Evidence map›Paper›PMID 31687369›Full record

ArticleERJ open research2019

Pregnancy after lung and heart-lung transplantation: a French multicentre retrospective study of 39 pregnancies.

Charlotte Bry, Dominique Hubert, Martine Reynaud-Gaubert, Claire Dromer, Hervé Mal, Antoine Roux, Véronique Boussaud, Johanna Claustre, Jérôme Le Pavec, Muriel Murris-Espin and 1 more

Abstract read
In one paragraph

Article in ERJ open research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
–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

9 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Observational
  5. Review
  6. Review
  7. Article
  8. Article
  9. Non-pulmonary complications after lung transplantation: part II.Indian journal of thoracic and cardiovascular surgery · 2022
    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

11 authors.

Charlotte BryService de Pneumologie, CHU de Nantes, Nantes, France.
Dominique HubertService de Pneumologie, Hôpital Cochin, Paris, France.ORCID https://orcid.org/0000-0001-6044-4568
Martine Reynaud-GaubertCentre de Ressource et de Compétences de la Mucoviscidose Adulte, Equipe de Transplantation Pulmonaire, CHU Nord, Marseille, France.
Claire DromerService de Pneumologie, CHU de Bordeaux, Bordeaux, France.
Hervé MalService de Pneumologie, Hôpital Bichat-Claude Bernard, Paris, France.
Antoine RouxService de Pneumologie, Hôpital Foch, Suresnes, France.
Véronique BoussaudService de Pneumologie, Hôpital Européen Georges Pompidou, Paris, France.
Johanna ClaustreClinique Universitaire de Pneumologie, Pôle Thorax et Vaisseaux, CHU de Grenoble, Grenoble, France.
Jérôme Le PavecService de Chirurgie Thoracique et Vasculaire, Centre Chirurgical Marie Lannelongue, Le Plessis Robinson, France.
Muriel Murris-EspinCRCM Adulte, Service de Pneumologie-Allergologie, CHU de Toulouse, Toulouse, France.
Isabelle Danner-BoucherService de Pneumologie, CHU de Nantes, Nantes, France.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Pregnancy after lung and heart-lung transplantation remains rare. This French study deals with change in lung function after a pregnancy and the maternal and newborn outcomes. We retrospectively included 39 pregnancies in 35 women aged >20 years. Data on patients, course of pregnancies and newborns were collected from nine transplantation centres. Mean age at time of pregnancy was 28 years. Cystic fibrosis affected 71% of patients. Mean±sd time between transplantation and pregnancy was 63±44 months. 26 births occurred (67%) with a mean term of 36 weeks of amenorrhoea and a mean birthweight of 2409 g. Prematurity was observed in 11 cases (43%). Forced expiratory volume in 1 s was 83.9% of predicted before pregnancy and 77.3% of predicted 1 year after the end of pregnancy (p=0.04). 10 patients developed chronic lung allograft dysfunction after delivery. Nine patients died at a mean±sd time after transplantation of 8.2±7 years and a mean±sd time after pregnancy of 4.6±6.5 years. These data show that pregnancy remains feasible in lung and heart-lung transplant recipients, with more frequent maternal and newborn complications than in the general population. Survival in this cohort appears to be similar to the global survival observed in lung transplant recipients. Planned pregnancy and multidisciplinary follow-up are crucial.

Identifiers

PMID31687369
PMCPMC6819984

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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.