Evidence map›Paper›PMID 33839801›Full record

Trial reportDiabetologia2021

Can placental growth factors explain birthweight variation in offspring of women with type 1 diabetes?

Siobhan Bacon, Dylan Burger, Mayur Tailor, J Johanna Sanchez, George Tomlinson, Helen R Murphy, Denice S Feig, CONCEPTT Collaborative Group

Open access · bronzeAbstract readMulticenter StudyRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in Diabetologia, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.6field-weighted citation impact, top 16% 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

4 citing papers in PubMed, 13 citations in OpenAlex.

  1. Observational
  2. Observational
  3. Review
  4. 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

8 authors at 5 institutions in 2 countries.

Siobhan BaconMount Sinai Hospital, Sinai Health System, Toronto, ON, Canada.
Dylan BurgerDepartment of Cellular and Molecular Medicine, University of Ottawa, Ottawa, ON, Canada.ORCID https://orcid.org/0000-0003-3951-2911
Mayur TailorDepartment of Cellular and Molecular Medicine, University of Ottawa, Ottawa, ON, Canada.
J Johanna SanchezSunnybrook Research Institute, Toronto, ON, Canada.ORCID https://orcid.org/0000-0003-2295-3251
George TomlinsonDepartment of Medicine, University of Toronto, Toronto, ON, Canada.
Helen R MurphyCambridge University Hospitals NHS Foundation Trust, Cambridge, UK.
Denice S FeigMount Sinai Hospital, Sinai Health System, Toronto, ON, Canada. d.feig@utoronto.ca.ORCID https://orcid.org/0000-0001-8561-7584
CONCEPTT Collaborative Group
Mount Sinai Hospital · CAUniversity of Ottawa · CASunnybrook Hospital · CAUniversity Health Network · CAUniversity of East Anglia · GB

Funding

Department of Health CDF-2013-06-035
6 · The paper itself

Abstract

aims/hypothesisMaternal hyperglycaemia alone does not explain the incidence of large offspring amongst women with type 1 diabetes. The objective of the study was to determine if there is an association between placental function, as measured by angiogenic factors, and offspring birthweight z score in women with type 1 diabetes.

methodsThis cohort study included samples from 157 Continuous Glucose Monitoring in Pregnant Women with Type 1 Diabetes (CONCEPTT) trial participants. Correlations were estimated between birthweight z score and placental growth factor (PlGF) and soluble fms-like tyrosine kinase (sFlt-1) levels measured at baseline and at 24 and 34 weeks of gestation. Linear regression was used to assess the relationship between birthweight z score and placental health, as measured by PlGF and sFlt-1/PlGF ratio, stratified by glycaemic status (continuous glucose monitoring and HbA

resultsAmong CONCEPTT participants, the slopes relating PlGF levels to birthweight z scores differed according to maternal glycaemia at 34 weeks of gestation (p = 0.003). With optimal maternal glycaemia (HbA CONCLUSIONS/

interpretationIn women with type 1 diabetes, infant birthweight is influenced by both glycaemic status and placental function. In women with suboptimal glycaemia, infant birthweight was heavier when placentas were healthy. Suboptimal placental function should be considered in the setting of suboptimal glycaemia and apparently 'normal' birthweight.

Indexed as

Birth WeightChild of Impaired ParentsDiabetes Mellitus, Type 1AdolescentAdultBiological Variation, IndividualBiomarkersFemaleFollow-Up StudiesHumansInfant, NewbornPlacenta Growth FactorPregnancyPregnancy in DiabeticsPregnancy OutcomePrognosisBiomarkersPGF protein, humanPlacenta Growth FactorVascular Endothelial Growth Factor Receptor-1DiabetesDiabetes mellitusPlacenta growth factorPregnancyPregnancy in diabeticsPregnancy outcomesType 1 diabetesVascular endothelial growth factor receptor 1

Identifiers

PMID33839801
OpenAlexW3153470935

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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.