Evidence map›Paper›PMID 31775669›Full record

ArticleBMC pregnancy and childbirth2019

A randomized controlled trial on the use of pessary plus progesterone to prevent preterm birth in women with short cervical length (P5 trial).

Rodolfo C Pacagnella, Ben W Mol, Anderson Borovac-Pinheiro, Renato Passini, Marcelo L Nomura, Kleber Cursino Andrade, Nathalia Ellovitch, Karayna Gil Fernandes, Thaísa Guedes Bortoletto, Cynara Maria Pereira and 4 more

Open access · goldAbstract readClinical Trial Protocol
In one paragraph

Article in BMC pregnancy and childbirth, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
2.1field-weighted citation impact, top 13% 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

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 24 citations in OpenAlex.

  1. Cervical pessary for preventing preterm birth in singleton pregnancies.The Cochrane database of systematic reviews · 2022
    Pooled it
  2. A new screening of preterm birth in gestation with short cervix after pessary plus progesterone.Revista brasileira de ginecologia e obstetricia : revista da Federacao Brasileira das Sociedades de Ginecologia e Obstetricia · 2024
    Trial
  3. Trial
  4. Article
  5. Development of progesterone electrospun nanofibers to coat Arabin pessaries as a dual preventive and therapeutic approach for preterm labor.Saudi pharmaceutical journal : SPJ : the official publication of the Saudi Pharmaceutical Society · 2024
    Article
  6. Article
  7. 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

14 authors at 1 institution in 3 countries.

Rodolfo C PacagnellaDepartment of Obstetrics and Gynecology, School of Medical Sciences, University of Campinas - UNICAMP, Rua Alexander Fleming, 101 Cidade Universitária Zeferino Vaz, Campinas, 13087-460, Brasil. rodolfop@unicamp.br.ORCID http://orcid.org/0000-0002-5739-0009
Ben W MolObstetrics & Gynaecology Monash Health, Monash University, Monash Medical Centre, 246 Clayton Road, Clayton, Victoria, 3168, Australia.
Anderson Borovac-PinheiroObstetric Unit, Woman´s Hospital, University of Campinas - UNICAMP, Rua Alexander Fleming, 101 Cidade Universitária Zeferino Vaz, Campinas, 13087-460, Brasil.
Renato PassiniDepartment of Obstetrics and Gynecology, School of Medical Sciences, University of Campinas - UNICAMP, Rua Alexander Fleming, 101 Cidade Universitária Zeferino Vaz, Campinas, 13087-460, Brasil.
Marcelo L NomuraObstetric Unit, Woman´s Hospital, University of Campinas - UNICAMP, Rua Alexander Fleming, 101 Cidade Universitária Zeferino Vaz, Campinas, 13087-460, Brasil.
Kleber Cursino AndradeUltrasound Department, Woman´s Hospital, University of Campinas - UNICAMP, Rua Alexander Fleming, 101 Cidade Universitaria Zeferino Vaz, Campinas, 13087-460, Brasil.
Nathalia EllovitchDepartment of Obstetrics and Gynecology, School of Medical Sciences, University of Campinas - UNICAMP, Rua Alexander Fleming, 101 Cidade Universitária Zeferino Vaz, Campinas, 13087-460, Brasil.
Karayna Gil FernandesDepartment of Obstetrics and Gynecology, School of Medical Sciences, University of Campinas - UNICAMP, Rua Alexander Fleming, 101 Cidade Universitária Zeferino Vaz, Campinas, 13087-460, Brasil.
Thaísa Guedes BortolettoDepartment of Obstetrics and Gynecology, School of Medical Sciences, University of Campinas - UNICAMP, Rua Alexander Fleming, 101 Cidade Universitária Zeferino Vaz, Campinas, 13087-460, Brasil.
Cynara Maria PereiraDepartment of Obstetrics and Gynecology, School of Medical Sciences, University of Campinas - UNICAMP, Rua Alexander Fleming, 101 Cidade Universitária Zeferino Vaz, Campinas, 13087-460, Brasil.
Maria Julia MieleDepartment of Obstetrics and Gynecology, School of Medical Sciences, University of Campinas - UNICAMP, Rua Alexander Fleming, 101 Cidade Universitária Zeferino Vaz, Campinas, 13087-460, Brasil.
Marcelo Santucci FrançaFederal University of São Paulo - UNIFESP, R. Napoleão de Barros, 715-Vila Clementino, São Paulo, SP, 04024-002, Brasil.
Jose G CecattiDepartment of Obstetrics and Gynecology, School of Medical Sciences, University of Campinas - UNICAMP, Rua Alexander Fleming, 101 Cidade Universitária Zeferino Vaz, Campinas, 13087-460, Brasil.
P5 Working Group
Universidade Estadual de Campinas (UNICAMP) · BR

Funding

Bill & Melinda Gates Foundation OPP1107597CNPq 401615/2013-8
6 · The paper itself

Abstract

backgroundPreterm birth is the leading cause of mortality and disability in newborn and infants. Having a short cervix increases the risk of preterm birth, which can be accessed by a transvaginal ultrasound scan during the second trimester. In women with a short cervix, vaginal progesterone and pessary can both reduce this risk, which progesterone more established than cervical pessary. The aim of this study is to compare the use of vaginal progesterone alone versus the association of progesterone plus pessary to prevent preterm birth in women with a short cervix.

methodsThis is a pragmatic open-label randomized controlled trial that will take place in 17 health facilities in Brazil. Pregnant women will be screened for a short cervix with a transvaginal ultrasound between 18 DISCUSSION: In clinical practice, the combination of progesterone and pessary is common however, few studies have studied this association. The combination of treatment might act in both the biochemical and mechanical routes related to the onset of preterm birth.

trial registrationBrazilian Clinical Trial Registry (ReBec) RBR-3t8prz, UTN: U1111-1164-2636, 2014/11/18.

Indexed as

PessariesAdministration, IntravaginalAdolescentAdultBrazilCervix UteriCombined Modality TherapyFemaleHumansPragmatic Clinical Trials as TopicPremature BirthProgesteroneProgestinsRandomized Controlled Trials as TopicYoung AdultProgesteroneProgestinsCervical length measurementPessariesProgesteroneRandomized controlled trial

Identifiers

PMID31775669
PMCPMC6880495
OpenAlexW2991184758

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.