Evidence map›Paper›PMID 30825922›Full record

ArticlePregnancy hypertension2019

Pre-pregnancy kidney function and subsequent adverse pregnancy outcomes.

Emily W Harville, Janet Catov, C Elizabeth Lewis, Kirsten Bibbins-Domingo, Erica P Gunderson

Open access · greenAbstract readMulticenter Study
In one paragraph

Article in Pregnancy hypertension, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.7field-weighted citation impact, top 27% 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

5 citing papers in PubMed, 8 citations in OpenAlex.

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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 at 5 institutions in 1 country.

Emily W HarvilleDepartment of Epidemiology, Tulane University School of Public Health and Tropical Medicine, New Orleans, LA, United States. Electronic address: harville@tulane.edu.
Janet CatovUniversity of Pittsburgh, Departments of OB/GYN and Epidemiology, Pittsburgh, PA, United States. Electronic address: catovjm@mail.magee.edu.
C Elizabeth LewisDepartment of Epidemiology, School of Public Health University of Alabama at Birmingham, Birmingham, AL, United States. Electronic address: celewis@uabmc.edu.
Kirsten Bibbins-DomingoDepartment of Epidemiology and Biostatistics, University of California-San Francisco, San Francisco, CA, United States. Electronic address: kirsten.bibbins-domingo@ucsf.edu.
Erica P GundersonCardiovascular and Metabolism Section, Division of Research, Kaiser Permanente Northern California, Oakland, CA, United States. Electronic address: erica.gunderson@kp.org.
Kaiser Permanente · USTulane University · USUniversity of Alabama at Birmingham · USUniversity of California, San Francisco · USUniversity of Pittsburgh · US

Funding

Tulane Building Interdisciplinary Research Careers in Women's Health (BIRCWH)K12HD043451 · NICHD · TULANE UNIVERSITY OF LOUISIANA · PI KROUSEL-WOOD, MARIE · 2002 to 2023
$9.9M
Lactation and Incidence of Diabetes Mellitus in CARDIA WomenR01DK090047 · NIDDK · KAISER FOUNDATION RESEARCH INSTITUTE · PI GUNDERSON, ERICA PAULINE · 2011 to 2014
$2.7M
Pregnancy-Related Risk Factors and Glucose Intolerance in Women during MidlifeR01DK106201 · NIDDK · KAISER FOUNDATION RESEARCH INSTITUTE · PI GUNDERSON, ERICA PAULINE · 2015 to 2018
$2.7M
Pregnancy and Risk Factors for CVD and Type 2 DiabetesK01DK059944 · NIDDK · KAISER FOUNDATION RESEARCH INSTITUTE · PI GUNDERSON, ERICA PAULINE · 2002 to 2006
$640k
NHLBI NIH HHS HHSN268200900041CNHLBI NIH HHS HHSN268201300025CNHLBI NIH HHS HHSN268201300026CNHLBI NIH HHS HHSN268201300027CNHLBI NIH HHS HHSN268201300028CNHLBI NIH HHS HHSN268201300029CNICHD NIH HHS K12 HD043451NIDDK NIH HHS K01 DK059944NIDDK NIH HHS R01 DK090047NIDDK NIH HHS R01 DK106201
6 · The paper itself

Abstract

backgroundRenal insufficiency is associated with pregnancy complications including fetal growth restriction, preterm birth (PTB), and pre-eclampsia.

objectiveTo determine the effect of preconception kidney function within the normal range on pregnancy outcome.

method1043 (50% black, 50% white) women who participated in the CARDIA study who had kidney function and biochemical analyses measured before at least one pregnancy delivered during the 20 years post-baseline period were included in analysis. Kidney function estimated as glomerular filtration rate (eGFR) via modified CKD-EPI equations, serum creatinine, and urinary albumin/creatinine ratio were evaluated as predictors of infant birthweight, gestational age, birthweight-for-gestational-age, and hypertensive disorders of pregnancy via self-report, using multiple regression with adjustment for confounders (age, race, smoking, BMI, center, parity, systolic blood pressure at baseline). Serum uric acid was also examined at both baseline and year 10.

resultsUnadjusted pre-pregnancy eGFR (baseline) was associated with lower average birthweight-for-gestational-age, but this disappeared after adjustment for confounders. A decline in GFR from baseline to year 10 was associated with lower birthweight (adjusted estimate -195 g, p = 0.03 overall), especially among whites. After adjustment for confounders, no association was found with gestational age or hypertensive disorders.

conclusionsNo strong evidence for an association between preconception kidney function in the normal range and birthweight or gestational age was found. Possible racial differences in these relationships warrant further examination.

Indexed as

Infant, Small for Gestational AgePremature BirthAdultCreatineFemaleGestational AgeGlomerular Filtration RateHumansInfant, NewbornKidneyLongitudinal StudiesPregnancyPregnancy OutcomeRisk FactorsSelf ReportYoung AdultCreatineBirthweightGestational ageGlomerular filtration rateRaceSerum creatinine

Identifiers

PMID30825922
PMCPMC6484837
OpenAlexW2913747973

What OpenQuestion holds

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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.