Evidence map›Paper›PMID 36402978›Full record

SynthesisBMC pregnancy and childbirth2022

Comparative safety of infliximab and adalimumab on pregnancy outcomes of women with inflammatory bowel diseases: a systematic review & meta-analysis.

Han Wang, Yue Hu, Fang Chen, Mengdie Shen

Open access · goldAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in BMC pregnancy and childbirth, 2022. 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
2.2field-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

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 12 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Review
  4. Article
  5. Observational
  6. Review
  7. Family Planning and Rheumatoid Arthritis.Current rheumatology reports · 2025
    Review
  8. Review
  9. Review
  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

4 authors at 3 institutions in 1 country.

Han WangDepartment of gynecology and obstetrics, Women's Hospital, School of Medicine, Zhejiang University, 310003, Hangzhou, Zhejiang Province, P.R. China.
Yue HuDepartment of Gastroenterology, First Affiliated Hospital of Zhejiang Chinese Medical University, 310006, Hangzhou, Zhejiang Province, P.R. China.
Fang ChenDepartment of Gastroenterology, Zhejiang Hospital of Integrated Traditional Chinese and Western Medicine, 310006, Hangzhou, Zhejiang Province, P.R. China.
Mengdie ShenDepartment of Internal Medicine, Women's Hospital, School of Medicine, Zhejiang University, 310003, Hangzhou, Zhejiang Province, P.R. China. s167725@zju.edu.cn.
Women's Hospital, School of Medicine, Zhejiang University · CNZhejiang Chinese Medical University · CNZhejiang Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundInflammatory bowel disease (IBD) is a condition that affects most of the digestive tract. There is no report of fertility reduction in medically managed IBD women compared with the general population. On the other hand, active IBD can lead to significantly decreased fertility. Over the previous 2 decades, anti-tumor necrosis factor (anti-TNF) has been an effective treatment for managing patients with IBD, increasing the use of infliximab and adalimumab in clinical practice. However, it is unclear which biologics are better for pregnant women with IBD.

aimWe conducted a systematic review and meta-analysis for the risk of adverse pregnancy outcomes following treatment with infliximab and adalimumab in women with IBD.

methodsBibliographic databases were retrieved from their inception to July 2022. The results were adverse pregnancy outcomes, including congenital malformations and spontaneous abortion.

resultsA total of 8 studies included 527 pregnant women with IBD. Of these, 343 received infliximab, and 184 received adalimumab therapy. Compared to adalimumab, adverse pregnancy outcomes were not increased in infliximab therapy including congenital malformations and spontaneous abortion.

conclusionInfliximab and adalimumab therapy did not show the difference of risk in adverse pregnancy outcomes in women with IBD. SYSTEMATIC REVIEW REGISTRATION: http://www.crd.york.ac.uk/PROSPERO , identifier: CRD 42,021,277,869.

Indexed as

Abortion, SpontaneousInflammatory Bowel DiseasesPregnancy ComplicationsAdalimumabFemaleHumansInfliximabPregnancyPregnancy OutcomeTumor Necrosis Factor InhibitorsAdalimumabInfliximabTumor Necrosis Factor InhibitorsAdalimumabAdverse pregnancy outcomesInflammatory bowel diseaseInfliximab

Identifiers

PMID36402978
PMCPMC9675210
OpenAlexW4309561265

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.