Evidence map›Paper›PMID 37474185›Full record

ArticleBMJ open2023

Universal screening programme for cytomegalovirus infection in the first trimester of pregnancy: study protocol for an observational multicentre study in the area of Barcelona (CITEMB study).

Maria Angeles Sanchez-Durán, Nerea Maiz, Liudmila Liutsko, Jofre Bielsa-Pascual, Rosa García-Sierra, Aneta Monika Zientalska, Inés Velasco, Eva Vazquez, Olga Gracia, Aleida Ribas and 11 more

Open access · goldAbstract readClinical Trial Protocol
In one paragraph

Article in BMJ open, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
1.9field-weighted citation impact, top 13% 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

9 citing papers in PubMed, 9 citations in OpenAlex.

  1. Review
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  3. Observational
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  5. Article
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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

21 authors at 7 institutions in 2 countries.

Maria Angeles Sanchez-Durán *Maternal Fetal Medicine Unit, Department of Obstetrics; Universitat Autònoma de Barcelona, Hospital Vall d'Hebron, Barcelona, Spain.
Nerea Maiz *Maternal Fetal Medicine Unit, Department of Obstetrics; Universitat Autònoma de Barcelona, Hospital Vall d'Hebron, Barcelona, Spain lliutskop.mn.ics@gencat.cat nerea.maiz@vallhebron.cat.ORCID 0000-0001-8261-6383
Liudmila LiutskoUnitat de Suport a la Recerca Metropolitana Nord, IDIAP Jordi Gol, Mataró, Spain lliutskop.mn.ics@gencat.cat nerea.maiz@vallhebron.cat.ORCID 0000-0002-2569-0760
Jofre Bielsa-PascualUnitat de Suport a la Recerca Metropolitana Nord, IDIAP Jordi Gol, Mataró, Spain.
Rosa García-SierraUnitat de Suport a la Recerca Metropolitana Nord, IDIAP Jordi Gol, Mataró, Spain.
Aneta Monika ZientalskaService of Obstetrics and Gynecology, Hospital Universitari Germans Trias i Pujol, Badalona, Spain.
Inés VelascoService of Obstetrics and Gynecology, Hospital Universitari Germans Trias i Pujol, Badalona, Spain.
Eva VazquezAtencio a la Salut Sexual i Reproductiva (ASSIR) Esquerra, Institut Català de la Salut, Barcelona, Spain.
Olga GraciaAtencio a la Salut Sexual i Reproductiva (ASSIR) Muntanya, Institut Català de la Salut, Barcelona, Spain.
Aleida RibasAtencio a la Salut Sexual i Reproductiva (ASSIR) St. Adrià de Besòs, Servei d'Atenció Primària Barcelonès Nord i Maresme, Institut Català de la Salut, Barcelona, Spain.
Nuria SitjaAtencio a la Salut Sexual i Reproductiva (ASSIR) Santa Coloma de Gramenet, Atenció Primària Metropolitana Nord, Institut Català de la Salut, Santa Coloma de Gramenet, Spain.
Maria NadalesAtencio a la Salut Sexual i Reproductiva (ASSIR) Badalona, Institut Català de la Salut, Badalona, Barcelona, Spain.
Cristina MartinezAtencio a la Salut Sexual i Reproductiva (ASSIR) Catalunya, Institut Català de la Salut, Barcelona, Spain.
Anna GonceFaculty of Medicine and Health Sciences, Universitat de Barcelona, Barcelona, Spain.
Marie Antoinette FrickPediatric Infectious Diseases and Immunodeficiencies Unit, Hospital Vall d'Hebron, Barcelona, Spain.
Mercedes Guerrero-MartínezAtencio a la Salut Sexual i Reproductiva (ASSIR) Santa Coloma de Gramenet, Atenció Primària Metropolitana Nord, Institut Català de la Salut, Santa Coloma de Gramenet, Spain.ORCID 0000-0003-3567-4489
Concepción ViolánUnitat de Suport a la Recerca Metropolitana Nord, IDIAP Jordi Gol, Mataró, Spain.
Pere ToránUnitat de Suport a la Recerca Metropolitana Nord, IDIAP Jordi Gol, Mataró, Spain.ORCID 0000-0002-9865-7427
Gemma Falguera-PuigAtencio a la Salut Sexual i Reproductiva (ASSIR) Metropolitana Nord, Institut Català de la Salut, Sabadell, Spain.
Roser GolAtencio a la Salut Sexual i Reproductiva (ASSIR) Badalona, Institut Català de la Salut, Badalona, Barcelona, Spain.
CITEMB Group
Institut Universitari d'Investigació en Atenció Primària Jordi Gol · ESInstitut Català de la Salut · ESHospital Universitari Germans Trias i Pujol · ESUniversitat Autònoma de Barcelona · ESAgència de Gestió d'Ajuts Universitaris i de Recerca · ESHospital Sant Joan de Déu Barcelona · ESVall d'Hebron Hospital Universitari · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionCongenital cytomegalovirus (cCMV) is the leading cause of non-genetic sensorineural hearing loss and one of the main causes of neurological disability. Despite this, no universal screening programme for cCMV has been implemented in Spain. A recent study has shown that early treatment with valaciclovir, initiated in the first trimester and before the onset of signs in the fetus, reduces the risk of fetal infection. This finding favours the implementation of a universal screening programme for cCMV.The aim of this study is to evaluate the performance of a universal screening programme for cCMV during the first trimester of pregnancy in a primary care setting. METHODS AND ANALYSIS: This is an observational multicentre cohort study. The study will be conducted in four primary care settings from the Northern Metropolitan Barcelona area and three related hospitals and will last 3 years and will consist of a recruitment period of 18 months.In their first pregnancy visit, pregnant women will be offered to add a CMV serology test to the first trimester screening tests. Pregnant women with primary infection will be referred to the reference hospital, where they will continue treatment and follow-up according to the clinical protocol of the referral hospital, which includes treatment with valacyclovir. A CMV-PCR will be performed at birth on newborns of mothers with primary infection, and those who are infected will undergo neonatal follow-up for at least 12 months of life.For the analysis, the acceptance rate, the prevalence of primary CMV infections and the CMV seroprevalence in the first trimester of pregnancy will be studied. ETHICS AND DISSEMINATION: Ethical approval was obtained from the University Institute Foundation for Primary Health Care Research Jordi Gol i Gurina Ethics Committee 22/097-P dated 27 April 2022.

Indexed as

Cytomegalovirus InfectionsPregnancy Complications, InfectiousCohort StudiesFemaleHumansInfant, NewbornMulticenter Studies as TopicObservational Studies as TopicParturitionPregnancyPregnancy Trimester, FirstSeroepidemiologic StudiesValacyclovirValacyclovirFetal medicineMaternal medicinePrenatal diagnosisPublic health

Identifiers

PMID37474185
PMCPMC10357649
OpenAlexW4384923221

What OpenQuestion holds

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LicenceCC BY-NC
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.