Evidence mapPaperPMID 36360541Full record

ArticleHealthcare (Basel, Switzerland)2022

Autism Spectrum as an Etiologic Systemic Disorder: A Protocol for an Umbrella Review.

Lara Teixeira Lopes, Jorge Magalhães Rodrigues, Celeste Baccarin, Kevin Oliveira, Manuela Abreu, Victor Ribeiro, Zélia Caçador Anastácio, Jorge Pereira Machado

Abstract read
In one paragraph

Article in Healthcare (Basel, Switzerland), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. Article
  4. 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.

Lara Teixeira LopesInstitute of Biomedical Sciences, University of Porto, 4099-030 Porto, Portugal.ORCID 0000-0001-6071-0715
Jorge Magalhães RodriguesCenter of BioSciences in Integrative Health, 4200-355 Porto, Portugal.ORCID 0000-0001-5892-1855
Celeste BaccarinCenter of BioSciences in Integrative Health, 4200-355 Porto, Portugal.
Kevin OliveiraCenter of BioSciences in Integrative Health, 4200-355 Porto, Portugal.ORCID 0000-0002-9532-0773
Manuela AbreuCenter of BioSciences in Integrative Health, 4200-355 Porto, Portugal.
Victor RibeiroCenter of BioSciences in Integrative Health, 4200-355 Porto, Portugal.
Zélia Caçador AnastácioResearch Center on Child Studies, Institute of Education, University of Minho, 4804-533 Braga, Portugal.ORCID 0000-0002-3786-6559
Jorge Pereira MachadoInstitute of Biomedical Sciences, University of Porto, 4099-030 Porto, Portugal.ORCID 0000-0003-4570-5445

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Autism spectrum disorder (ASD) is the most common neurodevelopmental disorder with a huge prevalence increasing every year (1/44 children). Still diagnosed as a mental disorder, the last 10 years of research found possible causes, risks, genetics, environmental triggers, epigenetics, metabolic, immunological, and neurophysiological unbalances as relevant aetiology. Umbrella methodology is the highest level of scientific evidence, designed to support clinical and political decisions. A literature search for autism aetiology, pathophysiology, or causes, conducted in the last 10 years, at PubMed, Embase, Cochrane, Scopus, and the Web of Science, resulted in six umbrella reviews. Nevertheless, only one quantitative analysis reported risk factors and biomarkers but excluded genetics, experiments on animal models, and post-mortem studies. We grouped ASD's multi-factorial causes and risks into five etiological categories: genetic, epigenetic, organic, psychogenic, and environmental. Findings suggest that autism might be evaluated as a systemic disorder instead of only through the lens of mental and behavioural. The overview implications of included studies will be qualitatively analysed under ROBIS and GRADE tools. This umbrella review can provide a rational basis for a new urgent health policy to develop better and adequate integrated care services for ASD. The methodological protocol has the register CRD42022348586 at PROSPERO.

Indexed as

aetiologyASDautismcausesetiologyhealth policyintegrated care servicespathogenesissystemic disorderumbrella review

Identifiers

PMID36360541
PMCPMC9690003

What Socratic holds

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LicenceCC BY
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 Socratic graph.