Evidence map›Paper›PMID 31878905›Full record

ArticleBMC pregnancy and childbirth2019

The study of Wilson disease in pregnancy management.

Xu-En Yu, Min Pan, Yong-Zhu Han, Ren-Min Yang, Juan Wang, Shan Gao

Open access · goldAbstract read
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 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
0.7field-weighted citation impact, top 29% 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

13 citing papers in PubMed, 1 synthesis or guideline pooled it, 15 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Pregnancy With Wilson's Disease.Maternal-fetal medicine (Wolters Kluwer Health, Inc.) · 2024
    Article
  7. Article
  8. Article
  9. Article
  10. [Pregnancy management in patients with hepatolenticular degeneration].Zhonghua gan zang bing za zhi = Zhonghua ganzangbing zazhi = Chinese journal of hepatology · 2022
    Review
  11. Review
  12. [Management of hepatolenticular degeneration during pregnancy].Zhonghua gan zang bing za zhi = Zhonghua ganzangbing zazhi = Chinese journal of hepatology · 2022
    Article
  13. 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

6 authors at 3 institutions in 1 country.

Xu-En YuDepartment of Pharmacology, Basic Medical College, Anhui Medical University, Hefei, 230032, China.
Min PanDepartment of Pharmacology, Basic Medical College, Anhui Medical University, Hefei, 230032, China.
Yong-Zhu HanAffiliated Hospital of the Institute of Neurology, Anhui University of Chinese Medicine, Hefei, 230061, China.
Ren-Min YangAffiliated Hospital of the Institute of Neurology, Anhui University of Chinese Medicine, Hefei, 230061, China. yrm724120@sina.com.
Juan WangDepartment of Neurology, Hefei Second People's Hospital, Hefei, 230001, China. hfsdermyysjnk@163.com.
Shan GaoDepartment of Pharmacology, Basic Medical College, Anhui Medical University, Hefei, 230032, China. gaoshan1746@sina.com.ORCID http://orcid.org/0000-0003-4174-9360
Anhui Medical University · CNAnhui University of Traditional Chinese Medicine · CNThird People's Hospital of Hefei · CN

Funding

Natural Science Foundation of An hui Province 1508085MH153
6 · The paper itself

Abstract

introductionPregnancy management in women with Wilson disease (WD) remains an important clinical problem. This research was conducted to investigate how to avoid worsening of WD symptoms during pregnancy and increase pregnancy success in women with WD by identifying the best pregnancy management approaches in these patients. PATIENTS AND

methodsThe clinical data of 117 pregnancies among 75 women with WD were retrospectively analyzed. Related information of the fetus was also recorded and analyzed. At the same time, regression analysis was performed for data of 22 pregnant women without WD, as normal controls.

resultsOf a total of 117 pregnancies among the 75 women with WD and 31 pregnancies among the 22 control womenincluded in this study, there were 108 successful pregnancies and 9 spontaneous abortions. Among the 108 successful pregnancies, 97 women a history of copper chelation therapy before pregnancy; all 97 women stopped anti-copper therapy during pregnancy. The nine women with spontaneous abortion had no pre-pregnancy history of copper displacement therapy. The incidence of lower limb edema was higher in the WD group than in normal controls (P = 0.036). Compared with the control group, there was a higher proportion in the WD group of male infants (P = 0.022) and lower average infant birth weight (t = 3.514, P = 0.001).

conclusionIt is relatively safe for women with WD patients to become pregnant. The best management method for pregnancy in women with WD may be intensive pre-pregnancy copper chelation therapy and no anti-copper treatment during pregnancy.

Indexed as

Abortion, SpontaneousAdultBirth WeightCase-Control StudiesChelating AgentsChelation TherapyDisease ManagementEdemaFemaleHepatolenticular DegenerationHumansIncidenceLower ExtremityPreconception CarePregnancyPregnancy ComplicationsChelating AgentsCopperPregnancySpontaneous abortionWilson disease

Identifiers

PMID31878905
PMCPMC6933618
OpenAlexW2998020247

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.