Evidence map›Paper›PMID 41987792›Full record

SynthesisFrontiers in medicine2026

Association between adenomyosis and maternal and neonatal outcomes: a systematic review and meta-analysis.

Yi Liao, Linxi Li, Yuanjian Tong, Yanyan Zhou

Abstract readSystematic Review
In one paragraph

Synthesis in Frontiers in medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0cells of the map it votes in
0citing papers in PubMed
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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

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3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

4 authors.

Yi LiaoDepartment of Obstetrics and Gynecology, Chengdu Shuangnan Hospital, Chengdu, China.
Linxi LiDepartment of Clinical Medicine, North Sichuan Medical College, Nanchong, China.
Yuanjian TongDepartment of Clinical Medicine, North Sichuan Medical College, Nanchong, China.
Yanyan ZhouDepartment of Obstetrics and Gynecology, The People's Hospital of Renshou County, Meishan, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Adenomyosis has garnered increasing attention for its association with adverse pregnancy outcomes in recent years. However, findings across studies remain inconsistent. This meta-analysis of cohort studies evaluated the impact of adenomyosis on maternal and perinatal outcomes. Methods: A systematic search of PubMed, Embase, Web of Science, and the Cochrane Library was conducted to identify relevant studies published from their inception to September 25, 2025. Eligible studies included those comparing pregnancy and obstetric outcomes between women with adenomyosis and those without. To quantify the association between adenomyosis and unfavorable outcomes, meta-analyses were conducted using R 4.3.2 and STATA 12.0, yielding risk ratios (RRs) and 95% confidence intervals (CIs). Heterogeneity across studies was evaluated using Cochran's Q test, I Results: This meta-analysis synthesized data from 25 cohort studies, encompassing 24,113 women diagnosed with adenomyosis and 8,890,014 controls. The pooled analysis revealed that compared with controls, patients with adenomyosis exhibited significantly lower clinical pregnancy rate (RR [95% CI] = 0.753 [0.625-0.907], 95% PI: 0.433-1.311) and live birth rate (RR [95% CI] = 0.613 [0.469-0.801], 95% PI: 0.254-1.479), alongside markedly higher risks of miscarriage and preterm birth (all Conclusion: Adenomyosis is associated with various adverse pregnancy and neonatal outcomes. Pregnancies affected by this condition should be classified as high-risk, necessitating careful medical supervision and prompt, tailored interventions to mitigate potential complications throughout gestation.

Indexed as

adenomyosisassisted reproductive technologylive birthmeta-analysismiscarriagepregnancy outcomespreterm birth

Identifiers

PMID41987792
PMCPMC13076185

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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.