Evidence map›Paper›PMID 31415407›Full record

ArticleMedicine2019

Successful management of twin pregnancy in a woman with advanced chronic kidney disease: A case report.

Yunbo Wei, Yan Wang, Qiang Yao, Li Zhou, Ping Fu

Abstract readCase Reports
In one paragraph

Article in Medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. 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.

Yunbo WeiKidney Research Institute, Division of Nephrology, West China Hospital.
Yan WangKidney Research Institute, Division of Nephrology, West China Hospital.
Qiang YaoDivision of Obstetrics, West China Women's and Children's Hospital, Sichuan University, Chengdu, China.
Li ZhouKidney Research Institute, Division of Nephrology, West China Hospital.
Ping FuKidney Research Institute, Division of Nephrology, West China Hospital.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

rationaleTwin pregnancy in women with chronic kidney disease (CKD) is very rare but poses a great risk to both mother and children. In developing countries like China, advanced CKD twin pregnancies are often terminated. Here, we report a successful case and reviewed related cases, hope to facilitate further study. PATIENT CONCERNS: A 29-year-old woman with a twin pregnancy showed serum creatinine (Scr) 100 μmol/L (CKD2) at conception. During her 12th week, Scr reached 263 μmol/L (CKD4) with urine protein 3+ and hypertension. DIAGNOSES: Due to her pregnancy, renal biopsy was not considered. Lab tests showed deterioration of renal function and ultrasound detections showed small kidney size.

interventionsThe patient was given basic drug therapy to control her blood pressure and supplemental nutrition without hemodialysis. OUTCOMES: The patient delivered 2 healthy babies weighting 0.9 and 0.7 kg by cesarean section at the 28th week, but has been under maintenance hemodialysis since then. LESSONS: Despite low birth weight and preterm delivery, successful twin pregnancies in some patients with CKD could be realized under early multidisciplinary intervention, but this poses great risks for mothers and twins, especially for patients with advanced CKD and those on hemodialysis.

Indexed as

Pregnancy, TwinAdultCesarean SectionChinaCreatinineFemaleGlucocorticoidsHumansInfant, NewbornNifedipinePrednisonePregnancyPregnancy ComplicationsRenal Insufficiency, ChronicVasodilator AgentsCreatinineGlucocorticoidsNifedipinePrednisoneVasodilator Agents

Identifiers

PMID31415407
PMCPMC6831258

What OpenQuestion holds

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Registered trials

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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.