Evidence map›Paper›PMID 38522950›Full record

Observational studyJournal of gynecologic oncology2024

Influence of cancer in pregnancy on obstetric and neonatal outcomes: an observational retrospective cohort study.

Xuan Huang, Chen Zhang, Jialei Zhu, Yueyan Li, Jing Tang

Open access · diamondAbstract readObservational Study
In one paragraph

Observational study in Journal of gynecologic oncology, 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
0.3field-weighted citation impact, top 41% 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, 1 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 1 institution in 1 country.

Xuan HuangDepartment of Pharmacy, Obstetrics & Gynecology Hospital of Fudan University, Shanghai, China.ORCID 0000-0002-5346-6029
Chen ZhangDepartment of Pharmacy, Obstetrics & Gynecology Hospital of Fudan University, Shanghai, China.ORCID 0000-0003-3556-6752
Jialei ZhuDepartment of Pharmacy, Obstetrics & Gynecology Hospital of Fudan University, Shanghai, China.ORCID 0000-0003-0029-5171
Yueyan LiDepartment of Pharmacy, Obstetrics & Gynecology Hospital of Fudan University, Shanghai, China.ORCID 0009-0005-1589-4697
Jing TangDepartment of Pharmacy, Obstetrics & Gynecology Hospital of Fudan University, Shanghai, China. 1817@fckyy.org.cn.ORCID 0000-0003-3100-1842
Obstetrics and Gynecology Hospital of Fudan University · CN

Funding

CIMF Z20214621012023Fudan University of Jing Tang yg2023-30Health System of Qingpu District of Shanghai XD2023-10
6 · The paper itself

Abstract

objectiveThe study aimed to review the oncological characteristics and treatment of pregnancy-associated cancers and analyze the obstetric and neonatal outcomes to provide evidence-based recommendations for reproductive function preservation, oncological treatment, and obstetric management.

methodsWe conducted an observational retrospective cohort study among pregnant patients with cancer in 7 Chinese tertiary A hospitals from 2003 to 2021. We conducted multiple logistic regression to determine the influence of various factors on preterm birth and small-for-gestational-age infants, log-binomial regression to analyze temporal changes, and χ² tests to explore the effects of cancer type/treatment.

resultsOf 204 women, 17% terminated their pregnancies; 59% received pre-delivery treatment. Every 6 years, the rates of pregnancy termination (relative risk [RR]=0.48; 95% confidence interval [CI]=0.35-0.67) and iatrogenic preterm births (RR=0.73; 95% CI=0.54-0.98) reduced, and that of pre-delivery treatment increased, mainly due to increased rates of surgery (RR=1.87; 95% CI=1.31-2.67). Maternal systemic diseases were related to small-for-gestational-age infants (odds ratio [OR]=12.02; 95% CI=1.82-79.43). Chemotherapy with taxanes plus platinum-based agents was related to adverse obstetric outcomes (OR=1.87; 95% CI=1.42-2.46; p<0.05). Thyroid (OR=0.36; 95% CI=0.22-0.57) and ovarian cancer (OR=0.70; 95% CI=0.50-0.98) were associated with fewer cesarean sections. Thyroid cancer was associated with fetal growth restriction (OR=5.21; 95% CI=1.21-22.55).

conclusionRates of pregnancy termination in cancer declined. Taxane plus platinum-based chemotherapy was associated with adverse obstetric outcomes. Cancer type influenced outcomes.

trial registrationChinese Clinical Trial Register Identifier: ChiCTR2100044292.

Indexed as

Infant, Small for Gestational AgePregnancy Complications, NeoplasticPregnancy OutcomePremature BirthAbortion, InducedAdultChinaFemaleHumansInfant, NewbornPregnancyRetrospective StudiesTaxoidsTaxoidsAntineoplastic AgentsCohort StudiesNeoplasmsPregnancy ComplicationsRetrospective Studies

Identifiers

PMID38522950
PMCPMC11543246
OpenAlexW4392963492

What OpenQuestion holds

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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.