Evidence map›Paper›PMID 28004193›Full record

SynthesisArchives of gynecology and obstetrics2017

Lymphocyte immunotherapy in the treatment of recurrent miscarriage: systematic review and meta-analysis.

Marcelo Borges Cavalcante, Manoel Sarno, Edward Araujo Júnior, Fabricio Da Silva Costa, Ricardo Barini

Open access · greenAbstract readMeta-AnalysisSystematic Review
PubMed Publisher
In one paragraph

Synthesis in Archives of gynecology and obstetrics, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
2.3field-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

20 citing papers in PubMed, 64 citations in OpenAlex.

  1. Review
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  9. Review
  10. Review
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  13. Gestational and perinatal outcomes in recurrent miscarriages couples treated with lymphocyte immunotherapy.European journal of obstetrics & gynecology and reproductive biology: X · 2019
    Article
  14. Article
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  19. Novel Association of Thrombophilic PROS1, PROC and CPB2 Genes Polymorphisms with Recurrent Spontaneous Miscarriage Women in Jordan.Clinical and applied thrombosis/hemostasis : official journal of the International Academy of Clinical and Applied Thrombosis/Hemostasis
    Article
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors at 5 institutions in 2 countries.

Marcelo Borges CavalcanteDepartment of Gynecology and Obstetrics, University of Fortaleza (UNIFOR), Fortaleza, CE, Brazil.
Manoel SarnoDepartment of Gynecology and Obstetrics, Bahia Federal University (UFBA), Salvador, BA, Brazil.
Edward Araujo JúniorDepartment of Obstetrics, Paulista School of Medicine-São Paulo Federal University (EPM-UNIFESP), Rua Belchior de Azevedo, 156 apto. 111 Torre Vitoria, São Paulo, SP, Brazil. araujojred@terra.com.br.
Fabricio Da Silva CostaDepartment of Obstetrics and Gynaecology, Monash University Faculty of Medicine Nursing and Health Sciences, Clayton, VIC, Australia.
Ricardo BariniDepartment of Obstetrics and Gynecology, State University of Campinas (UNICAMP), Campinas, SP, Brazil.
Monash University · AUUniversidade de Fortaleza · BRUniversidade Estadual de Campinas (UNICAMP) · BRUniversidade Federal da Bahia · BRUniversidade Federal de São Paulo · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeRecurrent miscarriage (RM) affects up to 2-3% of couples of reproductive age. There are several causes for this condition, including immunologic. The embryo is considered an allograft, subject to the rejection mechanisms of the maternal immune system. Immunotherapy involving immunization with lymphocytes is considered in cases of idiopathic RM. However, there is still no consensus regarding the efficacy and safety of this therapy.

methodsThis systematic review and meta-analysis evaluated the data available in the literature regarding the efficacy and safety of the use of immunotherapy with lymphocytes in couples with history of RM. Searches in PubMed/Medline, SCOPUS, and Cochrane Library databases were conducted, using the following keywords: "recurrent miscarriage," "lymphocyte immunotherapy," and "meta-analysis." Statistical analyses were performed using Review Manager 5.3 (RevMan), version 5.3.

resultsSix published meta-analysis were retrieved; two found no improvements in the rate of live births after the use of immunization with lymphocytes in the treatment of RM, and four found a beneficial effect of the use of immunotherapy with lymphocytes in cases of RM, with significant improvements in the rate of live births.

conclusionData available in the literature supports the efficacy and safety of immunotherapy with lymphocytes in cases of RM without an identified cause.

Indexed as

ImmunizationAbortion, HabitualFemaleHumansLive BirthLymphocytesPregnancyLymphocyte immunotherapyRecurrent miscarriageSystematic review

Identifiers

PMID28004193
OpenAlexW2564719132

What OpenQuestion holds

Textmetadata
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.