Evidence map›Paper›PMID 35098440›Full record

SynthesisPituitary2022

Acromegaly and pregnancy: a systematic review and meta-analysis.

Diego Barata Bandeira, Thaina Oliveira Felicio Olivatti, Fernanda Bolfi, Cesar Luiz Boguszewski, Vania Dos Santos Nunes-Nogueira

Open access · greenAbstract readMeta-AnalysisSystematic Review
PubMed Publisher
In one paragraph

Synthesis in Pituitary, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
1.5field-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

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 13 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. Article
  5. Article
  6. Review
  7. Article
  8. Approach of Acromegaly during Pregnancy.Diagnostics (Basel, Switzerland) · 2022
    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

5 authors at 2 institutions in 1 country.

Diego Barata BandeiraDepartment of Internal Medicine, Medical School, São Paulo State University/UNESP, Sao Paulo, Brazil.
Thaina Oliveira Felicio OlivattiDepartment of Internal Medicine, Medical School, São Paulo State University/UNESP, Sao Paulo, Brazil.
Fernanda BolfiDepartment of Internal Medicine, Medical School, São Paulo State University/UNESP, Sao Paulo, Brazil.
Cesar Luiz BoguszewskiDepartment of Internal Medicine, Endocrine Division (SEMPR), Federal University of Parana, Curitiba, Brazil.ORCID http://orcid.org/0000-0001-7285-7941
Vania Dos Santos Nunes-NogueiraDepartment of Internal Medicine, Medical School, São Paulo State University/UNESP, Sao Paulo, Brazil. vania.nunes-nogueira@unesp.br.ORCID http://orcid.org/0000-0001-9316-4167
Universidade Estadual Paulista (Unesp) · BRUniversidade Federal do Paraná · BR

Funding

FAPESP 2020/04818-1
6 · The paper itself

Abstract

purposeTo evaluate the association between acromegaly and pregnancy in terms of disease activity, maternal and fetal outcomes.

methodsThis systematic review was conducted according to the Joanna Briggs Institute methodology for systematic reviews of etiology and risk. We focused on observational studies that included pregnant women with acromegaly. The outcomes were acromegaly activity, preterm birth, gestational diabetes, hypertension, eclampsia/preeclampsia, miscarriage, perinatal mortality, low birthweight, small for gestational age, and congenital malformations. Embase, Medline, LILACS, and CENTRAL were our source databases. To perform proportional meta-analyses, we used Stata Statistical Software 17.

resultsNineteen studies were included encompassing a total of 273 pregnancies in 211 women with acromegaly. The overall frequency of control of acromegaly during pregnancy was 62%, and of tumor growth was 9%. No fetal or maternal deaths were reported. The overall frequency of worsening of previous diabetes or development of gestational diabetes was 9%, and of previous hypertension or preeclampsia/eclampsia was 6%. The overall frequency of premature labor was 9% [from 17 studies of 263 pregnancies; 95% confidence interval (CI), 5-13%]; of spontaneous miscarriage was 4% (from 19 studies of 273 pregnancies; 95% CI, 2-11%); of small for gestational age was 5% (from 15 studies of 216 newborns; 95% CI, 3-9%); and of congenital malformations was 1% (from 18 studies of 240 newborns; 95% CI, 0-7%).

conclusionPregnancy in women with acromegaly is frequently associated with disease control and is safe in relation to fetal and maternal outcomes, as in women without acromegaly.

Indexed as

Abortion, SpontaneousAcromegalyDiabetes, GestationalEclampsiaHypertensionPre-EclampsiaPremature BirthFemaleHumansInfant, NewbornPregnancyPregnancy OutcomeAcromegalyMeta-analysisPregnancySystematic review

Identifiers

PMID35098440
OpenAlexW4210803817

What OpenQuestion holds

Textmetadata
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.