Evidence map›Paper›PMID 36029201›Full record

SynthesisAmerican journal of reproductive immunology (New York, N.Y. : 1989)2022

Efficacy of intravenous immunoglobulin in the treatment of recurrent spontaneous abortion: A systematic review and meta-analysis.

Yimin Shi, Dongmei Tan, Baozhen Hao, Xiurong Zhang, Wei Geng, Yayu Wang, Jianyi Sun, Yue Zhao

Open access · hybridAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in American journal of reproductive immunology (New York, N.Y. : 1989), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 3 pooled it
2.0field-weighted citation impact, top 12% 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

14 citing papers in PubMed, 3 syntheses or guidelines pooled it, 27 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

8 authors at 1 institution in 1 country.

Yimin ShiShandong Provincial Maternal and Child Health Care Hospital, Jinan City, Shandong Province, China.ORCID 0000-0002-9779-5967
Dongmei TanShandong Provincial Maternal and Child Health Care Hospital, Jinan City, Shandong Province, China.ORCID 0000-0002-1520-5071
Baozhen HaoShandong Provincial Maternal and Child Health Care Hospital, Jinan City, Shandong Province, China.
Xiurong ZhangShandong Provincial Maternal and Child Health Care Hospital, Jinan City, Shandong Province, China.
Wei GengShandong Provincial Maternal and Child Health Care Hospital, Jinan City, Shandong Province, China.
Yayu WangShandong Provincial Maternal and Child Health Care Hospital, Jinan City, Shandong Province, China.
Jianyi SunShandong Provincial Maternal and Child Health Care Hospital, Jinan City, Shandong Province, China.
Yue ZhaoShandong Provincial Maternal and Child Health Care Hospital, Jinan City, Shandong Province, China.
Shandong Maternal and Child Health Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveWe aimed to evaluate the efficacy of IVIG in the treatment with patients with recurrent spontaneous abortion (RSA).

methodsPubMed, Embase, Web of science, Cochrane library were searched for randomized controlled (RCTs) about effect of IVIG on RSA from inception to August 20, 2021. Values of standardized mean differences (SMD) were determined for continuous outcomes.

resultsA total of 15 articles involving 902 patients were included in meta-analysis. Compared with the control group, IVIG can increase the live birth rate of recurrent spontaneous abortion patients [OR = 3.06, 95%CI (1.23, 7.64, P = .02]. However, recurrent abortion was divided into primary and secondary abortion for subgroup analysis, and there was no statistical difference. Besides, IVIG can also increase the expression in peripheral blood CD3+[OR = .4, 95%CI(-2.47, 3.15, P = .81],CD4+[OR = 1.16, 95%CI(-4.60, 6.93, P = .69], and a decrease in the expression of CD8+[OR = -1.78, 95%CI(-5.30, 1.75, P = .32], but there is no statistical significance.

conclusionsIVIG can significantly increase the live birth rate of recurrent spontaneous abortion. However, the evidence needs further verification and the curative effect is uncertain. It is necessary to further explore the pathogenesis of recurrent abortion and the mechanism of IVIG in the treatment of recurrent spontaneous abortion. Besides, more high-quality randomized controlled trials suitable for population, race, dosage and timing of IVIG in the treatment of recurrent abortion are needed to confirm its effectiveness, and effective systematic evaluation is also needed to evaluate its use benefit.

Indexed as

Abortion, HabitualAbortion, SpontaneousBirth RateFemaleHumansImmunoglobulins, IntravenousPregnancyImmunoglobulins, Intravenousintravenous immunoglobulinmeta-analysisobstetricsrandomised clinical trialsrecurrent spontaneous abortion

Identifiers

PMID36029201
PMCPMC9787751
OpenAlexW4293367349

What OpenQuestion holds

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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.