Evidence map›Paper›PMID 33452191›Full record

ArticleBMJ open2021

A patient-clinician James Lind Alliance partnership to identify research priorities for hyperemesis gravidarum.

Caitlin R Dean, Hyke Bierma, Ria Clarke, Brian Cleary, Patricia Ellis, Roger Gadsby, Norah Gauw, Karen Lodge, Kimber MacGibbon, Marian McBride and 9 more

Open access · goldAbstract read
In one paragraph

Article in BMJ open, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 2 pooled it
6.3field-weighted citation impact, top 3% 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, 2 syntheses or guidelines pooled it, 40 citations in OpenAlex.

  1. Treatments for hyperemesis gravidarum: A systematic review.Acta obstetricia et gynecologica Scandinavica · 2024
    Pooled it
  2. Pooled it
  3. Trial
  4. Trial
  5. Trial
  6. Updating unanswered questions for stillbirth research: refresh of the UK Stillbirth Priority Setting Partnership.Ultrasound in obstetrics & gynecology : the official journal of the International Society of Ultrasound in Obstetrics and Gynecology · 2026
    Article
  7. Article
  8. Review
  9. Article
  10. The impact and management of hyperemesis gravidarum: Current and future perspectives.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2025
    Review
  11. Article
  12. Article
  13. Diagnosis and treatment of hyperemesis gravidarum.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2024
    Review
  14. Article
  15. Article
  16. Article
  17. Is Post-Burn Scarring a Research Priority?European burn journal · 2022
    Article
  18. Article
  19. Article
  20. Article
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

19 authors at 13 institutions in 5 countries.

Caitlin R DeanPregnancy Sickness Support, Bodmin, UK c.r.dean@amsterdamumc.nl.ORCID 0000-0002-8812-5101
Hyke BiermaObstetrics and Gynecology, Amsterdam University Medical Centres, University of Amsterdam, Amsterdam, The Netherlands.
Ria ClarkeObstetrics and Gynaecology, Frimley Park Hospital, Frimley, UK.
Brian ClearyHyperemesis Ireland, Dublin, Ireland.
Patricia EllisJames Lind Alliance, Southampton, UK.
Roger GadsbyPregnancy Sickness Support, Bodmin, UK.
Norah GauwZEHG Foundation, Amsterdam, Netherlands.
Karen LodgePregnancy Sickness Support, Bodmin, UK.
Kimber MacGibbonHyperemesis Education and Research Foundation, Damascus, Oregon, USA.
Marian McBrideHyperemesis Ireland, Dublin, Ireland.
Deirdre MunroHyperemesis Ireland, Dublin, Ireland.
Catherine Nelson-PiercyObstetric Medicine, Guy's & St Thomas' Hospital, London, UK.
Margaret O'HaraPregnancy Sickness Support, Bodmin, UK.
Helen PennySchool of Psychology, Cardiff University, Cardiff, UK.
Katherine ShorterEarly Pregnancy Unit, QMC, Nottingham University Hospital Trust, Nottingham, UK.
René SpijkerMedical Library, Amsterdam University Medical Centres, University of Amsterdam, Amsterdam, Netherlands.
Jone TrovikDepartment Obstetrics and Gynaecology, Haukeland University Hospital, Bergen, Norway.ORCID 0000-0002-3808-6407
Emma WatfordPregnancy Sickness Support, Bodmin, UK.
Rebecca C PainterObstetrics and Gynecology, Amsterdam University Medical Centres, University of Amsterdam, Amsterdam, The Netherlands.
Bodmin Hospital · GBUniversity of Amsterdam · NLAmsterdam University Medical Centers · NLCardiff University · GBEducation & Research Foundation · USFrimley Park Hospital · GBHaukeland University Hospital · NOHealth Service Executive · IENottingham University Hospitals NHS Trust · GBPortiuncula Hospital · IERoyal College of Surgeons in Ireland · IESt Thomas' Hospital · GBUniversity of Warwick · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThere are many uncertainties surrounding the aetiology, treatment and sequelae of hyperemesis gravidarum (HG). Prioritising research questions could reduce research waste, helping researchers and funders direct attention to those questions which most urgently need addressing. The HG priority setting partnership (PSP) was established to identify and rank the top 25 priority research questions important to both patients and clinicians.

methodsFollowing the James Lind Alliance (JLA) methodology, an HG PSP steering group was established. Stakeholders representing patients, carers and multidisciplinary professionals completed an online survey to gather uncertainties. Eligible uncertainties related to HG. Uncertainties on nausea and vomiting of pregnancy and those on complementary treatments were not eligible. Questions were verified against the evidence. Two rounds of prioritisation included an online ranking survey and a 1-hour consensus workshop.

results1009 participants (938 patients/carers, 118 professionals with overlap between categories) submitted 2899 questions. Questions originated from participants in 26 different countries, and people from 32 countries took part in the first prioritisation stage. 66 unique questions emerged, which were evidence checked according to the agreed protocol. 65 true uncertainties were narrowed via an online ranking survey to 26 unranked uncertainties. The consensus workshop was attended by 19 international patients and clinicians who reached consensus on the top 10 questions for international researchers to address. More patients than professionals took part in the surveys but were equally distributed during the consensus workshop. Participants from low-income and middle-income countries noted that the priorities may be different in their settings.

conclusionsBy following the JLA method, a prioritised list of uncertainties relevant to both HG patients and their clinicians has been identified which can inform the international HG research agenda, funders and policy-makers. While it is possible to conduct an international PSP, results from developed countries may not be as relevant in low-income and middle-income countries.

Indexed as

Biomedical ResearchHyperemesis GravidarumFemaleHealth PrioritiesHumansPregnancyResearch DesignResearch PersonnelSurveys and Questionnaireshealth services administration & managementmaternal medicineobstetricsstatistics & research methods

Identifiers

PMID33452191
PMCPMC7813320
OpenAlexW3118413396

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.