Evidence map›Paper›PMID 26416511›Full record

SynthesisBMJ open2015

Associations of pregnancy-associated plasma protein-A level with essential hypertension and hypertensive disorders in pregnancy in Chinese population: a meta-analysis of 20 research studies involving 3332 individuals.

Gaojun Cai, Bifeng Zhang, Weijin Weng, Liping Yang, Ganwei Shi, Sheliang Xue, Xingli Fu

Open access · goldAbstract readMeta-AnalysisReview
In one paragraph

Synthesis in BMJ open, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.3field-weighted citation impact, top 35% 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

2 citing papers in PubMed, 3 citations in OpenAlex.

  1. Article
  2. 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

7 authors at 2 institutions in 2 countries.

Gaojun CaiDepartment of Cardiology, Wujin Hospital, Affiliated To Jiangsu University, Changzhou, Jiangsu Province, China.
Bifeng ZhangDepartment of Pathology and Molecular Medicine, McMaster University, Hamilton, Ontario, Canada.
Weijin WengDepartment of Cardiology, Wujin Hospital, Affiliated To Jiangsu University, Changzhou, Jiangsu Province, China.
Liping YangDepartment of Cardiology, Wujin Hospital, Affiliated To Jiangsu University, Changzhou, Jiangsu Province, China.
Ganwei ShiDepartment of Cardiology, Wujin Hospital, Affiliated To Jiangsu University, Changzhou, Jiangsu Province, China.
Sheliang XueDepartment of Cardiology, Wujin Hospital, Affiliated To Jiangsu University, Changzhou, Jiangsu Province, China.
Xingli FuJiangsu University Health Science Center, Zhenjiang, Jiangsu Province, China.
Jiangsu University · CNMcMaster University · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo explore the associations between serum pregnancy-associated plasma protein-A (PAPP-A) level, and essential hypertension (EH) and hypertensive disorders in pregnancy (HDP) in Chinese population.

methodsPertinent studies were independently searched in PubMed, Embase, Cochrane Library, Chinese Biomedical Database (CBM), Wanfang databases and China National Knowledge Infrastructure (CNKI). The standardised mean difference (SMD) with 95% CIs was used to estimate the size of the effect. The subgroup analyses and meta-regression analysis were performed to identify the sources of heterogeneity among studies. Sensitivity analysis was conducted to assess the stability of the results. The publication bias between studies was examined by using Begg's funnel plots and Egger's test.

resultsA total of 20 studies involving 1493 patients and 1839 controls were included in the current meta-analysis. The PAPP-A level was significantly higher in EH patients than in controls (SMD=1.960, 95% CI 1.305 to 2.615, p<0.001), and significant associations were observed in all subgroups. The PAPP-A level was also significantly higher in HDP patients than in healthy pregnant women (SMD=2.249; 95% CI 1.324 to 3.173, p<0.001). The positive association between PAPP-A level and the risk of HDP was consistently observed in all subgroups except the subgroup with low NOS score.

conclusionsThe present meta-analysis suggests that an elevated PAPP-A level may be associated with susceptibilities to EH and HDP.

Indexed as

ChinaEssential HypertensionFemaleHumansHypertensionIncidencePeriodicals as TopicPregnancyPregnancy-Associated Plasma Protein-APregnancy Complications, CardiovascularRisk FactorsPregnancy-Associated Plasma Protein-AMOLECULAR BIOLOGY

Identifiers

PMID26416511
PMCPMC4593155
OpenAlexW2147378731

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.