Evidence map›Paper›PMID 39183195›Full record

SynthesisEuropean journal of clinical pharmacology2024

Reference guides for the safe use of drugs during pregnancy: a systematic review and comparative analysis.

Xue-Feng Jiao, Panda Qiu, Zheyun Song, Xue Peng, Hailong Li, Linan Zeng, Lingli Zhang

Abstract readSystematic ReviewComparative Study
PubMed Publisher
In one paragraph

Synthesis in European journal of clinical pharmacology, 2024. 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
–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

1 citing paper in PubMed.

  1. Drug safety during pregnancy: a challenging and ever moving field.European journal of clinical pharmacology · 2025
    Article
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.

Xue-Feng Jiao *Department of Pharmacy, West China Second University Hospital, Sichuan University, Renmin Nan Road 20, Chengdu, 610041, China.
Panda Qiu *Department of Pharmacy, West China Second University Hospital, Sichuan University, Renmin Nan Road 20, Chengdu, 610041, China.
Zheyun SongXinxiang Medical University, Xinxiang, China.
Xue PengKey Laboratory of Birth Defects and Related Diseases of Women and Children, Ministry of Education, Sichuan University, Chengdu, China.
Hailong LiDepartment of Pharmacy, West China Second University Hospital, Sichuan University, Renmin Nan Road 20, Chengdu, 610041, China.
Linan ZengDepartment of Pharmacy, West China Second University Hospital, Sichuan University, Renmin Nan Road 20, Chengdu, 610041, China.
Lingli ZhangDepartment of Pharmacy, West China Second University Hospital, Sichuan University, Renmin Nan Road 20, Chengdu, 610041, China. zhanglingli@scu.edu.cn.

Funding

Natural Science Foundation of Sichuan Province 2022NSFSC0644
6 · The paper itself

Abstract

purposeTo comprehensively evaluate and compare all the available reference guides for the safe use of drugs during pregnancy, with the goal of determining the scientificity and reliability of these reference guides.

methodsWe searched PubMed, EMbase, CNKI, Wanfang Database, and VIP database to comprehensively identify the available reference guides. Moreover, we selected 103 drugs based on relevant literatures, and compared the recommendations of each drug from different reference guides.

resultsA total of 14 available reference guides were identified. However, none of these reference guides assessed the risk of bias of original studies or the quality of current evidence. Seven reference guides adopted expert consensus method to formulate pregnancy recommendations, while the rest reference guides did not report the formation method. Moreover, 77.7% of the selected drugs had inconsistent recommendations among different reference guides. In addition, the referenced human and animal studies for the same drug differed among different reference guides.

conclusionOur results indicate that current reference guides for the safe use of drugs during pregnancy are less scientific and reliable, and there are considerable discrepancies in recommendations from different reference guides concerning drug use during pregnancy. The reasons for the discrepancies in recommendations include ① the literature search in most reference guides was not comprehensive, ② none of the available reference guides assessed the risk of bias of original studies or the quality of current evidence, and ③ the method adopted by current reference guides to formulate recommendations had obvious subjectivity and lacked of scientificity.

Indexed as

Drug-Related Side Effects and Adverse ReactionsPractice Guidelines as TopicPregnancy ComplicationsAnimalsFemaleHumansPregnancyComparative analysisPregnancyRecommendationsReference guidesThe safe use of drugs

Identifiers

What OpenQuestion holds

Textmetadata
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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.