Evidence map›Paper›PMID 37112942›Full record

ArticleViruses2023

Revision of Cytomegalovirus Immunoglobulin M Antibody Titer Cutoff in a Maternal Antibody Screening Program in Japan: A Cohort Comparison Involving a Total of 32,000 Pregnant Women.

Asa Kitamura, Kuniaki Toriyabe, Miki Hagimoto-Akasaka, Kyoko Hamasaki-Shimada, Makoto Ikejiri, Toshio Minematsu, Shigeru Suga, Eiji Kondo, Masamichi Kihira, Fumihiro Morikawa and 1 more

Open access · goldAbstract read
In one paragraph

Article in Viruses, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.1field-weighted citation impact, top 22% 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

4 citing papers in PubMed, 5 citations in OpenAlex.

  1. Review
  2. Review
  3. Article
  4. 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

11 authors at 4 institutions in 1 country.

Asa KitamuraDepartment of Obstetrics and Gynecology, Mie University Graduate School of Medicine, Tsu 514-8507, Japan.
Kuniaki ToriyabeDepartment of Obstetrics and Gynecology, Mie University Graduate School of Medicine, Tsu 514-8507, Japan.ORCID 0000-0001-9372-1808
Miki Hagimoto-AkasakaDepartment of Obstetrics and Gynecology, Mie University Graduate School of Medicine, Tsu 514-8507, Japan.
Kyoko Hamasaki-ShimadaDepartment of Obstetrics and Gynecology, Kurashiki Medical Center, Okayama 710-8522, Japan.
Makoto IkejiriClinical Laboratory, Mie University Hospital, Tsu 514-8507, Japan.
Toshio MinematsuResearch Center for Disease Control, Aisenkai Nichinan Hospital, Miyazaki 887-0034, Japan.
Shigeru SugaInstitute for Clinical Research, National Hospital Organization Mie National Hospital, Tsu 514-8507, Japan.ORCID 0000-0002-8002-6504
Eiji KondoDepartment of Obstetrics and Gynecology, Mie University Graduate School of Medicine, Tsu 514-8507, Japan.
Masamichi KihiraMie Association of Obstetricians and Gynecologists, Tsu 514-8507, Japan.
Fumihiro MorikawaMie Association of Obstetricians and Gynecologists, Tsu 514-8507, Japan.
Tomoaki IkedaDepartment of Obstetrics and Gynecology, Mie University Graduate School of Medicine, Tsu 514-8507, Japan.
Mie University · JPKurashiki Medical Center · JPMie University Hospital · JPNational Mie Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Cytomegalovirus (CMV) is associated with congenital infections. We aimed to validate the revised CMV immunoglobulin (Ig) M titer cutoff for IgG avidity measurements as a reflex test in maternal screening to identify women with primary CMV infection and newborn congenital cytomegalovirus (cCMV). We screened maternal CMV antibodies (the Denka assay) in Japan, from 2017 to 2019, using a revised IgM cutoff (≥4.00 index). Participants were tested for IgG and IgM antibodies, and for IgG avidity if IgM levels exceeded the cutoff. We compared these with corresponding results from 2013 to 2017 based on the original cutoff (≥1.21) and recalculated using the revised cutoff. Newborn urine CMV DNA tests were performed for women with low avidity (≤35.0%). Among 12,832 women screened in 2017-2019, 127 (1.0%) had IgM above the revised cutoff. Thirty-five exhibited low avidity, and seven infants developed cCMV. Of 19,435 women screened in 2013-2017, 184 (1.0%) had IgM above the revised cutoff, 67 had low avidity, and 1 had cCMV. The 2017-2019 results were not significantly different from the 2013-2017 results. The revised IgM cutoff improves maternal screening in identifying primary infection and newborn cCMV; however, further study related to other assays than Denka is required.

Indexed as

Cytomegalovirus InfectionsPregnancy Complications, InfectiousAntibodies, ViralAntibody AffinityCytomegalovirusFemaleHumansImmunoglobulin GImmunoglobulin MInfant, NewbornJapanPregnancyPregnant PeopleAntibodies, ViralImmunoglobulin GImmunoglobulin Mcongenital infectioncytomegalovirusIgM antibodymaternal antibody screeningprimary infectionserological screening

Identifiers

PMID37112942
PMCPMC10143041
OpenAlexW4365514824

What OpenQuestion holds

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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.