Evidence map›Paper›PMID 42500184›Full record

ArticleRevista brasileira de ginecologia e obstetricia : revista da Federacao Brasileira das Sociedades de Ginecologia e Obstetricia2026

Effectiveness of single-dose methotrexate in the treatment of ectopic pregnancy: a retrospective study.

Letícia Pereira Mendonça, Eduardo Cunha da Fonseca

Abstract read
In one paragraph

Article in Revista brasileira de ginecologia e obstetricia : revista da Federacao Brasileira das Sociedades de Ginecologia e Obstetricia, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

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

2 authors.

Letícia Pereira MendonçaHospital Mater Dei Belo HorizonteMG Brasil Hospital Mater Dei, Belo Horizonte, MG, Brasil.ORCID https://orcid.org/0000-0002-6449-1326
Eduardo Cunha da FonsecaHospital Mater Dei Belo HorizonteMG Brasil Hospital Mater Dei, Belo Horizonte, MG, Brasil.ORCID https://orcid.org/0000-0001-6554-340X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: Evaluate the effectiveness of Methotrexate in clinical treatment of ectopic pregnancy and analyze the influence of clinical and laboratory variables on the treatment outcome. Methods: It was a retrospective study of 95 patients undergoing clinical treatment with Methotrexate at a private tertiary hospital in the metropolitan region of Belo Horizonte. Variables such as age, presence of pelvic pain, previous ectopic pregnancy, initial beta-hCG level and largest adnexal mass measurement were analyzed. The theoretical framework followed a data search in PubMed, selecting 17 articles in total. Results: The clinical success rate with a dose of Methotrexate was 71,6%. Among the variables evaluated, only the initial beta-hCG value showed statistical significance with the outcome, therefore, higher the beta-hCG, lower the chance of treatment effectiveness, with a p-value of 0.002. The other variables analyzed did not show any significant association. Conclusion: Methotrexate has been shown to be effective in most cases of ectopic pregnancy, with the initial beta-hCG value standing out as a predictor of treatment failure. The findings reinforce the importance of adequate patient selection and laboratory monitoring in clinical follow-up.

Indexed as

Abortifacient Agents, NonsteroidalMethotrexatePregnancy, EctopicAdultFemaleHumansPregnancyRetrospective StudiesTreatment OutcomeYoung AdultAbortifacient Agents, NonsteroidalMethotrexateEctopic pregnancyEffectivenessMethotrexatePelvic painTreatment failureTreatment outcome

Identifiers

PMID42500184
PMCPMC13399486

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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.