Evidence map›Paper›PMID 29308448›Full record

ArticleJournal of the Endocrine Society2017

Trends in Obstetric Intervention and Pregnancy Outcomes of Canadian Women With Diabetes in Pregnancy From 2004 to 2015.

Amy Metcalfe, Yasser Sabr, Jennifer A Hutcheon, Lois Donovan, Janet Lyons, Jason Burrows, K S Joseph

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of the Endocrine Society, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed, 3 pooled it
4.5field-weighted citation impact, top 5% 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

31 citing papers in PubMed, 3 syntheses or guidelines pooled it, 56 citations in OpenAlex.

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  17. A Social-Ecological Model Exploring Gestational Diabetes Mellitus Screening Practices Among Antenatal Health Care Providers.Health education & behavior : the official publication of the Society for Public Health Education · 2024
    Article
  18. The impact of isolated obesity compared with obesity and other risk factors on risk of stillbirth: a retrospective cohort study.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2024
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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

7 authors at 2 institutions in 2 countries.

Amy MetcalfeDepartment of Obstetrics and Gynecology, University of Calgary, Calgary, Alberta T2N 2T9, Canada.
Yasser SabrDepartment of Obstetrics and Gynecology, University of British Columbia, Vancouver, British Columbia V6H 3N1, Canada.
Jennifer A HutcheonDepartment of Obstetrics and Gynecology, University of British Columbia, Vancouver, British Columbia V6H 3N1, Canada.
Lois DonovanDepartment of Obstetrics and Gynecology, University of Calgary, Calgary, Alberta T2N 2T9, Canada.
Janet LyonsDepartment of Obstetrics and Gynecology, University of British Columbia, Vancouver, British Columbia V6H 3N1, Canada.
Jason BurrowsDepartment of Obstetrics and Gynecology, University of British Columbia, Vancouver, British Columbia V6H 3N1, Canada.
K S JosephDepartment of Obstetrics and Gynecology, University of British Columbia, Vancouver, British Columbia V6H 3N1, Canada.
University of British Columbia · CAUniversity of Calgary · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

contextMultiple consensus statements decree that women with diabetes mellitus should have comparable birth outcomes to women without diabetes mellitus; however, there is a scarcity of contemporary population-based studies on this issue.

objectiveTo examine temporal trends in obstetric interventions and perinatal outcomes in a population-based cohort of women with type 1, type 2, or gestational diabetes mellitus compared with a control population.

designCross-sectional study.

settingNational hospitalization data (Canada except Quebec) from 2004 to 2015. PATIENTS: Pregnant women with type 1 (n = 7362), type 2 (n = 11,028), and gestational diabetes mellitus (n = 149,780) and women without diabetes mellitus (n = 2,688,231).

main outcome measuresRates of obstetric intervention, maternal morbidity, and neonatal morbidity/mortality.

resultsA consistent relationship was generally observed between diabetes mellitus subtype and obstetric outcomes, with women with type 1 diabetes mellitus having the highest rate of intervention and the highest rates of adverse perinatal outcomes followed by women with type 2 diabetes mellitus and women with gestational diabetes mellitus. Rates of severe preeclampsia were 1.2% among women without diabetes mellitus, 2.1% among women with gestational diabetes mellitus, 4.2% among women with type 2 diabetes mellitus, and 7.5% among women with type 1 diabetes mellitus (

conclusionsIn a contemporary obstetric population, women with diabetes mellitus remain at increased risk of adverse pregnancy outcomes compared with women without diabetes mellitus.

Indexed as

diabetes mellitusgestational diabetes mellitusmaternal morbidityneonatal morbiditypregnancytemporal trends

Identifiers

PMID29308448
PMCPMC5740523
OpenAlexW2768232034

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.