Evidence map›Paper›PMID 36581409›Full record

ArticleBMJ open2022

Association of pregnancy complications/risk factors with the development of future long-term health conditions in women: overarching protocol for umbrella reviews.

Megha Singh, Francesca Crowe, Shakila Thangaratinam, Kathryn Mary Abel, Mairead Black, Kelvin Okoth, Richard Riley, Kelly-Ann Eastwood, Holly Hope, Steven Wambua and 7 more

Open access · goldAbstract read
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 3 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 3 pooled it
0.4field-weighted citation impact, top 34% 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

3 citing papers in PubMed, 3 syntheses or guidelines pooled it, 2 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
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

17 authors at 7 institutions in 1 country.

Megha SinghInstitute of Applied Health Research, University of Birmingham, Birmingham, UK m.singh.6@bham.ac.uk.ORCID 0000-0003-3680-7124
Francesca CroweInstitute of Applied Health Research, University of Birmingham, Birmingham, UK.ORCID 0000-0003-4026-1726
Shakila ThangaratinamWHO Collaborating Centre for Global Women's Health, Institute of Metabolism and Systems Research, University of Birmingham, Birmingham, UK.
Kathryn Mary AbelMedical and Human Sciences, Institute of Brain Behaviour and Mental Health, Manchester, UK.
Mairead BlackAberdeen Centre for Women's Health Research, School of Medicine, Medical Science and Nutrition, University of Aberdeen, Aberdeen, UK.
Kelvin OkothInstitute of Applied Health Research, University of Birmingham, Birmingham, UK.ORCID 0000-0002-2745-4083
Richard RileyCentre for Prognosis Research, School of Primary, Community and Social Care, Keele University, Staffordshire, UK.ORCID 0000-0001-8699-0735
Kelly-Ann EastwoodSt Michael's Hospital, University Hospitals Bristol NHS Foundation Trust, Bristol, UK.
Holly HopeCentre for Women's Mental Health, Faculty of Biology Medicine & Health, The University of Manchester, Manchester, UK.
Steven WambuaInstitute of Applied Health Research, University of Birmingham, Birmingham, UK.
Jemma HealeyAberdeen Centre for Women's Health Research, School of Medicine, Medical Science and Nutrition, University of Aberdeen, Aberdeen, UK.
Siang Ing LeeInstitute of Applied Health Research, University of Birmingham, Birmingham, UK.ORCID 0000-0002-2332-5452
Katherine PhillipsInstitute of Applied Health Research, University of Birmingham, Birmingham, UK.ORCID 0000-0003-0674-605X
Zoe VowlesGuy's and St. Thomas' NHS Foundation Trust, London, UK.
Neil CockburnInstitute of Applied Health Research, University of Birmingham, Birmingham, UK.
Ngawai MossPatient and public representative, London, UK.
Krishnarajah NirantharakumarInstitute of Applied Health Research, University of Birmingham, Birmingham, UK.ORCID 0000-0002-6816-1279
University of Birmingham · GBUniversity of Aberdeen · GBUniversity of Manchester · GBBirmingham Women’s and Children’s NHS Foundation Trust · GBGuy's and St Thomas' NHS Foundation Trust · GBKeele University · GBQueen's University Belfast · GB

Funding

Medical Research Council MR/V005243/1Medical Research Council MR/W014432/1
6 · The paper itself

Abstract

introductionWith good medical care, most pregnancy complications like pre-eclampsia, gestational diabetes, etc resolve after childbirth. However, pregnancy complications are known to be associated with an increased risk of new long-term health conditions for women later in life, such as cardiovascular disease. These umbrella reviews aim to summarise systematic reviews evaluating the association between pregnancy complications and five groups of long-term health conditions: autoimmune conditions, cancers, functional disorders, mental health conditions and metabolic health conditions (diabetes and hypertension). METHODS AND ANALYSIS: We will conduct searches in Medline, Embase and the Cochrane database of systematic reviews without any language restrictions. We will include systematic reviews with or without meta-analyses that studied the association between pregnancy complications and the future risk of the five groups of long-term health conditions in women. Pregnancy complications were identified from existing core outcome sets for pregnancy and after consultation with experts. Two reviewers will independently screen the articles. Data will be synthesised with both narrative and quantitative methods. Where a meta-analysis has been carried out, we will report the combined effect size from individual studies. For binary data, pooled ORs with 95% CIs will be presented. For continuous data, we will use the mean difference with 95% CIs. The findings will be presented in forest plots to assess heterogeneity. The methodological quality of the studies will be evaluated with the AMSTAR 2 tool or the Cochrane risk of bias tool. The corrected covered area method will be used to assess the impact of overlap in reviews. The findings will be used to inform the design of prediction models, which will predict the risk of women developing these five group of health conditions following a pregnancy complication. ETHICS AND DISSEMINATION: No ethical approvals required. Findings will be disseminated through publications in peer-reviewed journals and conference presentations.

Indexed as

Pre-EclampsiaPregnancy ComplicationsFemaleHumansMeta-Analysis as TopicParturitionPregnancyResearch DesignRisk FactorsSystematic Reviews as TopicDiabetes in pregnancyHypertensionMENTAL HEALTH

Identifiers

PMID36581409
PMCPMC9806074
OpenAlexW4313331782

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.