Evidence map›Paper›PMID 32993527›Full record

ArticleBMC pregnancy and childbirth2020

Longitudinal adrenal gland measurements and growth trajectories as risk markers for late preterm delivery.

Janina Goletzke, Mirja Pagenkemper, Christian Wiessner, Franziska Rüber, Petra Arck, Kurt Hecher, Anke Diemert

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 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.3field-weighted citation impact, top 39% 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

2 citing papers in PubMed, 5 citations in OpenAlex.

  1. 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.

Janina GoletzkeDepartment of Obstetrics and Fetal Medicine, University Medical-Centre Hamburg Eppendorf, Martinistrasse 52, 20246, Hamburg, Germany.
Mirja PagenkemperDepartment of Obstetrics and Fetal Medicine, University Medical-Centre Hamburg Eppendorf, Martinistrasse 52, 20246, Hamburg, Germany.
Christian WiessnerInstitute of Medical Biometry and Epidemiology, University Medical-Centre Hamburg Eppendorf, Hamburg, Germany.
Franziska RüberDepartment of Obstetrics and Fetal Medicine, University Medical-Centre Hamburg Eppendorf, Martinistrasse 52, 20246, Hamburg, Germany.
Petra ArckDepartment of Obstetrics and Fetal Medicine, University Medical-Centre Hamburg Eppendorf, Martinistrasse 52, 20246, Hamburg, Germany.
Kurt HecherDepartment of Obstetrics and Fetal Medicine, University Medical-Centre Hamburg Eppendorf, Martinistrasse 52, 20246, Hamburg, Germany.
Anke DiemertDepartment of Obstetrics and Fetal Medicine, University Medical-Centre Hamburg Eppendorf, Martinistrasse 52, 20246, Hamburg, Germany. a.diemert@uke.de.ORCID http://orcid.org/0000-0003-2546-5464
University Medical Center Hamburg-Eppendorf · DE

Funding

Deutsche Forschungsgemeinschaft AR232/25-1Deutsche Forschungsgemeinschaft AR232/25-2Deutsche Forschungsgemeinschaft DI 2103/3-2Deutsche Forschungsgemeinschaft DI 2130/3-2Deutsche Forschungsgemeinschaft HE 4617/1-1Deutsche Forschungsgemeinschaft HE 4617/1-2
6 · The paper itself

Abstract

backgroundThe fetal adrenal gland receives rising awareness as a predictor of spontaneous preterm birth. We hereby provide longitudinal growth assessments of the fetal adrenal gland in a low risk population with an additional focus on trajectories in fetuses born preterm.

methodsFetal adrenal gland was assessed via transabdominal ultrasound at gestational weeks (gw) 24-26, 28-30, and 34-36 in a low-risk pregnancy cohort. Longitudinal trajectories of the total gland and the mark (so called fetal zone) as well as ratio of fetal zone width/ total widths (w/W) were analyzed using repeated ANOVA analyses. To compare trajectories of the ratio w/W for preterm and term fetuses respectively, as well as women with and without clinical signs of preterm labor, the propensity score method was applied.

resultsFetal zone width increased over the course of pregnancy (p < 0.0001), while the ratio w/W decreased (p < 0.0001) (n = 327). Comparing the trajectories of the ratio w/W in fetuses born preterm (n = 11) with propensity-score matched term born fetuses (n = 22), a decrease between gw 24-26 and 28-30 was observed in both groups, which continued to decrease for the term born fetuses. However, in preterm born fetuses, the ratio increased above the term born values at gw 34-36.

conclusionOur study provides for the first time longitudinal growth data on the fetal adrenal gland and supports the hypothesis that fetal zone enlargement is associated with preterm birth which could play an important role in risk-prediction.

Indexed as

Fetal DevelopmentUltrasonography, PrenatalAdrenal GlandsAdultFemaleFetusGestational AgeHumansPregnancyPremature BirthRisk AssessmentAdrenal glandFetal adrenal glandFetal ultrasoundFetal zoneHPA-axisPreterm birthPreterm labour

Identifiers

PMID32993527
PMCPMC7526396
OpenAlexW3090097023

What OpenQuestion holds

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LicenceCC BY
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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.