Evidence map›Paper›PMID 28973668›Full record

SynthesisFamily practice2018

A systematic review of the effect of reproductive intention screening in primary care settings on reproductive health outcomes.

Carolyne K Burgess, Paul A Henning, Wendy V Norman, Meredith G Manze, Heidi E Jones

Abstract readSystematic Review
In one paragraph

Synthesis in Family practice, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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, 2 syntheses or guidelines pooled it.

  1. Guideline
  2. Pooled it
  3. Article
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  8. Observational
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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

5 authors.

Carolyne K BurgessDepartment of Epidemiology and Biostatistics, City University of New York School of Public Health, New York, NY, USA.
Paul A HenningDepartment of Obstetrics and Gynaecology, University of Calgary, Calgary, Canada.
Wendy V NormanDepartment of Family Practice, School of Population and Public Health, University of British Columbia, Vancouver, British Columbia, Canada.
Meredith G ManzeDepartment of Community Health and Social Sciences, City University of New York School of Public Health, New York, NY, USA.
Heidi E JonesDepartment of Epidemiology and Biostatistics, City University of New York School of Public Health, New York, NY, USA.

Funding

CIHR CPP-137903
6 · The paper itself

Abstract

Purpose: No recommendations exist for routine reproductive intention screening in primary care. The objective of this systematic review is to assess the effect of reproductive intention screening in primary care on reproductive health outcomes (PROSPERO CRD42015019726). Methods: We performed a systematic search in Ovid Medline, PubMed, CINAHL, Embase, CDR/DARE databases, Web of Science, ISRCTN registry, Clinicaltrials.gov and Cochrane Library. Studies published in English between 2000 and 2017 and whose population was patients of reproductive age (15-49) were included. Studies without a comparison group were excluded. Two independent reviewers assessed eligibility, study quality and abstracted data. Results: Of 24 780 titles and/or abstracts reviewed, nine studies met inclusion criteria: four randomized controlled trials (RCTs) and five observational studies. Two RCTs and one quasi-experimental cohort study showed a statistically significant increase in knowledge related to healthier pregnancy, such as the benefits of folic acid supplementation, and increased risk profiles for those with chronic conditions. Among studies measuring contraceptive use, only one cohort study showed any increase while the RCT and retrospective cohort did not show a statistically significant effect. Neither of the two RCTs that assessed the provision of contraception by primary care providers for those not desiring pregnancy found increased access to contraception, although one found increased documentation of contraception in electronic medical records. Acceptability of reproductive intention screening was measured in seven studies, and participant satisfaction was high in all seven studies. Conclusions: More research is needed to determine whether routine inclusion of reproductive intention screening in primary care is warranted.

Indexed as

CounselingFamily Planning ServicesPrimary Health CareFemaleHumansIntentionObservational Studies as TopicPractice Guidelines as TopicPregnancyPregnancy OutcomeRandomized Controlled Trials as Topic

Identifiers

PMID28973668
PMCPMC5892170

What OpenQuestion holds

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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.