Evidence map›Paper›PMID 31575566›Full record

ArticleBMJ open2019

Antidepressant use during pregnancy and the risk of gestational diabetes mellitus: a nested case-control study.

Maëlle Dandjinou, Odile Sheehy, Anick Bérard

Open access · goldAbstract read
In one paragraph

Article in BMJ open, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
3.6field-weighted citation impact, top 7% 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

11 citing papers in PubMed, 1 synthesis or guideline pooled it, 30 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
  4. Article
  5. Article
  6. Article
  7. Article
  8. Review
  9. Review
  10. Article
  11. Review
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

3 authors at 2 institutions in 1 country.

Maëlle DandjinouResearch Center, CHU Sainte-Justine, Montreal, Quebec, Canada.
Odile SheehyResearch Center, CHU Sainte-Justine, Montreal, Quebec, Canada.
Anick BérardResearch Center, CHU Sainte-Justine, Montreal, Quebec, Canada anick.berard@umontreal.ca.
Centre Hospitalier Universitaire Sainte-Justine · CAUniversité de Montréal · CA

Funding

CIHR
6 · The paper itself

Abstract

objectivesThe aim of this study was to determine the association between antidepressant (AD) classes, types and duration of use during pregnancy and the risk of gestational diabetes mellitus (GDM). DESIGN AND

settingA nested case-control study was conducted within the Quebec Pregnancy Cohort (QPC), a Canadian provincial database which includes data on all pregnancies and children in Quebec from January 1998 to December 2015. PRIMARY OUTCOME MEASURES: Gestational diabetes mellitus.

participantsCases of GDM were identified after week 20 of pregnancy and randomly matched 1:10 to controls on gestational age at index date (ie, calendar date of GDM) and year of pregnancy. AD exposure was assessed by filled prescriptions between the beginning of pregnancy (first day of last menstrual period) and index date. Conditional logistic regression models were used to estimate crude and adjusted odds ratios (aOR).

resultsAmong 20 905 cases and 209 050 matched controls, 9741 (4.2%) women were exposed to ADs. When adjusting for potential confounders, AD use was associated with an increased risk of GDM (aOR 1.19, 95% CI 1.08 to 1.30); venlafaxine (aOR 1.27, 95% CI 1.09 to 1.49) and amitriptyline (aOR 1.52, 95% CI 1.25 to 1.84) were also associated with an increased risk of GDM. Moreover, the risk of GDM was increased with longer duration of AD use, specifically for serotonin norepinephrine reuptake inhibitors, tricyclic ADs and combined use of two AD classes. No statistically significant association was observed for selective serotonin reuptake inhibitors.

conclusionThe findings suggest that ADs-and specifically venlafaxine and amitriptyline-were associated with an increased risk of GDM.

Indexed as

AdolescentAdultAmitriptylineAntidepressive AgentsCase-Control StudiesCohort StudiesDepressionDiabetes, GestationalFemaleGestational AgeHumansLogistic ModelsPregnancyQuebecRisk FactorsSelective Serotonin Reuptake InhibitorsAmitriptylineAntidepressive AgentsSelective Serotonin Reuptake InhibitorsVenlafaxine HydrochlorideAntidepressantgestational diabetesinsulin resistancepregnancy

Identifiers

PMID31575566
PMCPMC6830475
OpenAlexW2978969868

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.