Evidence map›Paper›PMID 21284967›Full record

SynthesisAmerican journal of obstetrics and gynecology2011

Nifedipine in the management of preterm labor: a systematic review and metaanalysis.

Agustín Conde-Agudelo, Roberto Romero, Juan Pedro Kusanovic

Open access · bronzeAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in American journal of obstetrics and gynecology, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 47 papers, 8 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
47citing papers in PubMed, 8 pooled it
9.6field-weighted citation impact, top 1% 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

47 citing papers in PubMed, 8 syntheses or guidelines pooled it, 171 citations in OpenAlex.

  1. Pooled it
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  4. Ethanol for preventing preterm birth in threatened preterm labor.The Cochrane database of systematic reviews · 2015
    Pooled it
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  6. Relaxin for preventing preterm birth.The Cochrane database of systematic reviews · 2013
    Pooled it
  7. The prevention, diagnosis and treatment of premature labor.Deutsches Arzteblatt international · 2013
    Pooled it
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

3 authors at 3 institutions in 1 country.

Agustín Conde-AgudeloPerinatology Research Branch, Eunice Kennedy Shriver National Institute of Child Health and Human Development, National Institutes of Health, Department of Health and Human Services, Bethesda, MD, USA.
Roberto Romero
Juan Pedro Kusanovic
Eunice Kennedy Shriver Center · USNational Institutes of Health · USWayne State University · US

Funding

The Role Of Subclinical Infection And Cytokines In Preterm ParturitionZIAHD002400 · NICHD · EUNICE KENNEDY SHRIVER NATIONAL INSTITUTE OF CHILD HEALTH & HUMAN DEVELOPMENT · PI ROMERO, ROBERTO · 2009 to 2025
$254.4M
Intramural NIH HHS ZIA HD002400
6 · The paper itself

Abstract

objectiveTo determine the efficacy and safety of nifedipine as a tocolytic agent in women with preterm labor. STUDY

designA systematic review and metaanalysis of randomized controlled trials.

resultsTwenty-six trials (2179 women) were included. Nifedipine was associated with a significant reduction in the risk of delivery within 7 days of initiation of treatment and before 34 weeks' gestation, respiratory distress syndrome, necrotizing enterocolitis, intraventricular hemorrhage, neonatal jaundice, and admission to the neonatal intensive care unit when compared with β₂-adrenergic-receptor agonists. There was no difference between nifedipine and magnesium sulfate in tocolytic efficacy. Nifedipine was associated with significantly fewer maternal adverse events than β₂-adrenergic-receptor agonists and magnesium sulfate. Maintenance nifedipine tocolysis was ineffective in prolonging gestation or improving neonatal outcomes when compared with placebo or no treatment.

conclusionNifedipine is superior to β₂-adrenergic-receptor agonists and magnesium sulfate for tocolysis in women with preterm labor.

Indexed as

Adrenergic beta-2 Receptor AgonistsFemaleHumansMagnesium SulfateNifedipineObstetric Labor, PrematurePregnancyRandomized Controlled Trials as TopicTocolytic AgentsTreatment OutcomeAdrenergic beta-2 Receptor AgonistsMagnesium SulfateNifedipineTocolytic Agents

Identifiers

PMID21284967
PMCPMC3437772
OpenAlexW1966459689

What OpenQuestion holds

Textmetadata
LicenceTDM
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.