Evidence map›Paper›PMID 35696831›Full record

SynthesisEuropean journal of obstetrics, gynecology, and reproductive biology2022

Recruitment of pregnant women to randomised trials of COVID 19 treatments, and pharmaceutical treatments received outside such trials: A research article.

Oleia Green, Eloise M Young, Jemma Oberman, Joel Stewart, Yasmin King, Keelin O'Donoghue, Kate F Walker, Jim G Thornton

Abstract readSystematic Review
In one paragraph

Synthesis in European journal of obstetrics, gynecology, and reproductive biology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–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

2 citing papers in PubMed.

  1. Article
  2. 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.

Oleia GreenUniversity of Nottingham University of Nottingham Medical School, Nottingham NG7 2UH, England.
Eloise M YoungConsultant Obstetrician and Gynaecologist Department of Obstetrics and Gynaecology, University College Cork College Road, University College, Cork, Ireland.
Jemma ObermanUniversity of Nottingham University of Nottingham Medical School, Nottingham NG7 2UH, England.
Joel StewartUniversity of Nottingham University of Nottingham Medical School, Nottingham NG7 2UH, England.
Yasmin KingUniversity of Nottingham University of Nottingham Medical School, Nottingham NG7 2UH, England.
Keelin O'DonoghueUniversity of Nottingham University of Nottingham Medical School, Nottingham NG7 2UH, England.
Kate F WalkerUniversity of Nottingham University of Nottingham Medical School, Nottingham NG7 2UH, England.
Jim G ThorntonUniversity of Nottingham University of Nottingham Medical School, Nottingham NG7 2UH, England. Electronic address: jim.thornton@nottingham.ac.uk.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo document how many pregnant women with COVID-19 reported in the literature had participated in randomised trials, what treatments they received outside such trials and compare the latter with evidence-based treatment recommendations. STUDY

designA systematic review of observational studies.

methodsTwo clinical trial registries were searched to identify COVID-19 trials open to pregnant women. Studies were then extracted from a regularly updated list of scientific case reports and case series of confirmed or suspected maternal COVID-19 in pregnancy to identify the number of women enrolled into a trial and the pharmaceutical treatments they received outside such trials.

results156 studies (case reports, case series and registries) reporting 43,185 pregnant women with COVID-19, after de-duplication. Of these 2,671 (6.2%) were potentially eligible for a randomised trial but only seven women (0.26%) were reported to have enrolled. For 2,839 women the papers included information on treatment received, 1515/2829 (54%) women had received ≥ 1 treatment and in total a COVID-19 pharmaceutical treatment was administered 1,296 times outside of a trial. In 566 (44%) cases the treatments administered to the pregnant women were not recommended by the National Institutes of Health (NIH) at the time of administration. Of 179 case reports of women with COVID 19 in pregnancy, 109/179 women received ≥ 1 COVID-19 pharmaceutical treatment and in total COVID-19 experimental pharmaceutical treatments were administered 274 times.

conclusionDuring the early phase of the COVID-19 pandemic, pregnant women excluded from randomised trials did not avoid unproven or ineffective treatments.

Indexed as

COVID-19 Drug TreatmentPregnancy Complications, InfectiousFemaleHumansPandemicsPharmaceutical PreparationsPregnancyPregnant PeopleRandomized Controlled Trials as TopicUnited StatesPharmaceutical PreparationsCase reportsCase seriesCOVID-19PregnancyRandomized controlled trials

Identifiers

PMID35696831
PMCPMC9106591

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.