Evidence map›Paper›PMID 37340384›Full record

ArticleBMC pregnancy and childbirth2023

Cytokine quantification and association with cervical length in a prospective cohort of pregnant women.

Helmer Herren, Alessandra C Marcolin, Marco A Barbieri, Heloisa Bettiol, Viviane C Cardoso, Silvana M Quintana, Ricardo C Cavalli

Open access · goldAbstract read
In one paragraph

Article in BMC pregnancy and childbirth, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.2field-weighted citation impact, top 43% 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

1 citing paper in PubMed, 1 citations in OpenAlex.

  1. 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

7 authors at 3 institutions in 1 country.

Helmer HerrenDepartment of Gynecology and Obstetrics, Ribeirão Preto Medical School University of São Paulo, Av. Bandeirantes, 3900 - 8º Andar - HCRP Campus Universitário - Ribeirão Preto - SP CEP: 14049-900, São Paulo, Brazil. hherren@hcrp.usp.br.
Alessandra C MarcolinDepartment of Gynecology and Obstetrics, Ribeirão Preto Medical School University of São Paulo, Av. Bandeirantes, 3900 - 8º Andar - HCRP Campus Universitário - Ribeirão Preto - SP CEP: 14049-900, São Paulo, Brazil.
Marco A BarbieriDepartment of Puericulture and Pediatrics, Ribeirão Preto Medical School University of São Paulo, Ribeirao Preto, Brazil.
Heloisa BettiolDepartment of Puericulture and Pediatrics, Ribeirão Preto Medical School University of São Paulo, Ribeirao Preto, Brazil.
Viviane C CardosoDepartment of Puericulture and Pediatrics, Ribeirão Preto Medical School University of São Paulo, Ribeirao Preto, Brazil.
Silvana M QuintanaDepartment of Gynecology and Obstetrics, Ribeirão Preto Medical School University of São Paulo, Av. Bandeirantes, 3900 - 8º Andar - HCRP Campus Universitário - Ribeirão Preto - SP CEP: 14049-900, São Paulo, Brazil.
Ricardo C CavalliDepartment of Gynecology and Obstetrics, Ribeirão Preto Medical School University of São Paulo, Av. Bandeirantes, 3900 - 8º Andar - HCRP Campus Universitário - Ribeirão Preto - SP CEP: 14049-900, São Paulo, Brazil.
Universidade de São Paulo · BRClinics Hospital of Ribeirão Preto · BRUniversidade de Ribeirão Preto · BR

Funding

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior 001
6 · The paper itself

Abstract

backgroundPreterm birth is a leading cause of infant morbidity and mortality; its multifactorial causes are an obstacle to understanding etiology and pathogenesis. The importance of cytokines and inflammation in its etiology and association with the short cervix is nowadays well-proven. To date, there are no reliable biological or biochemical markers to predict preterm birth; even though the length of the cervix has high specificity, its sensitivity with the cervix below 2.5 cm is low.

objectiveWe study the association of plasma cytokine levels and cervical length in search of predictors of preterm birth. STUDY

designWe evaluated a total of 1400 pregnant women carrying a single fetus between 20 and 25 weeks of gestation, and 1370 of them after childbirth in a nested case-control study of a prenatal cohort. Eligible pregnant women were interviewed and submitted to obstetric morphological and transvaginal ultrasound with cervical length measurement, gynecological examination, and blood collection. Preterm birth occurred in 133 women, 129 included in the study, and a control group randomly selected at a 2:1 ratio. A total of 41 cytokines with a higher probability of being associated with preterm birth or being of significance during labor were determined.

resultsCytokine and cervical length analysis by multivariate analysis of the conditional interference tree revealed that growth-related oncogene values of less than 2293 pg/mL were significantly associated with a cervical length of less than 2.5 cm.

conclusionsAs well as a cervical length shorter than 2.5 cm, growth-related oncogene levels of less than 2293 pg/ml may be associated with an increased risk of PB. Analysis based on the association of biomarkers and of the interaction between cytokines is a promising pathway in search of a predictor of preterm birth.

Indexed as

Premature BirthCase-Control StudiesCervical Length MeasurementCervix UteriFemaleHumansInfant, NewbornParturitionPregnancyPregnant PeopleProspective StudiesA transvaginal ultrasoundBiomarkersCervical lengthChemokinesInflammatory markersPrematurityPreterm anti-inflammatory pathwaysPreterm birthPreterm inflammatory pathwaysShort cervix

Identifiers

PMID37340384
PMCPMC10283335
OpenAlexW4381430218

What OpenQuestion holds

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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.