Evidence map›Paper›PMID 39640941›Full record

ReviewEClinicalMedicine2024

Current evidence gaps to support systematic cytomegalovirus screening in pregnancy.

Agathe Billette de Villemeur, Bruno Hoen, Eric Billaud, Philippe Deruelle, Karine Goueslard, Virginie Halley des Fontaines, Philippe Minodier, Bertrand Parent, Bruno Pozzetto, Matthieu Revest and 1 more

Abstract readReview
In one paragraph

Review in EClinicalMedicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Review
  5. 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

11 authors.

Agathe Billette de VillemeurHaut Conseil de Santé Publique, Paris F-75000, France.
Bruno HoenHaut Conseil de Santé Publique, Paris F-75000, France.
Eric BillaudServices de Maladies Infectieuses, CHU de Nantes, Nantes 44000, France.
Philippe DeruelleService de Gynécologie-obstétrique, CHU de Montpellier, Montpellier 34000, France.
Karine GoueslardDepartment of Clinical Research and Innovation (DRCI), Clinical Research Unit Methodological Support Network (USMR), University Hospital, Dijon, France.
Virginie Halley des FontainesHaut Conseil de Santé Publique, Paris F-75000, France.
Philippe MinodierUrgences Enfants, CHU Nord, Chemin des Bourrelly, Marseille 13015, France.
Bertrand ParentEHESP (Ecole des Hautes Etudes en Santé Publique), Rennes 35000, France.
Bruno PozzettoService des agents Infectieux et d'hygiène - Hôpital Nord - Centre hospitalier Universitaire (CHU) de Saint-Étienne, Saint-Etienne, France.
Matthieu RevestService des Maladies Infectieuses et Réanimation Médicale, CHU Rennes, Rennes Cedex 35033, France.
Louis-Rachid SalmiUniv. Bordeaux, ISPED, Centre INSERM U1219, Bordeaux Population Health, Bordeaux F-33000, France.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The benefits of screening for cytomegalovirus (CMV) infection during pregnancy remain a topic of debate. To date, no randomized trial has compared the impact of screening versus routine management on the prevention of severe sequelae in newborns. Furthermore, it is unclear what actions can be taken in case of a positive screening given that there is limited evidence of effective interventions as no treatments showed significant effect on the frequency of congenital cytomegalovirus infections and, as additional challenge, the window for effective treatment initiation after maternal infection is narrow, estimated to be as short as five weeks. Universal screening of all pregnant women could lead to a high number of false positives. There are also concerns regarding the cost-effectiveness of universal screening and the capacity of healthcare professionals that may struggle to manage the increased workload, and we argue that the conditions for implementing such a programme are not yet met. In this Viewpoint we aim at highlighting these challenges and stimulating the forthcoming discussion on how to fill the gaps before CMV screening in pregnancy could be adopted as a standard practice.

Indexed as

Congenital cytomegalovirus infectionCytomegalovirus infectionsSystematic screeningValacyclovir

Identifiers

PMID39640941
PMCPMC11617987

What OpenQuestion holds

Textmetadata
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.