Claim

In a stepped-wedge cluster-randomized trial across 15 German NICUs involving 1,627 very-low-birth-weight infants, structured lactation support combined with donor-milk banking increased exclusive mother’s own milk feeding at discharge by 11 percentage points without observed increases in major complications or length of stay.

Type QUANTITATIVE · truth-evaluable: yes · status at snapshot: ACTIVE · created seq 18178

42 words; atomic claims are usually under 25a conjunction joins clauses that may be separately evaluablea comma-separated series may list several propositions

Referenced 159 times: checked 2, looked up by assistants 1, viewed 116, shared 40. A count of attention, not evidence.

Topics

Nutrition · 1efd24fe Medicine · 1efd24fe

Assessment

Supported

Score: 0.9468 under ledger-default@0.3.0 at snapshot 27745

2 of 4 review checks done · 1 counted · 1 by the author only

2 independent evidence lineages · review checks 1 of 4 · stability HIGH

Main unresolved issue: 7 counted evidence items have no independence review; repeats of one origin may be counted as several coverage:6aad3c4d-f7e3-8c97-b419-1220bee8100c

Not yet independently audited.Evidence reviewed so far supports this claim, but only 1 of 4 review checks has been done.A quoted passage from link.springer.com and scienmag.com was not found on the page when Galedra fetched it.

Related: NARROWS incoming: Supported

Why?

Strongest counted support: The trial reported an 11-point feeding increase and no differences in major complications or length of stay. weight 1.800000 evidence

Suppressed as dependent: The packet directly supports the 1,627-infant trial, 11-point increase, and no observed differences in complications or length of stay.

Review gaps: qualifiers reviewed, opposing search done, independence reviewed

What would most change this: One independent, direct measurement that contradicts this claim would move it from Supported to Leans supported.

Hide calculation

0.9468 under ledger-default@0.3.0 at snapshot 27745 · state Supported · Review checks: 1 of 4 · stability HIGH · 7 sources, 2 independent lineages

Model ledger-default@0.3.0 (the default model, not the answer) · snapshot 27745 · trace sha256:eb7907aaf627f0279aa3334c0749272dfe0de92013902c01cde2536d6b3bd00e

Last changed at entry seq 25412; nothing logged since has borne on this claim.

How the number was reached

Each counted link is weighed by multiplying the factors the model declares; a factor it does not declare is not shown. Every factor name below links to what that number means.

Link	Working	Weight	Counted as
13afb4bc qualify	relevance DIRECT 2.0 × observation DIRECT_TEXT 0.9 × interpretation 0 steps, 1 − 0.15 × 0 1.000000 × authenticity UNVERIFIED 1.0 × extraction UNVERIFIED 1.0 × provenance INDEPENDENT 1.0 × edition NAMED_OR_UNRELATED 1	1.800000	0.000000 (non directional)
55e61bee support	relevance DIRECT 2.0 × observation DATASET_RESULT 0.9 × interpretation 0 steps, 1 − 0.15 × 0 1.000000 × authenticity UNVERIFIED 1.0 × extraction UNVERIFIED 1.0 × provenance INDEPENDENT 1.0 × edition NAMED_OR_UNRELATED 1	1.800000	1.800000
117efb3c support	relevance DIRECT 2.0 × observation DATASET_RESULT 0.9 × interpretation 0 steps, 1 − 0.15 × 0 1.000000 × authenticity UNVERIFIED 1.0 × extraction UNVERIFIED 1.0 × provenance INDEPENDENT 1.0 × edition NAMED_OR_UNRELATED 1	1.800000	0.000000 (dependent strongest only, kept 55e61bee)
21a625b5 qualify	relevance DIRECT 2.0 × observation DIRECT_TEXT 0.9 × interpretation 0 steps, 1 − 0.15 × 0 1.000000 × authenticity UNVERIFIED 1.0 × extraction UNVERIFIED 1.0 × provenance INDEPENDENT 1.0 × edition NAMED_OR_UNRELATED 1	1.800000	0.000000 (non directional)
6086f979 qualify	relevance DIRECT 2.0 × observation DIRECT_TEXT 0.9 × interpretation 0 steps, 1 − 0.15 × 0 1.000000 × authenticity UNVERIFIED 1.0 × extraction UNVERIFIED 1.0 × provenance INDEPENDENT 1.0 × edition NAMED_OR_UNRELATED 1	1.800000	0.000000 (non directional)
b1a5e133 qualify	relevance DIRECT 2.0 × observation DIRECT_TEXT 0.9 × interpretation 0 steps, 1 − 0.15 × 0 1.000000 × authenticity UNVERIFIED 1.0 × extraction UNVERIFIED 1.0 × provenance INDEPENDENT 1.0 × edition NAMED_OR_UNRELATED 1	1.800000	0.000000 (non directional)
7b178a7f support	relevance STRONG 1.2 × observation DIRECT_TEXT 0.9 × interpretation 0 steps, 1 − 0.15 × 0 1.000000 × authenticity UNVERIFIED 1.0 × extraction UNVERIFIED 1.0 × provenance INDEPENDENT 1.0 × edition NAMED_OR_UNRELATED 1	1.080000	1.080000

prior 0.50 → log-odds 0.000000 + 2.880000 (the counted weights) = 2.880000 → probability 0.9468

Under neighbouring settings of the same model: 0.8825 to 0.9769, a spread of 0.0944.

Half-even rounding, six places for weights and four for the probability. The same inputs under the same model reproduce this exactly; that is what the trace hash above is for. How a score is worked out explains every factor, why it is there, and what the model sets it to.

Your view

Registered views

Nobody has registered a view yet.

Registered views are personal belief, not evidence: they never change Galedra's assessment. Affiliations are self-declared and shown only for groups of 5 or more.

Checked as part of

Statements this claim was broken out of. The claim is scored on its own; a statement's reading only counts its claims.

“In a stepped-wedge cluster-randomized trial across 15 German NICUs involving 1,627 very-low-birth-weight infants, structured lactation support combined with...” · 1 claim · 29 September 2026
“In a stepped-wedge cluster-randomized trial across 15 German NICUs involving 1,627 very-low-birth-weight infants, structured lactation support combined with...” · 1 claim · 29 September 2026

Evidence for

The trial reported an 11-point feeding increase and no differences in major complications or length of stay.

From Effectiveness of structured lactation support and human donor milk banking in German NICUs: a stepped-wedge cluster-randomized trial Read 2026-09-29 Relevance DIRECT Steps 0 Counted
The packet directly supports the 1,627-infant trial, 11-point increase, and no observed differences in complications or length of stay.

From Effectiveness of structured lactation support and human donor milk banking in German NICUs: a stepped-wedge cluster-randomized trial Read 2026-09-29 Relevance DIRECT Steps 0 Counted
Independent reporting corroborates the Neo-MILK sample, 11-point primary outcome, and important subgroup limitation.

From Donor Milk and Lactation Support Boost Breastfeeding Rates in Preemie Units Read 2026-09-29 Relevance STRONG Steps 0 Counted

The secondary report preserves the headline effect and qualifies generalization to the highest-risk subgroups.

Evidence against

None.

Qualifications

The study conducted no separate systematic surveillance of adverse events.

From Effectiveness of structured lactation support and human donor milk banking in German NICUs: a stepped-wedge cluster-randomized trial Read 2026-09-29 Relevance DIRECT Steps 0 Counted

Clarifies that adverse events were not separately surveilled.
The trial ran from April 2022 to March 2024 in 15 German Level I NICUs.

From Effectiveness of structured lactation support and human donor milk banking in German NICUs: a stepped-wedge cluster-randomized trial Read 2026-09-29 Relevance DIRECT Steps 0 Counted

Adds the omitted study period and Level I setting.
Consecutively enrolled VLBW infants were under 1,500 g, with specified clinical exclusions.

From Effectiveness of structured lactation support and human donor milk banking in German NICUs: a stepped-wedge cluster-randomized trial Read 2026-09-29 Relevance DIRECT Steps 0 Counted

Defines the VLBW population and exclusions.
Complications and length of stay were secondary outcomes, not systematic harms surveillance, and confidence intervals remained compatible with clinically relevant differences.

From Effectiveness of structured lactation support and human donor milk banking in German NICUs: a stepped-wedge cluster-randomized trial Read 2026-09-29 Relevance DIRECT Steps 0 Counted

Limits interpretation of no observed increases in complications or length of stay.

Suppressed as dependent

Evidence	Group	Kept instead
72acd711		55e61bee

Inferences

Concluded from

None.

Used as a premise in

None.

An inference is interpretation, not evidence: it never changes the assessment of its conclusion. Each premise is a claim with its own evidence.

Threads

None. Threads are for disagreements about how a determination was made — a statement whose figures are not in the passage it rests on, two sources that may share an origin. Something about the world belongs in the evidence above.

Claim edges

From	Relationship	To
828d4983	NARROWS	bee8100c

Review checklist

Review checks: 1 of 4

2 checks by this claim's own author, alongside the independent review above. 1 QUALIFIER CHECK · 1 EVIDENCE VERIFICATION. A check by the person who recorded a claim does not raise its review coverage.

Check	Done	By
qualifiers reviewed	no
opposing search done	no
independence reviewed	no
primary source reviewed	yes	13afb4bc, 55e61bee, 117efb3c, 21a625b5, 6086f979, b1a5e133

Summary

Supported. The main support is: The trial reported an 11-point feeding increase and no differences in major complications or length of stay. a25bfa3c

1 further item repeats the same origin and is not independent evidence. 72acd711

Qualifier: The study conducted no separate systematic surveillance of adverse events. 97f8ebac

Qualifier: The trial ran from April 2022 to March 2024 in 15 German Level I NICUs. 3afa24e4

Qualifier: Complications and length of stay were secondary outcomes, not systematic harms surveillance, and confidence intervals remained compatible with clinically relevant differences. 306d3fc3

Qualifier: Consecutively enrolled VLBW infants were under 1,500 g, with specified clinical exclusions. a85fe057

Generated by stub-v0.1; every sentence cites graph ids.

Contribution history

seq	event	detail
18178	APPENDED
18179	ACCEPT	AUTOMATIC_AFTER_VALIDATION
18184	LINK_EVIDENCE	by 1efd24fe (accepted)
18225	TASK_RESULT	by 1efd24fe (accepted)
18255	LINK_EVIDENCE	by 1efd24fe (accepted)
25411	TASK_RESULT	by 1efd24fe (accepted)

Score trace

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