Evidence map›Paper›PMID 31728906›Full record

ArticlePituitary2020

A Brazilian multicentre study evaluating pregnancies induced by cabergoline in patients harboring prolactinomas.

B G Sant' Anna, N R C Musolino, M R Gadelha, C Marques, M Castro, P C L Elias, L Vilar, R Lyra, M R A Martins, A R P Quidute and 13 more

Open access · greenAbstract readMulticenter Study
PubMed Publisher
In one paragraph

Article in Pituitary, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
2.2field-weighted citation impact, top 11% 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

16 citing papers in PubMed, 1 synthesis or guideline pooled it, 36 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. Article
  5. Observational
  6. Article
  7. Does hyperprolactinemia treatment affect pregnancy and perinatal outcomes?Revista da Associacao Medica Brasileira (1992) · 2024
    Article
  8. Hyperprolactinemia in women: treatment.Revista brasileira de ginecologia e obstetricia : revista da Federacao Brasileira das Sociedades de Ginecologia e Obstetricia · 2024
    Article
  9. Review
  10. Approach to the Patient With Prolactinoma.The Journal of clinical endocrinology and metabolism · 2023
    Review
  11. Article
  12. Surgical management of pituitary adenoma during pregnancy.World journal of clinical cases · 2023
    Article
  13. Article
  14. Article
  15. Article
  16. 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

23 authors at 12 institutions in 1 country.

B G Sant' AnnaDivision of Endocrinology and Metabolism, Hospital das Clinicas, Neuroendocrine Unit, University of Sao Paulo Medical School, Av. Dr. Enéas de Carvalho Aguiar, no 155, 8° andar, bloco 3 (Endocrinologia), Sao Paulo, SP, 05403-000, Brazil. bibigsantanna@yahoo.com.br.ORCID http://orcid.org/0000-0002-5478-0431
N R C MusolinoDivision of Neurosurgery, Institute of Psychiatry, University of Sao Paulo Medical School, Sao Paulo, SP, Brazil.
M R GadelhaFederal University of Rio de Janeiro, Rio de Janeiro, Rio de Janeiro, Brazil.
C MarquesFederal University of Rio de Janeiro, Rio de Janeiro, Rio de Janeiro, Brazil.
M CastroUniversity of Sao Paulo Medical School of Ribeirao Preto, Ribeirao Preto, SP, Brazil.
P C L EliasUniversity of Sao Paulo Medical School of Ribeirao Preto, Ribeirao Preto, SP, Brazil.
L VilarFederal University of Pernambuco, Recife, Pernambuco, Brazil.
R LyraFederal University of Pernambuco, Recife, Pernambuco, Brazil.
M R A MartinsFederal University of Ceara, Fortaleza, Ceara, Brazil.
A R P QuiduteFederal University of Ceara, Fortaleza, Ceara, Brazil.
J AbuchamEscola Paulista de Medicina, Universidade Federal de São Paulo, Sao Paulo, SP, Brazil.
D NazatoEscola Paulista de Medicina, Universidade Federal de São Paulo, Sao Paulo, SP, Brazil.
H M GarmesState University of Campinas, Campinas, SP, Brazil.
M L C FontanaState University of Campinas, Campinas, SP, Brazil.
C L BoguszewskiEndocrine Division (SEMPR), Department of Internal Medicine, Federal University of Parana, Curitiba, Parana, Brazil.
C B BuenoIrmandade da Santa Casa de Misericórdia de São Paulo, Sao Paulo, SP, Brazil.
M A CzepielewskiDivision of Endocrinology, Hospital de Clinicas de Porto Alegre (UFRGS), Porto Alegre, Rio Grande do Sul, Brazil.
E S PortesInstitute of Medical Assistance to the State Public Hospital, Sao Paulo, SP, Brazil.
V S Nunes-NogueiraSão Paulo State University (UNESP), Medical School, Botucatu, SP, Brazil.
A Ribeiro-OliveiraFederal University of Minas Gerais, Belo Horizonte, Minas Gerais, Brazil.
R P V FranciscoDisciplina de Obstetrícia, Departamento de Obstetrícia e Ginecologia, Faculdade de Medicina (FMUSP), Universidade de São Paulo, Sao Paulo, SP, Brazil.
M D BronsteinDivision of Endocrinology and Metabolism, Hospital das Clinicas, Neuroendocrine Unit, University of Sao Paulo Medical School, Av. Dr. Enéas de Carvalho Aguiar, no 155, 8° andar, bloco 3 (Endocrinologia), Sao Paulo, SP, 05403-000, Brazil.
A GlezerDivision of Endocrinology and Metabolism, Hospital das Clinicas, Neuroendocrine Unit, University of Sao Paulo Medical School, Av. Dr. Enéas de Carvalho Aguiar, no 155, 8° andar, bloco 3 (Endocrinologia), Sao Paulo, SP, 05403-000, Brazil.
Universidade de São Paulo · BRUniversidade Estadual de Campinas (UNICAMP) · BRUniversidade Federal de Pernambuco · BRUniversidade Federal de São Paulo · BRUniversidade Federal do Ceará · BRUniversidade Federal do Rio de Janeiro · BRHospital São Paulo · BRIrmandade da Santa Casa de Misericórdia de São Paulo · BRUniversidade Estadual Paulista (Unesp) · BRUniversidade Federal de Minas Gerais · BRUniversidade Federal do Paraná · BRUniversidade Federal do Rio Grande do Sul · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo evaluate the maternal-fetal outcomes of CAB-induced pregnancies in patients with prolactinoma in a large cohort.

methodsThe prevalence of tumor growth, miscarriage, preterm, low birth weight, congenital malformations and impairment in neuropsychological development in children among women treated with CAB were assessed in a Brazilian multicentre retrospective observational study,

resultsWe included 194 women with a mean age of 31 (17-45) years, 43.6% presenting microadenomas and 56.4% macroadenomas, at prolactinoma diagnosis. In 233 pregnancies, CAB was withdrawn in 89%, after pregnancy confirmation. Symptoms related to tumor growth occurred in 25 cases, more frequently in macroadenomas. The overall miscarriage rate was 11%, although higher in the subgroup of patients with CAB maintainance after pregnancy confirmation (38% vs. 7.5%). Amongst the live-birth deliveries, preterm occurred in 12%, low birth weight in 6% and congenital malformations in 4.3%. Neuropsychological development impairment was reported in 7% of cases.

conclusionsOur findings confirm previous results of safety in maternal and fetal outcomes in CAB-induced pregnancies; nevertheless, CAB maintenance after pregnancy confirmation was associated with higher miscarriage rate; result that must be further confirmed.

Indexed as

Abortion, SpontaneousAdolescentAdultAgedCabergolineDopamine AgonistsFemaleHumansHyperprolactinemiaMiddle AgedPregnancyPregnancy Complications, NeoplasticProlactinomaRetrospective StudiesYoung AdultCabergolineDopamine AgonistsCabergolineDopamine agonistMalformationMiscarriagePregnancyProlactinoma

Identifiers

PMID31728906
OpenAlexW2987128550

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.