Evidence map›Paper›PMID 40758977›Full record

ArticleJornal brasileiro de nefrologia

The effects of pregnancy on the progression of maternal glomerular disease.

Luiz Paulo José Marques, Lívia Menezes Salla, Lilimar da Silveira Rioja, Regina Rocco, Eugênio Pacelle Queiroz Madeira, Lygia Maria Soares Fernandes Vieira

Abstract read
In one paragraph

Article in Jornal brasileiro de nefrologia. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. 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

6 authors.

Luiz Paulo José MarquesUniversidade Federal do Estado do Rio de Janeiro, Hospital Universitário Gaffrée e Guinle, Departamento de Medicina, Rio de Janeiro, RJ, Brazil.ORCID http://orcid.org/0000-0003-2235-7257
Lívia Menezes SallaUniversidade Federal do Estado do Rio de Janeiro, Hospital Universitário Gaffrée e Guinle, Departamento de Medicina, Rio de Janeiro, RJ, Brazil.ORCID http://orcid.org/0009-0006-2571-882X
Lilimar da Silveira RiojaUniversidade Federal do Estado do Rio de Janeiro, Hospital Universitário Gaffrée e Guinle, Departamento de Medicina, Rio de Janeiro, RJ, Brazil.ORCID http://orcid.org/0009-0009-2705-4176
Regina RoccoUniversidade Federal do Estado do Rio de Janeiro, Hospital Universitário Gaffrée e Guinle, Departamento de Medicina, Rio de Janeiro, RJ, Brazil.ORCID http://orcid.org/0000-0002-6454-9962
Eugênio Pacelle Queiroz MadeiraUniversidade Federal do Estado do Rio de Janeiro, Hospital Universitário Gaffrée e Guinle, Departamento de Medicina, Rio de Janeiro, RJ, Brazil.ORCID http://orcid.org/0000-0003-4328-2469
Lygia Maria Soares Fernandes VieiraUniversidade Federal do Estado do Rio de Janeiro, Hospital Universitário Gaffrée e Guinle, Departamento de Medicina, Rio de Janeiro, RJ, Brazil.ORCID http://orcid.org/0000-0003-4167-3642

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionAlthough most women with underlying glomerular diseases (GD) are of childbearing age, there is limited information on how pregnancy affects these conditions and maternal outcomes.

methodsWe carried out a single-center retrospective cohort study involving 44 planned pregnancies in 38 patients with biopsy-proven GD. Patients were divided into three groups based on their pre-conception CKD-KDIGO classification: I) Stage 1-2: 27 pregnancies, II) Stage 3a-3b: 11 pregnancies, and III) Stage 4-5: 6 pregnancies. Clinical data included age, chronic hypertension (CH), serum creatinine, preeclampsia (PE), and proteinuria. We considered CH, CKD stage before pregnancy, and PE and nephrotic proteinuria (NPu) during pregnancy as risk factors for maternal GD progression.

resultsWe found that 8 women progressed to ESRD and began hemodialysis during pregnancy: 2 (7.8%) in Group I, 1 (9.0%) in Group II, and 5 (83.3%) in Group III. In the remaining 36 pregnancies, we observed a significant GFR loss (p < 0.0001) one year after pregnancy, and GFR loss was greater in group II than in I (p < 0.013). Low GFR rates before pregnancy and PE during pregnancy (p = 0.001) directly impacted GFR loss. We also observed a high incidence (63.6%) of adverse fetal outcomes.

conclusionAlthough pregnancy is possible for women with GD, the impact of pregnancy in maternal GD continues after delivery. Having GD increases the risks of adverse pregnancy outcomes. The progression of GD is directly linked to the CKD stage before pregnancy and PE during pregnancy, and women in CKD stages 4-5 have a high risk of progressing to ESRD during gestation.

Indexed as

Pregnancy ComplicationsAdultCohort StudiesDisease ProgressionFemaleHumansPregnancyRenal Insufficiency, ChronicRetrospective Studies

Identifiers

PMID40758977
PMCPMC12321267

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.