

Influence of five years of antenatal screening on the paediatric cystic fibrosis population in one region.

S Cunningham, T Marshall

Abstract read
In one paragraph

Article in Archives of disease in childhood, 1998. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing 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

12 citing papers in PubMed.

  1. Review
  2. The future of cystic fibrosis care: a global perspective.The Lancet. Respiratory medicine · 2020
    Review
  3. Review
  4. Carrier screening for recessive disorders.Nature reviews. Genetics · 2019
    Review
  5. Article
  6. Review
  7. Cystic fibrosis carrier screening effects on birth prevalence and newborn screening.Genetics in medicine : official journal of the American College of Medical Genetics · 2016
    Article
  8. Article
  9. Some ethical issues in the prenatal diagnosis of sickle cell anaemia.Annals of Ibadan postgraduate medicine · 2009
    Article
  10. Article
  11. Cystic fibrosis during pregnancy.Canadian family physician Medecin de famille canadien · 2002
    Review
  12. Reproductive decisions after neonatal screening identifies cystic fibrosis.Archives of disease in childhood. Fetal and neonatal edition · 2000
    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

2 authors.

S CunninghamDepartment of Child Life and Health, University of Edinburgh.
T Marshall

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAntenatal screening for cystic fibrosis has been endorsed by the US National Institutes of Health. Edinburgh is the only city in the UK with an established routine antenatal screening programme for cystic fibrosis.

aimsTo report the change in numbers of infants diagnosed with cystic fibrosis born in Edinburgh after the introduction of antenatal screening for the disease. POPULATION: Infants diagnosed as having cystic fibrosis (by sweat test or genotyping, or both) in the seven years before antenatal testing (1984-90) and the first five years of antenatal testing (1991-95). Children born in this region who had moved before diagnosis were identified from the UK cystic fibrosis survey database.

resultsThe incidence of cystic fibrosis decreased from an average of 4.6 to 1.6 children each year with antenatal screening. The reduction in the incidence (65%) was greater than that accounted for by prenatal diagnosis and termination (36%). Of the eight children born with cystic fibrosis during the period of antenatal screening, five had been subject to antenatal screening: three had only one mutation identified, one was missed due to a laboratory error, and one was identified as a one in four risk, but prenatal diagnosis was not performed.

conclusionsAntenatal testing for cystic fibrosis has successfully reduced the incidence of cystic fibrosis in this region. Although the numbers are small, it is possible that the reduction in numbers may have been greater than might be expected from antenatal screening alone.

Indexed as

Prenatal DiagnosisCystic FibrosisFemaleFetal DiseasesHumansIncidenceInfantInfant, NewbornPregnancyScotland

Identifiers

PMID9623398
PMCPMC1717529

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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.