Evidence map›Paper›PMID 30109830›Full record

ArticleBJPsych bulletin2018

Awareness and documentation of the teratogenic effects of valproate among women of child-bearing potential.

Deirdre Mulryan, Anna McIntyre, Colm McDonald, Sabina Feeney, Brian Hallahan

Open access · diamondAbstract read
In one paragraph

Article in BJPsych bulletin, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
1.1field-weighted citation impact, top 18% 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

2 citing papers in PubMed, 7 citations in OpenAlex.

  1. Prescription of sodium valproate to women of childbearing potential in Southern District Mental Health Services in New Zealand.Australasian psychiatry : bulletin of Royal Australian and New Zealand College of Psychiatrists · 2023
    Article
  2. Are female bipolar patients of reproductive age aware of the teratogenic risk of sodium valproate? A qualitative study.The South African journal of psychiatry : SAJP : the journal of the Society of Psychiatrists of South Africa · 2022
    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

5 authors at 3 institutions in 1 country.

Deirdre MulryanDepartment of Psychiatry,University Hospital Galway,Ireland.
Anna McIntyreDepartment of Psychiatry,Roscommon County Hospital,Ireland.
Colm McDonaldDepartment of Psychiatry,University Hospital Galway,Ireland.ORCID http://orcid.org/0000-0003-1661-5192
Sabina FeeneyDepartment of Psychiatry,Roscommon County Hospital,Ireland.
Brian HallahanDepartment of Psychiatry,University Hospital Galway,Ireland.
National University of Ireland · IERoscommon University Hospital · IEUniversity Hospital Galway · IE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Aims and methodWe aimed to evaluate clinical note documentation of valproate prescribing and establish the level of knowledge among women of child-bearing potential regarding valproate-associated adverse effects, including teratogenesis, in a regional Irish mental health service.

resultsOf the 42 women prescribed sodium valproate, 21.4% (n = 9) had some documentation in relation to associated risks and 33.3% (n = 14) described an awareness of these risks from consultation with their treating mental health team. On clinical interview, 9.5% (n = 4) of individuals with clear documentation of the risks of teratogenesis described no such awareness. Augmentation with lithium was associated with greater awareness of the teratogenic risks of valproate (P = 0.011).Clinical implicationsA clear description of the teratogenic risks of valproate and potential management strategies, including advice regarding contraception and supplementation with folic acid, should be clearly documented and provided repeatedly and in context to all women of child-bearing age who are prescribed valproate.Declaration of interestNone.

Indexed as

folateteratogenesisValproate

Identifiers

PMID30109830
PMCPMC6465217
OpenAlexW2886746464

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.