Evidence map›Paper›PMID 42018378›Full record

SynthesisEndocrinology, diabetes & metabolism2026

Gestational Diabetes and Long-Term Risk of Maternal Kidney Disease: Systematic Review and Meta-Analysis of Population Base Cohort Studies.

Mansour Bahardoust, Elham Rahimpour, Sheida Shokohyar, Zahra Aghakhani, Ali Delpisheh, Mohammadsadra Shamohammadi, Meisam Haghmoradi, Azin Ghaffari

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in Endocrinology, diabetes & metabolism, 2026. 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

8 authors.

Mansour BahardoustDepartment of Epidemiology, School of Public Health & Safety, Shahid Beheshti University of Medical Sciences, Tehran, Tehran Province, Iran.ORCID https://orcid.org/0000-0002-0744-2931
Elham RahimpourDepartment of Obstetrics and Gynecology, Shiraz University of Medical Sciences, Shiraz, Fars, Iran.
Sheida ShokohyarMass General Hospital Institute of Health Professions, Boston, Massachusetts, USA.
Zahra AghakhaniScience, York University, Toronto, Ontario, Canada.
Ali DelpishehDepartment of Epidemiology, School of Public Health & Safety, Shahid Beheshti University of Medical Sciences, Tehran, Tehran Province, Iran.
Mohammadsadra ShamohammadiGastrointestinal and Liver Diseases Research Center, Iran University of Medical Sciences, Tehran, Tehran Province, Iran.ORCID https://orcid.org/0009-0005-5425-3112
Meisam HaghmoradiUrmia University of Medical Sciences, Urmia, West Azerbaizan, Iran.
Azin GhaffariRajaie Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Tehran, Tehran Province, Iran.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundGestational diabetes mellitus (GDM) may increase the risk of maternal chronic kidney disease (CKD). The association of GDM with maternal CKD has been heterogeneous across studies, and this association remains controversial. The aim of this systematic review was to investigate the association of GDM with the risk of maternal CKD.

methodsMEDLINE/PubMed, EMBASE, Scopus and Web of Science were searched, with no time limit, up to 25 August 2025 by two independent investigators to identify studies that had assessed the association of GDM with maternal risk of CKD. Heterogeneity between studies was assessed using Cochrane's Q and I2 tests. Meta-regression was performed to identify factors associated with heterogeneity.

resultsEleven cohort studies involving 21,313,434 participants (1,530,599 (7.2%) GDM) were included. Pooled estimates from eleven studies showed that GDM was significantly associated with an increased risk of maternal CKD (HR: 2.19; 95% CI: 1.7, 2.68; p: 0.001, I

conclusionGestational diabetes mellitus (GDM) with and without DM was significantly associated with an increased risk of maternal CKD. GDM with DM had a synergistic effect on maternal CKD risk. Although GDM was not significantly associated with increased AKI, only three studies were included in the AKI analysis, which may have affected these results by random error and therefore lack sufficient power and evidence to draw conclusions.

Indexed as

Diabetes, GestationalRenal Insufficiency, ChronicCohort StudiesFemaleHumansPregnancyRisk Factorschronic kidney diseasegestational diabetesmaternalrenal outcomes

Identifiers

PMID42018378
PMCPMC13101955

What OpenQuestion holds

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Registered trials

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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.