Evidence map›Paper›PMID 20485578›Full record

ArticleJournal of experimental & clinical assisted reproduction2009

Ovarian hyperstimulation syndrome: current views on pathophysiology, risk factors, prevention, and management.

Michael M Alper, Laura P Smith, Eric Scott Sills

Open access · greenAbstract read
In one paragraph

Article in Journal of experimental & clinical assisted reproduction, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed
4.0field-weighted citation impact, top 7% of its field
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

29 citing papers in PubMed, 75 citations in OpenAlex.

  1. Article
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  3. Female with peritonitis and abdominal distention.Journal of the American College of Emergency Physicians open · 2023
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  16. An IVF pregnancy, a neck lump and shortness of breath.Clinical medicine (London, England) · 2015
    Article
  17. Spontaneous Late Onset OHSS in Singleton Pregnancy in 2nd Trimester: A Rare Case.Journal of obstetrics and gynaecology of India · 2015
    Article
  18. Ovarian hyperstimulation syndrome, the master of disguise?Case reports in emergency medicine · 2015
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  19. Predictive factors for recovery time in patients suffering from severe OHSS.Reproductive biology and endocrinology : RB&E · 2014
    Article
  20. A case of severe ovarian hyperstimulation syndrome.Indian journal of clinical biochemistry : IJCB · 2014
    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

3 authors at 2 institutions in 2 countries.

Michael M Alper
Laura P Smith
Eric Scott Sills
Beth Israel Deaconess Medical Center · USRoyal College of Surgeons in Ireland · IE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo summarize current views on the pathophysiology, risk factors, prevention, clinical features, and management of Ovarian Hyperstimulation Syndrome (OHSS).

designLiterature review

resultsOHSS is a condition characterized by increased capillary permeability, and experimental evidence has identified a provocative link to pathologic vasoactive cytokine actions. Although the ultimate physiologic mechanism of OHSS is not yet known, there are well-known risk factors that must be considered during the administration of medications to treat infertility. Clinical features are consequences of third-spaced intravascular fluid, and OHSS may become life-threatening secondary to thromboembolism or compromised pulmonary or cardiovascular function. Cornerstones of prevention have historically included cycle cancellation, coasting, decreased dosing of human chorionic gonadotropin (hCG) trigger, use of an agonist trigger, and cryopreservation of all embryos. Newer methods of prevention include the administration of a dopamine agonist medication. Management options for OHSS include outpatient transvaginal paracentesis, outpatient transabdominal paracentesis, and inpatient hospitalization with or without paracentesis.

conclusionsOHSS continues to be a serious complication of assisted reproductive therapy (ART), with no universally agreed upon best method of prevention. Coasting and cryopreservation of all embryos are the most commonly used approaches in the literature, but cycle cancellation is the only method that can completely prevent the development of OHSS. Dopamine agonists are currently being investigated to both prevent and improve the clinical course in OHSS. Recent publications suggest that outpatient paracentesis both prevents the need for inpatient hospitalization and is a cost-effective strategy.

Indexed as

ascitescoastingembryo cryopreservationovarian hyperstimulation syndromeparacentesis

Identifiers

PMID20485578
PMCPMC2868304
OpenAlexW2167218982

What OpenQuestion holds

Textmetadata
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 OpenQuestion graph.