Evidence map›Paper›PMID 33750961›Full record

ArticlePloS one2021

Pregnancy outcomes in women with vitiligo: A Taiwanese nationwide cohort study.

Chih-Tsung Hung, Hsin-Hui Huang, Chun-Kai Wang, Chi-Hsiang Chung, Chang-Huei Tsao, Wu-Chien Chien, Wei-Ming Wang

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
0.4field-weighted citation impact, top 45% 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

3 citing papers in PubMed, 1 synthesis or guideline pooled it, 8 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Vitiligo and pregnancy: How do each affect the other?Annals of medicine and surgery (2012) · 2021
    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

7 authors at 3 institutions in 1 country.

Chih-Tsung HungDepartment of Dermatology, National Defense Medical Center, Tri-Service General Hospital, Taipei, Taiwan.ORCID 0000-0001-7138-7757
Hsin-Hui HuangDepartment of Obstetrics and Gynecology, National Defense Medical Center, Tri-Service General Hospital, Taipei, Taiwan.
Chun-Kai WangDepartment of Obstetrics and Gynecology, Zuoying Branch of Kaohsiung Armed Forces General Hospital, Kaohsiung, Taiwan.
Chi-Hsiang ChungSchool of Public Health, National Defense Medical Center, Taipei, Taiwan.ORCID 0000-0002-4576-9900
Chang-Huei TsaoDepartment of Medical Research, National Defense Medical Center, Tri-Service General Hospital, Taipei, Taiwan.
Wu-Chien ChienSchool of Public Health, National Defense Medical Center, Taipei, Taiwan.ORCID 0000-0002-3286-0780
Wei-Ming WangDepartment of Dermatology, National Defense Medical Center, Tri-Service General Hospital, Taipei, Taiwan.
Tri-Service General Hospital · TWKaohsiung Armed Forces General Hospital · TWTaiwan Nurses Association · TW

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Vitiligo is perceived as an autoimmune skin disease. Previous studies showed conflicting data about vitiligo and pregnancy outcomes. To delineate the associations between vitiligo and the pregnancy outcomes, we used the National Health Insurance Research Database of Taiwan to conduct a retrospective cohort study from January 1, 2000 to December 31, 2015. This study population was composed of 1,096 women with vitiligo and 4,384 women without vitiligo, who were all matched according to age, comorbidity, and index year. Compared with the non-vitiligo controls, women with vitiligo had a higher risk of abortion (aHR 1.158, 95% confidence interval (CI) 1.095-1.258, P < .001). Perinatal events, such as preterm delivery, pre-eclampsia/eclampsia, gestational diabetes mellitus, stillbirth, and intrauterine growth retardation, were not different between both groups (aHR 1.065, 95% CI 0.817-1.157, P = .413). To determine if systemic treatment before conception decreases the risk of abortion, we assessed the medical history of pregnant women with vitiligo 1 year before pregnancy. Patients who were treated with oral medications had a lower risk of abortion than those who were not (aHR: 0.675, 95% CI: 0.482-0.809, P < .001). Our study indicates that there is a higher risk of abortion in pregnant women with vitiligo and the control of disease activity with systemic treatment before conception could improve pregnancy outcomes.

Indexed as

Abortion, SpontaneousAdultCohort StudiesData ManagementDiabetes, GestationalFemaleFetal Growth RetardationHumansInfant, NewbornPre-EclampsiaPregnancyPregnancy ComplicationsPregnancy OutcomePremature BirthRetrospective StudiesStillbirth

Identifiers

PMID33750961
PMCPMC7984608
OpenAlexW3137507607

What OpenQuestion holds

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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.