Evidence map›Paper›PMID 35061706›Full record

Trial reportPloS one

Long term miscarriage-related hypertension and diabetes mellitus. Evidence from a United Kingdom population-based cohort study.

Kelvin Okoth, Anuradhaa Subramanian, Joht Singh Chandan, Nicola J Adderley, G Neil Thomas, Krishnarajah Nirantharakumar, Christina Antza

Abstract readClinical TrialMulticenter Study
In one paragraph

Trial report in PloS one. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

10 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Review
  7. Pregnancy complications and later life women's health.Acta obstetricia et gynecologica Scandinavica · 2023
    Review
  8. Article
  9. Article
  10. 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

7 authors.

Kelvin OkothInstitute of Applied Health Research, University of Birmingham, Birmingham, United Kingdom.ORCID https://orcid.org/0000-0002-2745-4083
Anuradhaa SubramanianInstitute of Applied Health Research, University of Birmingham, Birmingham, United Kingdom.
Joht Singh ChandanInstitute of Applied Health Research, University of Birmingham, Birmingham, United Kingdom.ORCID https://orcid.org/0000-0002-9561-5141
Nicola J AdderleyInstitute of Applied Health Research, University of Birmingham, Birmingham, United Kingdom.ORCID https://orcid.org/0000-0003-0543-3254
G Neil ThomasInstitute of Applied Health Research, University of Birmingham, Birmingham, United Kingdom.
Krishnarajah NirantharakumarInstitute of Applied Health Research, University of Birmingham, Birmingham, United Kingdom.ORCID https://orcid.org/0000-0002-6816-1279
Christina AntzaInstitute of Metabolism and Systems Research, University of Birmingham, Birmingham, United Kingdom.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMiscarriages affect up to a fifth of all pregnancies and are associated with substantial psychological morbidity. However, their relationship with cardiometabolic risk factors is not well known. Therefore, in this study we aimed to estimate the burden of cardiovascular risk factors including diabetes mellitus (type 1 or 2) and hypertension in women with miscarriage compared to women without a record of miscarriage.

methodsA population-based retrospective cohort study was conducted using IVQIA Medical Research Data UK (IMRD-UK) between January 1995 and May 2016, an anonymised electronic health records database that is representative of the UK population. A total of 86,509, 16-50-year-old women with a record of miscarriage (exposed group) were matched by age, smoking status, and body mass index to 329,865 women without a record of miscarriage (unexposed group). Patients with pre-existing hypertension and diabetes were excluded. Adjusted incidence rate ratios (aIRR) and 95% confidence intervals (95% CI) for diabetes and hypertension were estimated using multivariable Poisson regression models offsetting for person-years follow-up.

resultsThe mean age at cohort entry was 31 years and median follow up was 4.6 (IQR 1.7-9.4) years. During the study period, a total of 792 (IR 1.44 per 1000 years) and 2525 (IR 1.26 per 1000 years) patients developed diabetes in the exposed and unexposed groups, respectively. For hypertension, 1995 (IR 3.73 per 1000 years) and 1605 (IR 3.39 per 1000 years) new diagnoses were recorded in the exposed and unexposed groups, respectively. Compared to unexposed individuals, women with a record miscarriage were more likely to develop diabetes (aIRR = 1.25, 95% CI: 1.15-1.36; p<0.001) and hypertension (aIRR = 1.07, 95% CI: 1.02-1.12; p = 0.005).

conclusionsWomen diagnosed with miscarriage were at increased risk of developing diabetes mellitus and hypertension. Women with history of miscarriage may benefit from periodic monitoring of their cardiometabolic health.

Indexed as

Abortion, SpontaneousAdolescentAdultDiabetes Mellitus, Type 1Diabetes Mellitus, Type 2FemaleFollow-Up StudiesHumansHypertensionMiddle AgedPregnancyPregnancy Complications, CardiovascularPregnancy in DiabeticsRetrospective StudiesUnited Kingdom

Identifiers

PMID35061706
PMCPMC8782476

What OpenQuestion holds

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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.