Evidence map›Paper›PMID 36937474›Full record

SynthesisJournal of medicine and life2023

The effects of hydroxychloroquine on pregnancy outcomes in infertile women: a systematic review and meta-analysis.

Maryam Mirzaei, Sara Amirajam, Elham Sadeghi Moghimi, Soudabeh Behzadi, Abbas Rohani, Nasibeh Zerangian, Neda Khalili Samani, Simin Soudagar, Masumeh Ghazanfarpour

Open access · diamondFull text readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Journal of medicine and life, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.5field-weighted citation impact, top 17% 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

5 citing papers in PubMed, 9 citations in OpenAlex.

  1. Trial
  2. Review
  3. Article
  4. Review
  5. Review
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 6 institutions in 1 country.

Maryam MirzaeiDepartment of Obstetrics and Gynecology, Faculty of Medicine, Jiroft University of Medical Sciences, Jiroft, Iran.
Sara AmirajamAvicenna Infertility Clinic, Avicenna Research Institute, Academic Center for Education, Culture and Research (ACECR), Tehran, Iran.
Elham Sadeghi MoghimiDepartment of Community Health Nursing, Vali Asr Nursery, Shiraz, Iran.
Soudabeh BehzadiStudent Research Committee, School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran.
Abbas RohaniDepartment of Educational Psychology, Islamic Azad University Mobarakeh Branch, Esfahan, Iran.
Nasibeh ZerangianSchool of Public Health, Iran University of Medical Sciences, Tehran, Iran.
Neda Khalili SamaniSchool of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran.
Simin SoudagarDepartment of Nursing, Faculty of Nursing and Midwifery, Hormozgan University of Medical Sciences, Bandar Abbas, Iran.
Masumeh GhazanfarpourStudent Research Committee, Kerman University of Medical Sciences, Kerman, Iran.
Hormozgan University of Medical Sciences · IRIranshahr University · IRIran University of Medical Sciences · IRIsfahan University of Medical Sciences · IRKerman University of Medical Sciences · IRUniversity of Jiroft · IR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

A promising strategy for controlling repeated implantation failure (RIF) may be the use of hydroxychloroquine (HCQ). To the best of our knowledge, no systematic review has been conducted on the effects of hydroxychloroquine on pregnancy outcomes. A systematic research of the following electronic databases was conducted: Cochrane, EMBASE-Ovid, PubMed, Web of Science, and Scopus from inception to December 2021, using the following keywords [hydroxychloroquine] AND [infertility]. Fertilization and rate of live birth were significantly higher in the HCQ+ prednisone (PDN) group than in the PDN alone group. However, the abortion rate was not different between the two groups. The meta-analysis of two studies revealed no statistical significance between the PDN group and HCQ+PDN group regarding clinical pregnancy rate (OR=.14 [95%CI: 0.4-4.370]; heterogeneity; P=0.13; I2=54%; random effect model) and implantation rate (OR=1.99 [95%CI: 0.94-4.2]; heterogeneity; P=0.37; I2=0%; fixed-effect model). While HCQ may help improve fertilization and live birth rates, adding it to prednisone did not improve overall pregnancy outcomes. This systematic review should be used with caution due to the small size, study design, and difference in the studies' population.

Indexed as

Infertility, FemalePregnancy OutcomeFemaleHumansHydroxychloroquineLive BirthPrednisonePregnancyHydroxychloroquinePrednisoneHydroxychloroquineinfertilepregnancysystematic review

Identifiers

PMID36937474
PMCPMC10015562
OpenAlexW4327898082

What OpenQuestion holds

Textfull text, public
LicenceCC BY
measurements read48
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.