Evidence map›Paper›PMID 41476858›Full record

ArticleAnemia2025

Pregnancy Outcomes in Women With Thalassemia Trait: A Multicenter Cohort Study.

Daria Chelysheva, Ameera Syed, Hannah Ruby, Anna Homeniuk, Anas Atrash, Feras Al Moussally

Abstract read
In one paragraph

Article in Anemia, 2025. 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. 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.

Daria ChelyshevaDepartment of Medicine, UPMC Harrisburg, Harrisburg, Pennsylvania, USA.ORCID https://orcid.org/0009-0002-0235-9116
Ameera SyedDrexel University College of Medicine, Philadelphia, Pennsylvania, USA, drexel.edu.ORCID https://orcid.org/0009-0003-3340-6736
Hannah RubyDrexel University College of Medicine, Philadelphia, Pennsylvania, USA, drexel.edu.ORCID https://orcid.org/0000-0001-9005-2143
Anna HomeniukDepartment of Medicine, UPMC Harrisburg, Harrisburg, Pennsylvania, USA.ORCID https://orcid.org/0009-0003-9824-7828
Anas AtrashDepartment of Medicine, UPMC Harrisburg, Harrisburg, Pennsylvania, USA.ORCID https://orcid.org/0009-0003-2573-3454
Feras Al MoussallyDepartment of Hematology/Oncology, UPMC Harrisburg, Harrisburg, Pennsylvania, USA.ORCID https://orcid.org/0009-0005-2751-3783

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Thalassemia trait generally has minimal clinical impact, but physiologic changes during pregnancy may increase the risk of anemia, transfusion requirements, and hypertensive disorders. Existing evidence on pregnancy outcomes in this population is limited, with some conflicting data. This study aims to evaluate pregnancy-related outcomes in patients with thalassemia trait using a large, multicenter database. Methods: For this retrospective cohort study, we used data from the TriNetX US Collaborative Network. Females aged 18-45 with ICD-10 codes indicating pregnancy (Z33.1, O00-O9A, Z34, or Z3A) were included. Patients with pregnancy and coexisting thalassemia trait (D56.3) were assigned to the thalassemia cohort ( Results: Thalassemia trait was associated with higher risks of anemia during pregnancy (RR: 3.00 and 95% CI: 2.87-3.13), needing blood transfusion (RR: 1.90 and 95% CI: 1.69-2.20), preeclampsia/eclampsia (RR: 1.54 and 95% CI: 1.47-1.61), cesarean delivery (RR: 1.43 and 95% CI: 1.36-1.51), preterm delivery < 37 weeks (RR: 1.40 and 95% CI: 1.31-1.65), and IUGR (RR: 1.96 and 95% CI: 1.72-2.23), all were statistically significant with a Conclusion: Thalassemia trait in pregnancy was associated with increased rates of anemia, transfusion, and adverse maternal and fetal outcomes. Such adverse outcomes include pre-eclampsia/eclampsia, cesarean delivery, preterm birth and IUGR. These findings underscore the need for tailored peripartum care strategies in this high-risk population.

Identifiers

PMID41476858
PMCPMC12748928

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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.