Evidence map›Paper›PMID 32831032›Full record

ArticleBMC pregnancy and childbirth2020

Investigating the current knowledge and needs concerning a follow-up for long-term cardiovascular risks in Dutch women with a preeclampsia history: a qualitative study.

Tessa E Dijkhuis, Femke Bloem, Lise A J Kusters, Sofie M Roos, Sanne J Gordijn, Floor Holvast, Jelmer R Prins

Open access · goldAbstract read
In one paragraph

Article 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 19 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 2 pooled it
2.4field-weighted citation impact, top 8% 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

19 citing papers in PubMed, 2 syntheses or guidelines pooled it, 36 citations in OpenAlex.

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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.

Tessa E DijkhuisDepartment of Obstetrics and Gynaecology, University Medical Center Groningen, University of Groningen, Groningen, Netherlands.
Femke BloemDepartment of Obstetrics and Gynaecology, University Medical Center Groningen, University of Groningen, Groningen, Netherlands.
Lise A J KustersDepartment of Obstetrics and Gynaecology, University Medical Center Groningen, University of Groningen, Groningen, Netherlands.
Sofie M RoosDepartment of Obstetrics and Gynaecology, University Medical Center Groningen, University of Groningen, Groningen, Netherlands.
Sanne J GordijnDepartment of Obstetrics and Gynaecology, University Medical Center Groningen, University of Groningen, Groningen, Netherlands.
Floor HolvastDepartment of General Practice, University Medical Center Groningen, University of Groningen, Groningen, Netherlands.
Jelmer R PrinsDepartment of Obstetrics and Gynaecology, University Medical Center Groningen, University of Groningen, Groningen, Netherlands. j.r.prins@umcg.nl.ORCID http://orcid.org/0000-0002-3984-2163
University Medical Center Groningen · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThere is increasing evidence that a history of preeclampsia is an important risk factor for future cardiovascular events. Awareness of this risk could provide opportunities for identification of women at risk, with opportunities for prevention and / or early intervention. A standardized follow-up has not yet been implemented in the north of the Netherlands. The objective of this qualitative study was to explore the opinions and wishes among women and physicians about the follow-up for women with a history of preeclampsia.

methodsSemi-structured interviews with 15 women and 14 physicians (5 obstetricians, 4 general practitioners, 3 vascular medicine specialists and 2 cardiologists) were performed and addressed topics about knowledge on CVR, current - and future follow-up. Women were approached through the HELLP foundation and their physicians. Physicians were approached by email. The interviews were recorded, typed and coded using ATLAS.ti software. A theoretical-driven thematic analysis was performed.

resultsWomen had some knowledge about the association between preeclampsia and the increased CVR, but missed information from their health care providers. Specialists were aware of the association, but the information and advice they provided to their patients was minimal and inconsistent according to themselves. Whereas some general practitioners regarded their own knowledge as limited. There was a clear desire among women for a more extensive follow-up with specific attention to both emotional and physical consequences of preeclampsia. Physicians indicated that they preferred to see a follow up program concerning the CVR at the general practitioner as part of the already existent cardiovascular risk management (CVRM) program.

conclusionWomen and medical specialists consider it important to improve aftercare for women after a pregnancy complicated by preeclampsia. Introducing these women into the CVRM program at the general practitioner is regarded as a preferred first step. Further research is warranted to establish an evidence-based guideline for the follow-up of these women.

Indexed as

Health Knowledge, Attitudes, PracticeHeart Disease Risk FactorsAdultCardiovascular DiseasesFemaleFollow-Up StudiesForecastingHumansMiddle AgedNetherlandsPre-EclampsiaPregnancyQualitative ResearchRisk AssessmentRisk FactorsAftercareCardiovascular riskFollow-upPreeclampsiaQualitative study

Identifiers

PMID32831032
PMCPMC7444252
OpenAlexW3080839780

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Registered trials

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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.