Evidence map›Paper›PMID 32198414›Full record

ArticleScientific reports2020

First trimester PAPP-A serum levels and long-term metabolic outcome of mothers and their offspring.

Arrigo Fruscalzo, Adriana Cividino, Emma Rossetti, Alessia Maurigh, Ambrogio P Londero, Lorenza Driul

Open access · goldAbstract read
In one paragraph

Article in Scientific reports, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
1.4field-weighted citation impact, top 14% 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

20 citing papers in PubMed, 28 citations in OpenAlex.

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  9. Review
  10. First Trimester Placental Biomarkers for Pregnancy Outcomes.International journal of molecular sciences · 2024
    Review
  11. Biomarkers for Early Prediction and Management of Preeclampsia: A Comprehensive Review.Medical science monitor : international medical journal of experimental and clinical research · 2024
    Review
  12. Article
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  15. 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

6 authors at 4 institutions in 2 countries.

Arrigo FruscalzoFrauenklinik, Christophorus-Kliniken, Coesfeld, 48653, Germany.
Adriana CividinoClinic of Obstetrics and Gynecology, Ostalb-Klinikum Aalen, Aalen, 73430, Germany.
Emma RossettiClinic of Obstetrics and Gynecology, DAME, University of Udine, ASUI - Presidio Ospedaliero Universitario "SM della Misericordia", Udine, 33100, Italy.
Alessia MaurighAzienda Sanitaria Universitaria Integrata di Udine, Udine, 33100, Italy.
Ambrogio P LonderoClinic of Obstetrics and Gynecology, DAME, University of Udine, ASUI - Presidio Ospedaliero Universitario "SM della Misericordia", Udine, 33100, Italy. ambrogio.londero@gmail.com.ORCID http://orcid.org/0000-0001-6429-1220
Lorenza DriulClinic of Obstetrics and Gynecology, DAME, University of Udine, ASUI - Presidio Ospedaliero Universitario "SM della Misericordia", Udine, 33100, Italy.
University of Udine · ITOspedale Santa Maria della Misericordia di Udine · ITOstalb-Klinikum Aalen · DEUniversity of Münster · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Low maternal serum levels of pregnancy associated plasma protein A (PAPP-A) are known to be associated with the development of pregnancy-related complications like small for gestational age infants, intrauterine fetal demise, gestational diabetes and preeclampsia. The study aims to find possible long-term correlations with the development of metabolic and cardiovascular complications in the mothers and their progeny in later life. This is a retrospective cohort study conducted on consecutive unselected women screened for chromosomal anomalies in the first trimester of pregnancy between 2004 and 2010. PAPP-A values as well as clinical data collected at childbirth were considered. A maternal and neonatal follow-up was performed through a telephone interview with the mother during 2015. The body-mass-index and the presence of cardiovascular diseases, dyslipidaemia and diabetes mellitus were evaluated. The analysis included 988 patients. The median time of follow-up was 7 years (IQR 6-9). Lower first trimester maternal blood PAPP-A quartiles were associated with small stature of the offspring (z-score 1st-2nd quartile 0.37 IQR -0.42 and 1.17 vs 3rd-4th quartile 0.67 IQR -0.17 and 1.36, p < 0.05). Furthermore, low first trimester PAPP-A in pregnancy without other gestations following the index one, in Kaplan-Meier analysis was associated to a significant increase of hypoglycemic agents use at 7 and 10 years (respectively 1.12% CI.95 0-2.38% and 5.45% CI.95 0-10.82%) compared to the control group of high first trimester PAPP-A values (0% CI.95 0-0%) (p < 0.05). Low PAPP-A serum levels in the first trimester of pregnancy are associated with short stature in offspring and de-novo development of maternal diabetes mellitus in later life.

Indexed as

AdultCardiovascular DiseasesDiabetes, GestationalDiabetes MellitusDyslipidemiasFemaleHumansHypoglycemic AgentsPre-EclampsiaPregnancyPregnancy-Associated Plasma Protein-APregnancy Trimester, FirstRetrospective StudiesSurveys and QuestionnairesHypoglycemic AgentsPregnancy-Associated Plasma Protein-A

Identifiers

PMID32198414
PMCPMC7083850
OpenAlexW3012207377

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.