Evidence map›Paper›PMID 36923219›Full record

ArticleFrontiers in endocrinology2023

Thyroid autoimmunity and adverse pregnancy outcomes: A multiple center retrospective study.

Yun Xu, Hui Chen, Meng Ren, Yu Gao, Kan Sun, Hongshi Wu, Rui Ding, Junhui Wang, Zheqing Li, Dan Liu and 2 more

Open access · goldFull text readMulticenter Study
In one paragraph

Article in Frontiers in endocrinology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
4.0field-weighted citation impact, top 5% 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

19 citing papers in PubMed, 20 citations in OpenAlex.

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  16. [Humoral Immunity Abnormalities in Advanced Maternal-Age Women With Recurrent Spontaneous Abortion: A Single Center Study].Sichuan da xue xue bao. Yi xue ban = Journal of Sichuan University. Medical science edition · 2024
    Article
  17. Article
  18. Innate Immunity in Autoimmune Thyroid Disease during Pregnancy.International journal of molecular sciences · 2023
    Review
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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

12 authors at 3 institutions in 1 country.

Yun XuDepartment of Endocrinology, The Sun Yat-sen Memorial Hospital of Sun Yat-sen University, Guangzhou, China.
Hui ChenDepartment of Obstetrics and Gynecology, The Sun Yat-sen Memorial Hospital of Sun Yat-sen University, Guangzhou, China.
Meng RenDepartment of Endocrinology, The Sun Yat-sen Memorial Hospital of Sun Yat-sen University, Guangzhou, China.
Yu GaoDepartment of Obstetrics and Gynecology, The Sixth Affiliated Hospital, Sun Yat-sen University, Guangzhou, China.
Kan SunDepartment of Endocrinology, The Sun Yat-sen Memorial Hospital of Sun Yat-sen University, Guangzhou, China.
Hongshi WuDepartment of Endocrinology, The Sun Yat-sen Memorial Hospital of Sun Yat-sen University, Guangzhou, China.
Rui DingDepartment of Laboratory, The Sun Yat-sen Memorial Hospital of Sun Yat-sen University, Guangzhou, China.
Junhui WangArtificial Intelligence Lab and the Big Data Center, The Sun Yat-sen Memorial Hospital of Sun Yat-sen University, Guangzhou, China.
Zheqing LiNetwork Information Center, The Sixth Affiliated Hospital, Sun Yat-sen University, Guangzhou, China.
Dan LiuDepartment of Endocrinology, The Sun Yat-sen Memorial Hospital of Sun Yat-sen University, Guangzhou, China.
Zilian WangDepartment of Obstetrics and Gynecology, The First Affiliated Hospital, Sun Yat-sen University, Guangzhou, China.
Li YanDepartment of Endocrinology, The Sun Yat-sen Memorial Hospital of Sun Yat-sen University, Guangzhou, China.
Sun Yat-sen Memorial Hospital · CNSun Yat-sen University · CNSixth Affiliated Hospital of Sun Yat-sen University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: The relationship between thyroid autoimmunity (TAI) and adverse pregnancy outcomes is disputable, and their dose-dependent association have not been fully clarified. Objective: To investigate the association and dose-dependent effect of TAI with multiple maternal and fetal-neonatal complications. Methods: This study is a multi-center retrospective cohort study based on singleton pregnancies of three medical college hospitals from July 2013 to October 2021. The evolution of thyroid function parameters in TAI and not TAI women were described, throughout pregnancy. The prevalences of maternal and fetal-neonatal complications were compared between the TAI and control group. Logistic regression was performed to study the risk effects and dose-dependent effects of thyroid autoantibodies on pregnancy complications, with adjustment of maternal age, BMI, gravidity, TSH concentrations, FT4 concentrations and history of infertility. Results: A total of 27408 participants were included in final analysis, with 5342 (19.49%) in the TAI group and 22066 (80.51%) in control group. TSH concentrations was higher in TAI women in baseline and remain higher before the third trimester. Positive thyroid autoantibodies were independently associated with higher risk of pregnancy-induced hypertension (OR: 1.215, 95%CI: 1.026-1.439), gestational diabetes mellitus (OR: 1.088, 95%CI: 1.001-1.183), and neonatal admission to NICU (OR: 1.084, 95%CI: 1.004-1.171). Quantitative analysis showed that increasing TPOAb concentration was correlated with higher probability of pregnancy-induced hypertension, and increasing TGAb concentration was positively correlated with pregnancy-induced hypertension, small for gestational age and NICU admission. Both TPOAb and TGAb concentration were negatively associated with neonatal birthweight. Conclusion: Thyroid autoimmunity is independently associated with pregnancy-induced hypertension, gestational diabetes mellitus, neonatal lower birthweight and admission to NICU. Dose-dependent association were found between TPOAb and pregnancy-induced hypertension, and between TGAb and pregnancy-induced hypertension, small for gestational age and NICU admission.

Indexed as

Diabetes, GestationalHypertension, Pregnancy-InducedAutoantibodiesAutoimmunityBirth WeightFemaleHumansInfant, NewbornPregnancyRetrospective StudiesThyrotropinAutoantibodiesThyrotropinbirth weightdose dependent effectgestational diabetes mellitusmaternal and fetal outcomespregnancy-induced hypertensionthyroid autoimmunity

Identifiers

PMID36923219
PMCPMC10008944
OpenAlexW4322504161

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LicenceCC BY
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Registered trials

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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.