Evidence map›Paper›PMID 28646142›Full record

SynthesisScientific reports2017

Efficacy and safety of tenofovir disoproxil fumarate in preventing vertical transmission of hepatitis B in pregnancies with high viral load.

Jun-Ze Chen, Zuo-Wei Liao, Fei-Long Huang, Ru-Kui Su, Wen-Bo Wang, Xue-Yuan Cheng, Jie-Qing Chen, Jia-Qi Liu, Zhong Huang

Open access · goldAbstract readMeta-Analysis
In one paragraph

Synthesis in Scientific reports, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
2.4field-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

9 citing papers in PubMed, 23 citations in OpenAlex.

  1. Trial
  2. Therapeutic, preventive, and pathogenetic advances in viral hepatitis.Frontiers in cellular and infection microbiology · 2026
    Review
  3. Review
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. 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

9 authors at 1 institution in 1 country.

Jun-Ze ChenDepartment of General Surgery, The Ninth Affiliated Hospital of Guangxi Medical University, Beihai, 536000, PR China. junzechen89@163.com.
Zuo-Wei LiaoDepartment of General Surgery, The Ninth Affiliated Hospital of Guangxi Medical University, Beihai, 536000, PR China.
Fei-Long HuangDepartment of General Surgery, The Ninth Affiliated Hospital of Guangxi Medical University, Beihai, 536000, PR China.
Ru-Kui SuDepartment of General Surgery, The Ninth Affiliated Hospital of Guangxi Medical University, Beihai, 536000, PR China.
Wen-Bo WangDepartment of General Surgery, The Ninth Affiliated Hospital of Guangxi Medical University, Beihai, 536000, PR China.
Xue-Yuan ChengDepartment of General Surgery, The Ninth Affiliated Hospital of Guangxi Medical University, Beihai, 536000, PR China.
Jie-Qing ChenDepartment of General Surgery, The Ninth Affiliated Hospital of Guangxi Medical University, Beihai, 536000, PR China.
Jia-Qi LiuDepartment of General Surgery, The Ninth Affiliated Hospital of Guangxi Medical University, Beihai, 536000, PR China.
Zhong HuangDepartment of General Surgery, The Ninth Affiliated Hospital of Guangxi Medical University, Beihai, 536000, PR China. hzhong8890@126.com.
Guangxi Medical University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This study was a meta-analysis of the literature on the efficacy and safety of tenofovir disoproxil fumarate (TDF) in preventing vertical transmission of hepatitis B in pregnancies with high viral load. Four observational studies and one randomized controlled trial involving 585 pregnant women and 595 newborns were included in the meta-analysis. TDF was more effective than the placebo in reducing vertical transmission in HBeAg-positive chronic hepatitis B (CHB) pregnancies with high serum HBV-DNA levels (OR = 0.21, 95% CI = 0.07-0.61) at 4-12 months, infant HBV DNA seropositivity at delivery (OR = 0.16, 95% CI = 0.07-0.37), and a severe flair in maternal alanine aminotransferase (ALT) levels (OR = 0.43, 95% CI = 0.19-0.95) during pregnancy. In addition, TDF showed more improvement in HBV DNA suppression at delivery (OR = 254.46, 95% CI = 28.39-2280.79). No significant differences were found in HBeAg seroconversion or ALT normalization; or in rates of cesarean section, emergent cesarean section, postpartum hemorrhage, prematurity, congenital malformations, or infant death. However, TDF induced more drug-related adverse events (OR = 2.33, 95% CI = 1.39-3.89) and elevated creatine kinase (CK) (OR = 9.56, 95% CI = 1.17-78.09) than in controls. The available evidence suggests that TDF is effective and safe in preventing vertical transmission of hepatitis B in pregnancies exhibiting a high viral load.

Indexed as

Viral LoadAdultAntiviral AgentsFemaleHepatitis BHepatitis B VaccinesHepatitis B virusHumansInfantInfant, NewbornInfectious Disease Transmission, VerticalMaleOdds RatioOutcome Assessment, Health CarePregnancyPublication BiasAntiviral AgentsHepatitis B VaccinesTenofovir

Identifiers

PMID28646142
PMCPMC5482834
OpenAlexW2720434214

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.