Evidence map›Paper›PMID 35568487›Full record

ArticleBMJ open2022

Interventions for the prevention of spontaneous preterm birth: a scoping review of systematic reviews.

Fiona Campbell, Shumona Salam, Anthea Sutton, Shamanthi Maya Jayasooriya, Caroline Mitchell, Emmanuel Amabebe, Julie Balen, Bronwen M Gillespie, Kerry Parris, Priya Soma-Pillay and 3 more

Open access · goldAbstract readScoping Review
In one paragraph

Article in BMJ open, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
2.6field-weighted citation impact, top 10% 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

10 citing papers in PubMed, 19 citations in OpenAlex.

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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

13 authors at 4 institutions in 3 countries.

Fiona CampbellScHARR, The University of Sheffield, Sheffield, UK f.campbell@sheffield.ac.uk.ORCID 0000-0002-4141-8863
Shumona SalamDepartment of Oncology and Metabolism, The University of Sheffield, Sheffield, UK.
Anthea SuttonScHARR, The University of Sheffield, Sheffield, UK.
Shamanthi Maya JayasooriyaAcademic Unit of Primary Medical Care, The University of Sheffield, Sheffield, UK.ORCID 0000-0002-1147-5744
Caroline MitchellAcademic Unit of Primary Medical Care, The University of Sheffield, Sheffield, UK.ORCID 0000-0002-4790-0095
Emmanuel AmabebeDepartment of Oncology and Metabolism, The University of Sheffield, Sheffield, UK.
Julie BalenScHARR, The University of Sheffield, Sheffield, UK.
Bronwen M GillespieDepartment of Oncology and Metabolism, The University of Sheffield, Sheffield, UK.
Kerry ParrisDepartment of Oncology and Metabolism, The University of Sheffield, Sheffield, UK.
Priya Soma-PillaySteve Biko Academic Hospital, University of Pretoria, Pretoria, South Africa.
Lawrence ChaukeDepartment of Obstetrics and Gynaecology, University of Witwatersrand, Johannesburg, South Africa.
Brenda NariceDepartment of Oncology and Metabolism, The University of Sheffield, Sheffield, UK.
Dilichukwu O AnumbaDepartment of Oncology and Metabolism, The University of Sheffield, Sheffield, UK.
University of Sheffield · GBPrimary Health Care · QASteve Biko Hospital · ZAUniversity of the Witwatersrand · ZA

Funding

Department of Health
6 · The paper itself

Abstract

backgroundGlobally, 11% of babies are born preterm each year. Preterm birth (PTB) is a leading cause of neonatal death and under-five mortality and morbidity, with lifelong sequelae in those who survive. PTB disproportionately impacts low/middle-income countries (LMICs) where the burden is highest.

objectivesThis scoping review sought to the evidence for interventions that reduce the risk of PTB, focusing on the evidence from LMICs and describing how context is considered in evidence synthesis.

designWe conducted a scoping review, to describe this wide topic area. We searched five electronic databases (2009-2020) and contacted experts to identify relevant systematic reviews of interventions to reduce the risk of PTB. We included published systematic reviews that examined the effectiveness of interventions and their effect on reducing the risk of PTB. Data were extracted and is described narratively.

results139 published systematic reviews were included in the review. Interventions were categorised as primary or secondary. The interventions where the results showed a greater effect size and consistency across review findings included treatment of syphilis and vaginal candidiasis, vitamin D supplementation and cervical cerclage. Included in the 139 reviews were 1372 unique primary source studies. 28% primary studies were undertaken in LMIC contexts and only 4.5% undertaken in a low-income country (LIC) Only 10.8% of the reviews sought to explore the impact of context on findings, and 19.4% reviews did not report the settings or the primary studies.

conclusionThis scoping review highlights the lack of research evidence derived from contexts where the burden of PTB globally is greatest. The lack of rigour in addressing contextual applicability within systematic review methods is also highlighted. This presents a risk of inappropriate and unsafe recommendations for practice within these contexts. It also highlights a need for primary research, developing and testing interventions in LIC settings.

Indexed as

Cerclage, CervicalPerinatal DeathPremature BirthFemaleHumansInfantInfant, NewbornParturitionPregnancySystematic Reviews as TopicHealth policyInternational health servicesMaternal medicinePublic health

Identifiers

PMID35568487
PMCPMC9109033
OpenAlexW4280616859

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.