Evidence map›Paper›PMID 38898143›Full record

SynthesisScientific reports2024

Low-molecular-weight heparin in the prevention of unexplained recurrent miscarriage: a systematic review and meta-analysis.

Margherita Scarrone, Noemi Salmeri, Giovanni Buzzaccarini, Valentina Canti, Federica Pasi, Enrico Papaleo, Patrizia Rovere-Querini, Massimo Candiani, Alessandra Alteri, Andrea Busnelli and 1 more

Abstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Scientific reports, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–field-weighted citation impact
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

7 citing papers in PubMed.

  1. Review
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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

11 authors.

Margherita ScarroneUniversità Vita-Salute San Raffaele, Via Olgettina 60, 20132, Milan, Italy.
Noemi SalmeriUniversità Vita-Salute San Raffaele, Via Olgettina 60, 20132, Milan, Italy.
Giovanni BuzzaccariniUniversità Vita-Salute San Raffaele, Via Olgettina 60, 20132, Milan, Italy.
Valentina CantiDivision of Immunology, Transplantation and Infectious Diseases, IRCCS San Raffaele Scientific Institute, Via Olgettina 60, 20132, Milan, Italy.
Federica PasiDepartment of Obstetrics and Gynecology, IRCCS San Raffaele Scientific Institute, Milan, Italy.
Enrico PapaleoDepartment of Obstetrics and Gynecology, IRCCS San Raffaele Scientific Institute, Milan, Italy.
Patrizia Rovere-QueriniUniversità Vita-Salute San Raffaele, Via Olgettina 60, 20132, Milan, Italy.
Massimo CandianiUniversità Vita-Salute San Raffaele, Via Olgettina 60, 20132, Milan, Italy.
Alessandra AlteriReproductive Sciences Laboratory, IRCCS San Raffaele Scientific Institute, Via Olgettina 60, 20132, Milan, Italy.
Andrea BusnelliDepartment of Biomedical Sciences, Humanitas University, Pieve Emanuele-Milan, Via Rita Levi Montalcini, 4, 20090, Rozzano, Milano, Italy.
Valeria Stella VanniUniversità Vita-Salute San Raffaele, Via Olgettina 60, 20132, Milan, Italy. vanni.valeriastella@hsr.it.ORCID http://orcid.org/0000-0002-6539-7294

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The etiology of recurrent pregnancy loss (RPL) is complex and multifactorial and in half of patients it remains unexplained (U-RPL). Recently, low-molecular-weight heparin (LMWH) has gained increasing relevance for its therapeutic potential. On this regard, the aim of this systematic review and meta-analysis is to analyze the efficacy of low molecular weight heparin (LMWH) from the beginning of pregnancy in terms of live birth rates (LBR) in U-RPL. Registered randomized controlled trials (RCTs) were included. We stratified findings based on relevant clinical factors including number of previous miscarriages, treatment type and control type. Intervention or exposure was defined as the administration of LMWH alone or in combination with low-dose aspirin (LDA). A total of 6 studies involving 1016 patients were included. The meta-analysis results showed that LMWH used in the treatment of U-RPL was not associated with an increase in LBR with a pooled OR of 1.01, a medium heterogeneity (26.42%) and no publication bias. Results of other sub-analyses according to country, treatment type, and control type showed no significant effect of LMWH on LBR in all subgroups, with a high heterogeneity. The results highlight a non-significant effect of LMWH in U-RPL on LBR based on moderate quality evidence.Registration number: PROSPERO: ( https://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD42022326433 ).

Indexed as

Abortion, HabitualHeparin, Low-Molecular-WeightAnticoagulantsAspirinFemaleHumansLive BirthPregnancyRandomized Controlled Trials as TopicAnticoagulantsAspirinHeparin, Low-Molecular-Weight

Identifiers

PMID38898143
PMCPMC11187099

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.