Evidence map›Paper›PMID 38341392›Full record

SynthesisDigestive diseases and sciences2024

Effectiveness and Safety of Tenofovir Alafenamide Fumarate in the Prevention of Perinatal Hepatitis B Transmission: A Meta-Analysis.

Ji Huang, Cong Cheng, Kangxin Li, Chunping Zhu, Youshun Liu

Open access · bronzeAbstract readMeta-Analysis
PubMed Publisher
In one paragraph

Synthesis in Digestive diseases and sciences, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
1.5field-weighted citation impact, top 18% 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

2 citing papers in PubMed, 4 citations in OpenAlex.

  1. Article
  2. 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

5 authors at 2 institutions in 1 country.

Ji Huang *Department of Traditional Chinese Medicine, Ganzhou People's Hospital, Ganzhou, China.
Cong Cheng *Department of Infectious Disease, Successful Hospital Affiliated to Xiamen University, Xiamen, China.
Kangxin Li *Department of Gastroenterology, Ganzhou People's Hospital, Ganzhou, China.
Chunping ZhuDepartment of Gastroenterology, Ganzhou People's Hospital, Ganzhou, China.
Youshun LiuDepartment of Gastroenterology, Ganzhou People's Hospital, Ganzhou, China. lys19891108@163.com.ORCID http://orcid.org/0000-0003-1872-7462
Ganzhou People's Hospital · CNXiamen University · CN

Funding

Bureau of Science and Technology of Ganzhou Municipality GZ2020ZSF179Bureau of Science and Technology of Ganzhou Municipality GZ2020ZSF180Ganzhou Municipal Health Commission of Jiangxi Province 2020-2-43Jiangxi Provincial Bureau of Traditional Chinese Medicine 2020B0117Jiangxi Provincial Bureau of Traditional Chinese Medicine 2023A0198
6 · The paper itself

Abstract

aimThis study aimed to assess the effectiveness and safety of tenofovir alafenamide fumarate (TAF) in the prevention of mother-to-child transmission (MTCT) of hepatitis B virus (HBV).

methodsWe performed a meta-analysis of studies from the Cochrane Library, PubMed, ClinicalTrials.gov, Web of Science, EMBASE, China National Knowledge Infrastructure (CNKI), China Medical Information Network, and Wanfang databases. The databases were searched from inception to January 7, 2023, for cohort studies and randomized controlled trials (RCTs) comparing the use of TAF antivirals to other antivirals during pregnancy. We combined the data by means of a random-effect DerSimonian-Laird model and risk ratios (RRs) or a random-effect inverse variance model and standardized mean differences (SMDs) to determine the influence on mothers and infants. Our primary outcomes were infant weight, height, head size, birth defects, and Apgar scores. Additionally, we assessed whether newborns tested positive for hepatitis B surface antigen (HBsAg) at birth and at six months of age. The secondary outcomes of our investigation were alterations in levels of HBV deoxyribonucleic acid (DNA), alanine aminotransferase (ALT), total bilirubin (TBIL), blood creatinine, and urine β2-microglobulin (β2-M) in mothers.

resultsAn extensive literature search identified 216 relevant publications; three cohort studies and two RCTs were included in this study. A total of 341 mothers were treated with TAF, and 342 were treated with other antiviral agents. TAF was as effective as other antiviral medications at lowering HBV MTCT rates at birth and at 6 months of age and ALT, TBIL, and HBV DNA levels. Moreover, compared with other antiviral drugs, TAF did not affect infant weight, height, head size, Apgar scores, and birth defects or maternal blood creatinine or β2-M levels.

conclusionsTAF antiviral therapy during pregnancy was found to be safe for both mothers and fetuses.

Indexed as

Hepatitis BHepatitis B, ChronicAdenineAntiviral AgentsCreatinineDNA, ViralFemaleFumaratesHepatitis B virusHumansInfantInfant, NewbornInfectious Disease Transmission, VerticalPregnancyAdenineAntiviral AgentsCreatinineDNA, ViralFumaratesHepatitis B virus (HBV)Mother-to-child transmission (MTCT)PregnancyTenofovir alafenamide fumarate

Identifiers

PMID38341392
OpenAlexW4391715042

What OpenQuestion holds

Textmetadata
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.