Evidence map›Paper›PMID 23718253›Full record

Trial reportBJOG : an international journal of obstetrics and gynaecology2013

Haptoglobin phenotype, pre-eclampsia, and response to supplementation with vitamins C and E in pregnant women with type-1 diabetes.

T L Weissgerber, R E Gandley, J M Roberts, C C Patterson, V A Holmes, I S Young, D R McCance, Diabetes and Pre-eclampsia Intervention Trial (DAPIT) Study Group

Open access · hybridAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in BJOG : an international journal of obstetrics and gynaecology, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 5 pooled it
2.7field-weighted citation impact, top 11% 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

11 citing papers in PubMed, 5 syntheses or guidelines pooled it, 19 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Vitamin supplementation for preventing miscarriage.The Cochrane database of systematic reviews · 2016
    Pooled it
  4. Vitamin C supplementation in pregnancy.The Cochrane database of systematic reviews · 2015
    Pooled it
  5. Vitamin E supplementation in pregnancy.The Cochrane database of systematic reviews · 2015
    Pooled it
  6. Haptoglobin phenotype and abnormal uterine artery Doppler in a racially diverse cohort.The journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians · 2014
    Trial
  7. Article
  8. Article
  9. Article
  10. Preeclampsia and diabetes.Current diabetes reports · 2015
    Review
  11. Vitamin E inadequacy in humans: causes and consequences.Advances in nutrition (Bethesda, Md.) · 2014
    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

8 authors at 4 institutions in 2 countries.

T L WeissgerberMagee-Womens Research Institute and the Department of Obstetrics, Gynaecology and Reproductive Science, University of Pittsburgh, Pittsburgh, PA, USA. weissgerber.tracey@mayo.edu
R E Gandley
J M Roberts
C C Patterson
V A Holmes
I S Young
D R McCance
Diabetes and Pre-eclampsia Intervention Trial (DAPIT) Study Group
Queen's University Belfast · GBUniversity of Pittsburgh · USMagee-Womens Research Institute · USUniversity of Ulster · GB

Funding

TROPHOBLAST PRODUCTS IN GENESIS OF PREECLAMPSIAP01HD030367 · NICHD · MAGEE-WOMEN'S RES INST AND FOUNDATION · PI FISHER, SUSAN J. · 1993 to 2012
$17.2M
Mayo Clinic Interdisciplinary Women's Health Research ProgramK12HD065987 · NICHD · MAYO CLINIC ROCHESTER · PI KANTARCI, KEJAL · 2010 to 2023
$6.7M
CIHRMedical Research Council MR/K023241/1NICHD NIH HHS K12 HD065987NICHD NIH HHS K12HD065987NICHD NIH HHS P01 HD030367Wellcome TrustWellcome Trust 067028/Z/02/ZWellcome Trust 083145/Z/07/Z
6 · The paper itself

Abstract

objectiveThe phenotype of the antioxidant and pro-angiogenic protein haptoglobin (Hp) predicts cardiovascular disease risk and treatment response to antioxidant vitamins in individuals with diabetes. Our objective was to determine whether Hp phenotype influences pre-eclampsia risk, or the efficacy of vitamins C and E in preventing pre-eclampsia, in women with type-1 diabetes.

designThis is a secondary analysis of a randomised controlled trial in which women with diabetes received daily vitamins C and E, or placebo, from 8 to 22 weeks of gestation until delivery.

settingTwenty-five antenatal metabolic clinics across the UK (in north-west England, Scotland, and Northern Ireland). POPULATION: Pregnant women with type-1 diabetes.

methodsHp phenotype was determined in white women who completed the study and had plasma samples available (n = 685).

main outcome measurePre-eclampsia.

resultsCompared with Hp 2-1, Hp 1-1 (OR 0.59, 95% CI 0.30-1.16) and Hp 2-2 (OR 0.93, 95% CI 0.60-1.45) were not associated with significantly decreased pre-eclampsia risk after adjusting for treatment group and HbA1c at randomisation. Our study was not powered to detect an interaction between Hp phenotype and treatment response; however, our preliminary analysis suggests that vitamins C and E did not prevent pre-eclampsia in women of any Hp phenotype (Hp 1-1, OR 0.77, 95% CI 0.22-2.71; Hp 2-1, OR 0.81, 95% CI 0.46-1.43; Hp 2-2, 0.67, 95% CI 0.34-1.33), after adjusting for HbA1c at randomisation.

conclusionsThe Hp phenotype did not significantly affect pre-eclampsia risk in women with type-1 diabetes.

Indexed as

AntioxidantsAscorbic AcidDiabetes Mellitus, Type 1FemaleHaptoglobinsHumansOdds RatioOxidative StressPhenotypePre-EclampsiaPregnancyPregnancy in DiabeticsRisk FactorsVitamin EAntioxidantsAscorbic AcidHaptoglobinsVitamin EHaptoglobin phenotypepre-eclampsiapregnancytype-1 diabetesvitamin Cvitamin E

Identifiers

PMID23718253
PMCPMC3860176
OpenAlexW2072466774

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.