Evidence map›Paper›PMID 31056149›Full record

ReviewPregnancy hypertension2019

Critical barriers for preeclampsia diagnosis and treatment in low-resource settings: An example from Bolivia.

Lilian Toledo-Jaldin, Sheana Bull, Stephen Contag, Carlos Escudero, Patricio Gutierrez, Alexandra Heath, James M Roberts, Jean Scandlyn, Colleen G Julian, Lorna G Moore

Open access · greenAbstract readReview
In one paragraph

Review 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
0.8field-weighted citation impact, top 25% 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, 11 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. High-altitude residence alters blood-pressure course and increases hypertensive disorders of pregnancy.The journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians · 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

10 authors at 8 institutions in 3 countries.

Lilian Toledo-JaldinDepartment of Obstetrics, Women's and Infant's Specialty Hospital, La Paz, Bolivia.
Sheana BullColorado School of Public Health, University of Colorado Anschutz Medical Campus, Aurora, CO, USA.
Stephen ContagDepartment of Obstetrics, Gynecology and Women's Health, University of Minnesota, Minneapolis, MN, USA.
Carlos EscuderoDepartment of Basic Sciences, Universidad del Bio-Bio, Chillán, Chile.
Patricio GutierrezNational Health Care Fund, La Paz, Bolivia.
Alexandra HeathKardiozentrum, La Paz, Bolivia.
James M RobertsMagee-Women's Research Institute, Department of Obstetrics Gynecology and Reproductive Sciences, Pittsburgh, PA, USA.
Jean ScandlynDepartments of Health and Behavioral Sciences and Anthropology, University of Colorado Denver, Denver, CO, USA.
Colleen G JulianDepartment of Medicine, University of Colorado, Anschutz Medical Campus, Aurora, CO, USA.
Lorna G MooreDepartment of Obstetrics and Gynecology, University of Colorado Anschutz Medical Campus, Aurora, CO, USA. Electronic address: Lorna.Moore@ucdenver.edu.
University of Colorado Anschutz Medical Campus · USColorado School of Public Health · USFundación para el Desarrollo de la Ecología · BOInstituto Boliviano de Ciencia y Tecnología Nuclear · BOMagee-Womens Research Institute · USUniversity of Bío-Bío · CLUniversity of Colorado Denver · USUniversity of Minnesota · US

Funding

Effects of chronic hypoxia and AMPK activation on uteroplacental perfusion, placental metabolism and the regulation of fetal growthR01HD088590 · NICHD · UNIVERSITY OF COLORADO DENVER · PI Colleen Glyde Julian, LORNA G. MOORE · 2016 to 2026
$4.3M
Epigenetic and Fetal Origins of Hypoxia-Induced Pulmonary HypertensionR01HL138181 · NHLBI · UNIVERSITY OF COLORADO DENVER · PI JULIAN, COLLEEN GLYDE · 2018 to 2021
$1.6M
Antenatal Exposures and Non-Communicable Disease(ANDES): Building research capacity to identify and treat causes of NCD in BoliviaR21TW010797 · FIC · UNIVERSITY OF COLORADO DENVER · PI JULIAN, COLLEEN GLYDE, MOORE, LORNA G. · 2017 to 2018
$389k
FIC NIH HHS R21 TW010797NHLBI NIH HHS R01 HL138181NICHD NIH HHS R01 HD088590
6 · The paper itself

Abstract

The goals of the United Nation's Millennium Summit for reducing maternal mortality have proven difficult to achieve. In Bolivia, where maternal mortality is twice the South American average, improving the diagnosis, treatment and ultimately prevention of preeclampsia is key for achieving targeted reductions. We held a workshop in La Paz, Bolivia to review recent revisions in the diagnosis and treatment of preeclampsia, barriers for their implementation, and means for overcoming them. While physicians are generally aware of current recommendations, substantial barriers exist for their implementation due to geographic factors increasing disease prevalence and limiting health-care access, cultural and economic factors affecting the care provided, and infrastructure deficits impeding diagnosis and treatment. Means for overcoming such barriers include changes in the culture of health care, use of standardized diagnostic protocols, the adoption of low-cost technologies for improving the diagnosis and referral of preeclamptic cases to specialized treatment centers, training programs to foster multidisciplinary team approaches, and efforts to enhance local research capacity. While challenging, the synergistic nature of current barriers for preeclampsia diagnosis and treatment also affords opportunities for making far-reaching improvements in maternal, infant and lifelong health.

Indexed as

BoliviaFemaleHealth Services AccessibilityHumansMaternal Health ServicesPre-EclampsiaPregnancyHigh altitudeInfant mortalityMaternal mortalityMobile health technologies

Identifiers

PMID31056149
PMCPMC6502264
OpenAlexW2922080850

What OpenQuestion holds

Textmetadata
LicenceTDM
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.