Evidence map›Paper›PMID 27646865›Full record

SynthesisDiabetologia2016

Pre-eclampsia is associated with a twofold increase in diabetes: a systematic review and meta-analysis.

Pensee Wu, Chun Shing Kwok, Randula Haththotuwa, Rafail A Kotronias, Aswin Babu, Anthony A Fryer, Phyo K Myint, Carolyn A Chew-Graham, Mamas A Mamas

Open access · hybridAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Diabetologia, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 39 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
39citing papers in PubMed, 3 pooled it
5.4field-weighted citation impact, top 4% 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

39 citing papers in PubMed, 3 syntheses or guidelines pooled it, 66 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Trial
  5. Therapeutic Interventions for Preeclampsia: Integrating Placental and Maternal Perspectives.American journal of reproductive immunology (New York, N.Y. : 1989) · 2026
    Review
  6. Overlap of Gestational Diabetes Mellitus and Pre-eclampsia: A Scoping Review.Diabetes therapy : research, treatment and education of diabetes and related disorders · 2026
    Review
  7. Article
  8. Article
  9. Article
  10. Review
  11. Frequent Use of Premenopausal Progestin in Women With Prior Preeclampsia.The Journal of clinical endocrinology and metabolism · 2025
    Article
  12. Clinical implications of a history of pre-eclampsia in women with type two diabetes mellitus.Diabetic medicine : a journal of the British Diabetic Association · 2025
    Article
  13. Article
  14. Article
  15. Adverse pregnancy outcomes and risk of type 2 diabetes in postmenopausal women.American journal of obstetrics and gynecology · 2024
    Article
  16. Pregnancy complications and later life women's health.Acta obstetricia et gynecologica Scandinavica · 2023
    Review
  17. Article
  18. Article
  19. Review
  20. 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

9 authors at 3 institutions in 1 country.

Pensee WuInstitute for Science and Technology in Medicine, Keele University, Guy Hilton Research Centre, Thornburrow Drive, Hartshill, Stoke-on-Trent, ST4 7QB, UK. p.wu@keele.ac.uk.
Chun Shing KwokKeele Cardiovascular Research Group, Keele University, Stoke-on-Trent, UK.
Randula HaththotuwaPrimary Care and Health Sciences, Keele University, Stoke-on-Trent, UK.
Rafail A KotroniasKeele Cardiovascular Research Group, Keele University, Stoke-on-Trent, UK.
Aswin BabuKeele Cardiovascular Research Group, Keele University, Stoke-on-Trent, UK.
Anthony A FryerInstitute for Science and Technology in Medicine, Keele University, Guy Hilton Research Centre, Thornburrow Drive, Hartshill, Stoke-on-Trent, ST4 7QB, UK.
Phyo K MyintEpidemiology Group, Institute of Applied Health Sciences, University of Aberdeen, Aberdeen, UK.
Carolyn A Chew-GrahamPrimary Care and Health Sciences, Keele University, Stoke-on-Trent, UK.
Mamas A MamasKeele Cardiovascular Research Group, Keele University, Stoke-on-Trent, UK.
Keele University · GBRoyal Stoke University Hospital · GBUniversity of Aberdeen · GB

Funding

Department of Health WMCLAHRC-2014-1
6 · The paper itself

Abstract

aims/hypothesisPre-eclampsia is a pregnancy-specific multisystem disorder and a state of physiological insulin resistance. Our aim was to systematically evaluate and quantify the evidence on the relationship between pre-eclampsia and the future risk of diabetes.

methodsWe conducted a systematic review and meta-analysis of studies that evaluated diabetes in women with and without pre-eclampsia. We performed a systematic search of MEDLINE and EMBASE to identify relevant studies. Independent double data extractions were conducted by four reviewers. Random-effects meta-analysis was used to estimate the risk of future diabetes following pre-eclampsia.

resultsA total of 21 studies were identified with more than 2.8 million women, including more than 72,500 women with pre-eclampsia. Meta-analysis of studies that adjusted for potential confounders demonstrated that pre-eclampsia was independently associated with an increased risk of future diabetes (RR 2.37 [95% CI 1.89, 2.97]). This risk appeared in studies that followed women from less than 1 year postpartum (RR 1.97 [95% CI 1.35, 2.87]) and persisted to more than 10 years postpartum (RR 1.95 [95% CI 1.28, 2.97]). After adjusting for BMI or gestational diabetes, pre-eclampsia remained linked with an increased risk of future diabetes (RR 2.38 [95% CI 1.74, 3.24] and RR 2.36 [95% CI 1.94, 2.88], respectively). CONCLUSIONS/

interpretationPre-eclampsia is independently associated with a twofold increase in future diabetes. Our study highlights the importance of clinical risk assessment for the future development of diabetes in women with pre-eclampsia. We recommend detailed evaluation of a screening programme for diabetes in this high-risk population.

Indexed as

Diabetes, GestationalFemaleHumansPostpartum PeriodPre-EclampsiaPregnancyRisk FactorsDiabetes mellitusMeta-analysisPre-eclampsiaRisk predictorsScreeningSystematic review

Identifiers

PMID27646865
PMCPMC6518071
OpenAlexW2521650083

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.