Evidence map›Paper›PMID 32033599›Full record

SynthesisBMC pregnancy and childbirth2020

Targeted antenatal anti-D prophylaxis for RhD-negative pregnant women: a systematic review.

Britta Runkel, Gregor Bein, Wiebke Sieben, Dorothea Sow, Stephanie Polus, Daniel Fleer

Open access · goldAbstract readSystematic Review
In one paragraph

Synthesis in BMC pregnancy and childbirth, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
5.2field-weighted citation impact, top 5% 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

12 citing papers in PubMed, 1 synthesis or guideline pooled it, 28 citations in OpenAlex.

  1. FIGO/ICM guidelines for preventing Rhesus disease: A call to action.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2021
    Guideline
  2. Article
  3. Article
  4. Noninvasive fetal blood group antigen genotyping.Blood transfusion = Trasfusione del sangue · 2025
    Review
  5. Article
  6. Article
  7. Review
  8. Article
  9. Article
  10. Review
  11. Article
  12. Laboratory Monitoring of Mother, Fetus, and Newborn in Hemolytic Disease of Fetus and Newborn.Transfusion medicine and hemotherapy : offizielles Organ der Deutschen Gesellschaft fur Transfusionsmedizin und Immunhamatologie · 2021
    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.

Britta RunkelInstitute for Quality and Efficiency in Health Care (IQWiG), Cologne, Germany. britta.runkel@iqwig.de.ORCID http://orcid.org/0000-0002-8815-4885
Gregor BeinInstitute for Clinical Immunology and Transfusion Medicine, Justus-Liebig-University, Giessen, Germany.
Wiebke SiebenInstitute for Quality and Efficiency in Health Care (IQWiG), Cologne, Germany.
Dorothea SowInstitute for Quality and Efficiency in Health Care (IQWiG), Cologne, Germany.
Stephanie PolusInstitute for Research in Operative Medicine, Witten/Herdecke University, Cologne, Germany.
Daniel FleerInstitute for Quality and Efficiency in Health Care (IQWiG), Cologne, Germany.
Institute for Quality and Efficiency in Health Care · DEJustus-Liebig-Universität Gießen · DEWitten/Herdecke University · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAll non-sensitized Rhesus D (RhD)-negative pregnant women in Germany receive antenatal anti-D prophylaxis without knowledge of fetal RhD status. Non-invasive prenatal testing (NIPT) of cell-free fetal DNA in maternal plasma could avoid unnecessary anti-D administration. In this paper, we systematically reviewed the evidence on the benefit of NIPT for fetal RhD status in RhD-negative pregnant women.

methodsWe systematically searched several bibliographic databases, trial registries, and other sources (up to October 2019) for controlled intervention studies investigating NIPT for fetal RhD versus conventional anti-D prophylaxis. The focus was on the impact on fetal and maternal morbidity. We primarily considered direct evidence (from randomized controlled trials) or if unavailable, linked evidence (from diagnostic accuracy studies and from controlled intervention studies investigating the administration or withholding of anti-D prophylaxis). The results of diagnostic accuracy studies were pooled in bivariate meta-analyses.

resultsNeither direct evidence nor sufficient data for linked evidence were identified. Meta-analysis of data from about 60,000 participants showed high sensitivity (99.9%; 95% CI [99.5%; 100%] and specificity (99.2%; 95% CI [98.5%; 99.5%]).

conclusionsNIPT for fetal RhD status is equivalent to conventional serologic testing using the newborn's blood. Studies investigating patient-relevant outcomes are still lacking.

Indexed as

ChemopreventionFemaleFetal BloodHumansInfant, NewbornMedical OveruseNoninvasive Prenatal TestingPregnancyPregnancy Complications, HematologicPrenatal CareRh-Hr Blood-Group SystemRh IsoimmunizationRho(D) Immune GlobulinRh-Hr Blood-Group SystemRHO(D) antibodyRho(D) Immune GlobulinBenefit assessmentFetusGenotyping techniquesRh-Hr blood-group systemSystematic review

Identifiers

PMID32033599
PMCPMC7006196
OpenAlexW3012940892

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.