Evidence map›Paper›PMID 22795684›Full record

ArticleFertility and sterility2012

How and when human chorionic gonadotropin curves in women with an ectopic pregnancy mimic other outcomes: differences by race and ethnicity.

Katherine E Dillon, Vasileios D Sioulas, Mary D Sammel, Karine Chung, Peter Takacs, Alka Shaunik, Kurt T Barnhart

Abstract readMulticenter Study
In one paragraph

Article in Fertility and sterility, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
2.2field-weighted citation impact, top 13% 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

6 citing papers in PubMed, 12 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. Article
  5. Article
  6. Pregnancy of unknown location.Journal of the Turkish German Gynecological Association · 2013
    Review
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

7 authors at 4 institutions in 2 countries.

Katherine E DillonDepartment of Obstetrics and Gynecology, University of Pennsylvania, Philadelphia, Pennsylvania 19104, USA.
Vasileios D Sioulas
Mary D Sammel
Karine Chung
Peter Takacs
Alka Shaunik
Kurt T Barnhart
University of Pennsylvania · USUniversity General Hospital Attikon · GRUniversity of Miami · USUniversity of Southern California · US

Funding

RISK FACTORS AS PREDICTORS OF ECTOPIC PREGNANCYR01HD036455 · NICHD · UNIVERSITY OF PENNSYLVANIA · PI BARNHART, KURT T · 1999 to 2010
$4.1M
Midcareer investigator award in patient oriented researchK24HD060687 · NICHD · UNIVERSITY OF PENNSYLVANIA · PI BARNHART, KURT T · 2009 to 2014
$956k
NICHD NIH HHS K24 HD060687NICHD NIH HHS K24HD060687NICHD NIH HHS R01 HD036455NICHD NIH HHS R01-HD036455
6 · The paper itself

Abstract

objectiveTo investigate the hCG profiles in a diverse patient group with ectopic pregnancy (EP) and to understand when they may mimic the curves of an intrauterine pregnancy (IUP) or spontaneous abortion (SAB).

designRetrospective cohort study.

settingThree university hospitals. PATIENT(S): One hundred seventy-nine women with symptomatic pregnancy of unknown location. INTERVENTION(S): None. MAIN OUTCOME MEASURE(S): Slope of log hCG; days and visits to final diagnosis. RESULT(S): Of women with an EP, 60% initially exhibited an increase in hCG values, with a median slope of 32% increase in 2 days; 40% of subjects initially had an hCG decrease, with the median slope calculated as a 15% decline in 2 days. In total, the hCG curves in 27% of women diagnosed with EP resembled that of a growing IUP or SAB. Of the EP hCG curves, 16% demonstrated a change in the direction of the slope of the curve. This was more common in African Americans and less evident in Hispanics. Furthermore, it was associated with more clinical visits and days until final diagnosis. CONCLUSION(S): The rate of change in serial hCG values can be used to distinguish EP from an IUP or SAB in only 73% of cases. The number of women who had a change in direction of serial hCG values was associated with race and ethnicity.

Indexed as

Abortion, SpontaneousAdultBlack or African AmericanChorionic Gonadotropin, beta Subunit, HumanDatabases, FactualDiagnosis, DifferentialDiagnostic Techniques, Obstetrical and GynecologicalFemaleHispanic or LatinoHumansMorbidityPelvic PainPregnancyPregnancy, EctopicPregnancy Trimester, FirstRetrospective StudiesChorionic Gonadotropin, beta Subunit, Human

Identifiers

PMID22795684
PMCPMC3731034
OpenAlexW1973091605

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.