Evidence map›Paper›PMID 33303732›Full record

ReviewNature reviews. Disease primers2020

Recurrent pregnancy loss.

Evdokia Dimitriadis, Ellen Menkhorst, Shigeru Saito, William H Kutteh, Jan J Brosens

Registry-linked trialAbstract readReview
PubMed Publisher
In one paragraph

Review in Nature reviews. Disease primers, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05341856 (Uterine Artery Doppler Changes After Vaginal Administration of Isosorbide Mononitrate In Patients With Unexplained Recurrent Pregnancy Loss), which is not on this map. Cited by 375 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
375citing papers in PubMed, 4 pooled it
24.0field-weighted citation impact, top 1% 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.

NCT05341856 early_phase1unknown statusnot on this mapstarted 2022, after this paper: background citation

Uterine Artery Doppler Changes After Vaginal Administration of Isosorbide Mononitrate In Patients With Unexplained Recurrent Pregnancy Loss

TypeinterventionalSponsorAl-Azhar UniversityRan2022 to 2022Enrolled60ConditionsRecurrent Pregnancy LossArmsisosorbide mononitrate, Placebo
3 · Its place in the literature

Who cites it

375 citing papers in PubMed, 4 syntheses or guidelines pooled it, 653 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Trial
  6. Trial
  7. Article
  8. Structural Control of Stromal-Immune Coupling by COL24A1 Underlies Pregnancy Maintenance.Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 2026
    Article
  9. Article
  10. CHD8-Dependent Chromatin Licensing Sustains Trophoblast Stem Cell Transcriptional Programs.Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 2026
    Article
  11. Article
  12. NSUN2-Mediated mAdvanced science (Weinheim, Baden-Wurttemberg, Germany) · 2026
    Article
  13. Article
  14. Article
  15. Article
  16. ALKBH5 Positively Regulates BMP2 to Influence Endometrial Decidualization in Recurrent Spontaneous Abortion.FASEB journal : official publication of the Federation of American Societies for Experimental Biology · 2026
    Article
  17. Review
  18. Review
  19. Article
  20. Article

315 more citing papers are in PubMed but not listed here.

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

5 authors at 5 institutions in 4 countries.

Evdokia DimitriadisDepartment of Obstetrics and Gynaecology, University of Melbourne, The Women's Hospital, Melbourne, Australia. eva.dimitriadis@unimelb.edu.au.
Ellen MenkhorstDepartment of Obstetrics and Gynaecology, University of Melbourne, The Women's Hospital, Melbourne, Australia.
Shigeru SaitoDepartment of Obstetrics and Gynecology, University of Toyama, Toyama, Japan.
William H KuttehDepartment of Obstetrics and Gynecology, Vanderbilt University Medical Center, Memphis, TN, USA.
Jan J BrosensObstetrics and Gynaecology, Division of Biomedical Sciences, Clinical Sciences Research Laboratory, Warwick Medical School, Warwick, Coventry, UK.
Royal Women's Hospital · AUUniversity Hospitals Coventry and Warwickshire NHS Trust · GBUniversity of Melbourne · AUUniversity of Toyama · JPVanderbilt University Medical Center · US

Funding

Wellcome Trust 212233/Z/18/Z
6 · The paper itself

Abstract

Recurrent pregnancy loss is a distressing pregnancy disorder experienced by ~2.5% of women trying to conceive. Recurrent pregnancy loss is defined as the failure of two or more clinically recognized pregnancies before 20-24 weeks of gestation and includes embryonic and fetal losses. The diagnosis of an early pregnancy loss is relatively straightforward, although progress in predicting and preventing recurrent pregnancy loss has been hampered by a lack of standardized definitions, the uncertainties surrounding the pathogenesis and the highly variable clinical presentation. The prognosis for couples with recurrent pregnancy loss is generally good, although the likelihood of a successful pregnancy depends on maternal age and the number of previous losses. Recurrent pregnancy loss can be caused by chromosomal errors, anatomical uterine defects, autoimmune disorders and endometrial dysfunction. Available treatments target the putative risk factors of pregnancy loss, although the effectiveness of many medical interventions is controversial. Regardless of the underlying aetiology, couples require accurate information on their chances of having a baby and appropriate support should be offered to reduce the psychological burden associated with multiple miscarriages. Future research must investigate the pathogenesis of recurrent pregnancy loss and evaluate novel diagnostic tests and treatments in adequately powered clinical trials.

Indexed as

RecurrenceAbortion, SpontaneousAdolescentAdultAntiphospholipid SyndromeFemaleHumansHypothyroidismMiddle AgedPregnancyRisk FactorsUterusVitamin D Deficiency

Identifiers

PMID33303732
OpenAlexW3144861820

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.