Evidence map›Paper›PMID 32483804›Full record

Trial reportRevista brasileira de ginecologia e obstetricia : revista da Federacao Brasileira das Sociedades de Ginecologia e Obstetricia2020

Evaluation of High-Dose Vitamin A Treatment in Postmolar Patients with Low and Plateauing Serum Human Chorionic Gonadotropin Levels.

Elza Maria Hartmann Uberti, Ruth Karina Escobar Diaz, Rodrigo Bernardes Cardoso, Antonio Braga

Open access · diamondAbstract readClinical Trial
In one paragraph

Trial report in Revista brasileira de ginecologia e obstetricia : revista da Federacao Brasileira das Sociedades de Ginecologia e Obstetricia, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.2field-weighted citation impact, top 42% 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

1 citing paper in PubMed, 3 citations in OpenAlex.

  1. 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

4 authors at 2 institutions in 1 country.

Elza Maria Hartmann UbertiPorto Alegre Trophoblastic Disease Center, Mario Totta Maternity Ward, Hospital Irmandade da Santa Casa de Misericórdia, Porto Alegre, RS, Brazil.ORCID 0000-0002-3087-8573
Ruth Karina Escobar DiazPorto Alegre Trophoblastic Disease Center, Mario Totta Maternity Ward, Hospital Irmandade da Santa Casa de Misericórdia, Porto Alegre, RS, Brazil.ORCID 0000-0002-5863-1062
Rodrigo Bernardes CardosoPorto Alegre Trophoblastic Disease Center, Mario Totta Maternity Ward, Hospital Irmandade da Santa Casa de Misericórdia, Porto Alegre, RS, Brazil.ORCID 0000-0001-7021-4571
Antonio BragaRio de Janeiro Gestational Trophoblastic Disease Reference Center, Department of Obstetrics and Gynecology, Maternity School, Universidade Federal do Rio de Janeiro, Rio de Janeiro, RJ, Brazil.ORCID 0000-0002-2942-6182
Santa Casa Hospital · BRUniversidade Federal do Rio de Janeiro · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo compare the effect of high-dose vitamin A (HD Vit-A) use during postmolar follow-up of patients with low and plateauing (L&P) serum human chorionic gonadotropin (hCG) levels, from the moment serum hCG plateaued (P-hCG) to the first normal serum hCG value (< 5 IU/L).

methodsThe present retrospective series case study compared two nonconcurrent cohorts of patients. Control group (CG): 34 patients with L&P serum hCG levels who underwent expectant management for 6 months after uterine evacuation, from 1992 to 2010; study group (SG): 32 patients in similar conditions who received 200,000 IU of Vit-A daily, from the identification of a P-hCG level to the first normal hCG value or the diagnosis of progression to gestational trophoblastic neoplasia (GTN), from 2011 to 2017. The present study was approved by the Ethics Committee of the institution where it was conducted.

resultsIn both groups, the prevalence of persistent L&P serum hCG levels was < 5%. In the SG, hCG levels at plateau were higher (CG = 85.5 versus SG = 195 IU/L;

conclusionThe limited use of HD Vit-A seems to have a safe and significant effect on the treatment of postmolar patients with L&P serum hCG levels and may decrease the development of postmolar GTN in this population.

Indexed as

AdolescentAdultBiomarkers, TumorChorionic GonadotropinFemaleGestational Trophoblastic DiseaseHumansHydatidiform MoleMiddle AgedPregnancyRetrospective StudiesTreatment OutcomeUterine NeoplasmsVitamin AYoung AdultBiomarkers, TumorChorionic GonadotropinVitamin A

Identifiers

PMID32483804
PMCPMC10316877
OpenAlexW3030195691

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.