Evidence map›Paper›PMID 36914205›Full record

ArticleOpen heart2023

Patients' understanding of long-term cardiovascular risks and associated health-seeking behaviours after pre-eclampsia.

Jessica Atkinson, William Wei, Stephanie Potenza, Grace Simpson, Anna Middleton, Susan Walker, Stephen Tong, Roxanne Hastie, Anthea Lindquist

Open access · goldAbstract read
In one paragraph

Article in Open heart, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 2 pooled it
12.2field-weighted citation impact, top 1% 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

11 citing papers in PubMed, 2 syntheses or guidelines pooled it, 21 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Article
  6. Review
  7. Article
  8. Postpartum and interpregnancy care of women with a history of hypertensive disorders of pregnancy.Hypertension research : official journal of the Japanese Society of Hypertension · 2024
    Review
  9. Review
  10. Article
  11. 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

9 authors at 3 institutions in 3 countries.

Jessica AtkinsonDepartment of Obstetrics & Gynaecology, The University of Melbourne, Heidelberg, Victoria, Australia.ORCID 0000-0002-6604-7456
William WeiSchool of Medicine, Deakin University, Burwood, Victoria, Australia.
Stephanie PotenzaMercy Perinatal, Mercy Hospital for Women, Heidelberg, Victoria, Australia.
Grace SimpsonDepartment of Obstetrics & Gynaecology, The University of Melbourne, Heidelberg, Victoria, Australia.
Anna MiddletonDepartment of Obstetrics & Gynaecology, The University of Melbourne, Heidelberg, Victoria, Australia.
Susan WalkerDepartment of Obstetrics & Gynaecology, The University of Melbourne, Heidelberg, Victoria, Australia.
Stephen TongDepartment of Obstetrics & Gynaecology, The University of Melbourne, Heidelberg, Victoria, Australia.
Roxanne HastieDepartment of Obstetrics & Gynaecology, The University of Melbourne, Heidelberg, Victoria, Australia.
Anthea LindquistDepartment of Obstetrics & Gynaecology, The University of Melbourne, Heidelberg, Victoria, Australia anthea.lindquist@unimelb.edu.au.
The University of Melbourne · AUDeakin University · AUMercy Hospital for Women · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe lifelong risks of cardiovascular disease following hypertensive disorders of pregnancy are well described. Awareness of these risks and associated health-seeking behaviours among affected individuals remains unclear. We aimed to assess participants' knowledge of their cardiovascular disease risk and relevant health-seeking behaviours following a pregnancy affected by preeclampsia or gestational hypertension.

methodsWe undertook a single-site, cross-sectional cohort study. The target population included individuals who birthed at a large tertiary referral centre in Melbourne, Australia, between 2016 and 2020, and were diagnosed with gestational hypertension or pre-eclampsia. Participants completed a survey assessing pregnancy details, medical comorbidities, knowledge of future risks and health-seeking behaviours post-pregnancy.

results1526 individuals met inclusion criteria and 438 (28.6%) completed the survey. Of these, 62.6% (n=237) were unaware of their increased risk of cardiovascular disease following a hypertensive disorder of pregnancy. Participants who reported awareness of their increased risk were more likely to have annual blood pressure monitoring (54.6% vs 38.1%, p<0.01), and at least one assessment of blood cholesterol (p<0.01), blood glucose (p=0.03) and renal function (p=0.01). Participants who were aware were more likely to be taking antihypertensive medication (24.5% vs 6.6%, p<0.01) since pregnancy, compared with those who were unaware. There were no differences between groups in diet, exercise or smoking habits.

conclusionAmong our study cohort, risk awareness was associated with increased health-seeking behaviours. Participants who were aware of their increased risk of cardiovascular disease were more likely to have regular cardiovascular risk factor assessments. They were also more likely to be taking antihypertensive medication.

Indexed as

Cardiovascular DiseasesHypertension, Pregnancy-InducedPre-EclampsiaPregnancy Complications, CardiovascularAntihypertensive AgentsCross-Sectional StudiesFemaleHeart Disease Risk FactorsHumansPatient Acceptance of Health CarePregnancyRisk FactorsAntihypertensive AgentsEpidemiologyHypertensionPregnancyQuality of Health Care

Identifiers

PMID36914205
PMCPMC10016282
OpenAlexW4324101900

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.