Evidence map›Paper›PMID 22028248›Full record

SynthesisPrenatal diagnosis2012

Amniocentesis in twin pregnancies: a systematic review of the literature.

Joy Vink, Karin Fuchs, Mary E D'Alton

Abstract readSystematic Review
In one paragraph

Synthesis in Prenatal diagnosis, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing 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

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

  1. Amniocentesis and chorionic villus sampling for prenatal diagnosis.The Cochrane database of systematic reviews · 2017
    Pooled it
  2. Observational
  3. Cell-free DNA screening in twin pregnancies.Obstetrics & gynecology science · 2024
    Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Review
  9. Single or double needle insertion in twin's amniocentesis: Does the technique influence the risk of complications?European journal of obstetrics & gynecology and reproductive biology: X · 2019
    Article
  10. Review
  11. 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.

Joy VinkDepartment of OB/GYN, Division of Maternal Fetal Medicine, Columbia University Medical Center, New York, NY 347-880-2492 USA. joyvink@gmail.com
Karin Fuchs
Mary E D'Alton

Funding

CTSA INFRASTRUCTURE FOR PEDIATRIC RESEARCHUL1RR024156 · NCRR · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI GINSBERG, HENRY N · 2006 to 2011
$53.0M
NCRR NIH HHS UL1 RR024156
6 · The paper itself

Abstract

objectiveUsing published data, we sought to determine the amniocentesis-related loss rate in twin gestations.

methodsWe searched the PUBMED database using keywords "amniocentesis", "twin" and "twins" to identify articles evaluating genetic amniocentesis in twin gestations published from January 1970 to December 2010. Random effects models were used to pool procedure-related loss rates from included studies.

resultsThe definition of "loss" varied across the 17 studies identified (Table 1). The pooled procedure-related loss rate at < 24 weeks was 3.5% (95% confidence interval [CI] 2.6-4.7) (Figure 2). Pooled loss rates at < 28 weeks (Figure 4) and to term (Figure 5) could not be calculated due to unacceptable heterogeneity of available data. Seven studies included a control (no amniocentesis) group and reported a pooled odds ratio for total pregnancy loss among cases of 1.8 (95% CI 1.2-2.7) (Figure 3). Only 1 study reported procedure-related loss rates by chorionicity (7.7% among monochorionics vs 1.4% among controls; p 0.02).

conclusionAnalysis of published data demonstrated a pooled amniocentesis-related loss rate of 3.5% in twin gestations < 24 weeks. Pooled loss rates within other post-amniocentesis intervals or other gestational age windows and the impact of chorionicity on procedure-related loss rates cannot be determined from published data.

Indexed as

TwinsAmniocentesisFemaleHumansPregnancy

Identifiers

PMID22028248
PMCPMC3330135

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.