Evidence map›Paper›PMID 31997119›Full record

Observational studyMaternal and child health journal2020

Ophthalmic Pathology in the Offspring of Pregnant Women with Gestational Diabetes Mellitus.

Olga Alvarez-Bulnes, Anna Monés-Llivina, Lluís Cavero-Roig, Paula Sol Ventura, Josefina Llagostera-Benedico, Carme Valls-Sirera, Gemma Talló-Catarineu

Abstract readObservational Study
PubMed Publisher
In one paragraph

Observational study in Maternal and child health journal, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
0.6field-weighted citation impact, top 27% 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

8 citing papers in PubMed, 13 citations in OpenAlex.

  1. Article
  2. Maternal diabetes mellitus during pregnancy as a risk factor for strabismus and refractive errors in the offspring-A large-scale national study.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2026
    Article
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  4. Review
  5. Article
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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

7 authors at 1 institution in 1 country.

Olga Alvarez-BulnesOphthalmology Unit, HM Nens, Barcelona, Spain. dralvarez.oft@gmail.com.
Anna Monés-LlivinaOphthalmology Unit, HM Nens, Barcelona, Spain.
Lluís Cavero-RoigOphthalmology Unit, HM Nens, Barcelona, Spain.
Paula Sol VenturaPediatric Unit, HM Nens, Barcelona, Spain.
Josefina Llagostera-BenedicoPediatric Unit, HM Nens, Barcelona, Spain.
Carme Valls-SireraPediatric Unit, HM Nens, Barcelona, Spain.
Gemma Talló-CatarineuPediatric Unit, HM Nens, Barcelona, Spain.
Hospital de Nens de Barcelona · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundGestational diabetes (GD) occurs in 5.8% to 25.1% of pregnant women. This disorder has been linked with intrauterine growth delays, congenital anomalies, and neurobehavioral disorders following birth. As to ophthalmological effects, changes in macular thickness and hypoplasia of the upper quadrant of the papilla have been described.

objectiveTo investigate whether GD has an effect on ophthalmological development in the children born of mothers with this condition.

methodsObservational study carried out in children seen in the ophthalmological outpatient clinic of a pediatric hospital in Barcelona (Spain) between January 2011 and December 2015. Participants were ultimately divided into two groups, a study group whose mothers had GD managed either by insulin or diet (GD group) and a control group of children with non-diabetic mothers. Pregestational diabetes cases, were excluded. Complete information was collected on the children's refraction status, ophthalmological disease, and congenital malformations.

resultsData were compiled on 350 children (229 children born of mothers with GD-186 managed with diet vs 43, with insulin- and 121 controls). The prevalence of amblyopia and strabismus was similar between the groups, but children of mothers with GD had a three-fold greater probability of having refractive errors than children born to mothers without GD. Hyperopia (14.8% vs. 7.4%) and myopia (3.5% vs 0%) were found to be significantly more prevalent in children born of mothers with GD than in the controls (p = 0.027 in both groups).The prevalence of astigmatism was similar in both groups (1.7% vs 0.8%). CONCLUSIONS FOR PRACTICE: Refractive errors are more common in children born of mothers with GD. These conditions are easily managed, but if they are not detected, they can lead to amblyopia or accommodative strabismus, interfere with acquisition of fine motor skills, and lead to learning problems. Regular ocular examinations would be recommended in these patients.

Indexed as

Pregnant PeopleAdultAmblyopiaCross-Sectional StudiesDiabetes, GestationalFemaleHumansPregnancyProspective StudiesRefractive ErrorsSpainStrabismusVisual AcuityGestational diabetes mellitusOphthalmic pathologyRefractive errorStrabismus

Identifiers

PMID31997119
OpenAlexW3003733179

What OpenQuestion holds

Textmetadata
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.