Evidence map›Paper›PMID 28895439›Full record

SynthesisEuropean journal of preventive cardiology2017

Preventing cardiovascular disease after hypertensive disorders of pregnancy: Searching for the how and when.

T Katrien J Groenhof, Bas B van Rijn, Arie Franx, Jeanine E Roeters van Lennep, Michiel L Bots, A Titia Lely

Abstract readMeta-AnalysisSystematic Review
PubMed Full text at PMC Publisher
In one paragraph

Synthesis in European journal of preventive cardiology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 6 pooled it
–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

22 citing papers in PubMed, 6 syntheses or guidelines pooled it.

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  11. The importance of regular home blood pressure monitoring over the life course.Hypertension research : official journal of the Japanese Society of Hypertension · 2024
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  13. Review
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  17. Maternal risk of hypertension 7-15 years after pregnancy: clues from the placenta.BJOG : an international journal of obstetrics and gynaecology · 2021
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors.

T Katrien J Groenhof1 Wilhelmina Children's Hospital Birth Center, University Medical Center Utrecht, The Netherlands.
Bas B van Rijn1 Wilhelmina Children's Hospital Birth Center, University Medical Center Utrecht, The Netherlands.
Arie Franx1 Wilhelmina Children's Hospital Birth Center, University Medical Center Utrecht, The Netherlands.
Jeanine E Roeters van Lennep3 Erasmus Medical Center Rotterdam, The Netherlands.
Michiel L Bots4 Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, The Netherlands.
A Titia Lely1 Wilhelmina Children's Hospital Birth Center, University Medical Center Utrecht, The Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background Women with a history of a hypertensive disorder during pregnancy (HDP) have an increased risk of cardiovascular events. Guidelines recommend assessment of cardiovascular risk factors in these women later in life, but provide limited advice on how this follow-up should be organized. Design Systematic review and meta-regression analysis. Methods The aim of our study was to provide an overview of existing knowledge on the changes over time in three major modifiable components of cardiovascular risk assessment after HDP: blood pressure, glucose homeostasis and lipid levels. Data from 44 studies and up to 6904 women with a history of a HDP were compared with risk factor levels reported for women of corresponding age in the National Health And Nutrition Examination Survey, Estudio Epidemiólogico de la Insuficiencia Renal en España and Hong Kong cohorts ( N = 27,803). Results Compared with the reference cohort, women with a HDP presented with higher mean blood pressure. Hypertension was present in a higher rate among women with a previous HDP from 15 years postpartum onwards. At 15 years postpartum (±age 45), one in five women with a history of a HDP suffer from hypertension. No differences in glucose homeostasis parameters or lipid levels were observed. Conclusions Based on our analysis, it is not possible to point out a time point to commence screening for cardiovascular risk factors in women after a HDP. We recommend redirection of future research towards the development of a stepwise approach identifying the women with the highest cardiovascular risk.

Indexed as

Cardiovascular DiseasesRisk AssessmentBlood PressureFemaleGlobal HealthHumansIncidencePre-EclampsiaPregnancyRisk Factorscardiovascular diseaseshypertensionpre-eclampsiaPregnancypregnancy-inducedpreventive medicine

Identifiers

PMID28895439
PMCPMC5669282

What Socratic holds

Textmetadata
LicenceCC BY-NC
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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 Socratic graph.