Evidence map›Paper›PMID 24574209›Full record

ArticleArthritis & rheumatology (Hoboken, N.J.)2014

Adverse pregnancy outcomes and risk of subsequent rheumatoid arthritis.

Kimberly K Ma, J Lee Nelson, Katherine A Guthrie, Carin E Dugowson, Hilary S Gammill

Abstract read
In one paragraph

Article in Arthritis & rheumatology (Hoboken, N.J.), 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 3 pooled it
3.3field-weighted citation impact, top 9% of its field
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

12 citing papers in PubMed, 3 syntheses or guidelines pooled it, 34 citations in OpenAlex.

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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

5 authors at 3 institutions in 1 country.

Kimberly K MaUniversity of Washington, Seattle.
J Lee Nelson
Katherine A Guthrie
Carin E Dugowson
Hilary S Gammill
Seattle University · USUniversity of Washington · USFred Hutch Cancer Center · US

Funding

WOMEN'S REPRODUCTIVE HEALTH RESEARCH CAREER DEVELOPMENTK12HD001264 · NICHD · UNIVERSITY OF WASHINGTON · PI Barbara Ann Goff · 1998 to 2026
$8.6M
PREGNANCY, MICROCHIMERISM, AND AUTOIMMUNE DISEASER01AI041721 · NIAID · FRED HUTCHINSON CANCER RESEARCH CENTER · PI NELSON, J. LEE · 1997 to 2011
$4.2M
ALLOIMMUNITY IN AUTO IMMUNE DISEASER01AI045659 · NIAID · FRED HUTCHINSON CANCER RESEARCH CENTER · PI NELSON, J. LEE · 1999 to 2009
$3.4M
The Maternal Anti-fetal Immune Response & Role of Microchimerism in PreeclamsiaK08HD067221 · NICHD · UNIVERSITY OF WASHINGTON · PI GAMMILL, HILARY SEGLIN · 2012 to 2016
$644k
Novel Therapy for a Human Glycosylation DisorderR21HD062914 · NICHD · SANFORD BURNHAM PREBYS MEDICAL DISCOVERY INSTITUTE · PI FREEZE, HUDSON H. · 2010 to 2011
$484k
RHEUMATOID ARTHRITIS IN RELATION TO ORAL CONTRACEPTIVESN01HD062914 · NICHD · UNIVERSITY OF WASHINGTON · PI KOEPSELL, THOMAS D · 1986 to 1993
–
NIAID NIH HHS R01 AI041721NIAID NIH HHS R01 AI045659NIAID NIH HHS R01-AI-4172NIAID NIH HHS R01-AI-45659NICHD NIH HHS K08 HD067221NICHD NIH HHS K08-HD-0672210NICHD NIH HHS K12 HD001264NICHD NIH HHS K12-HD-001264NICHD NIH HHS N01-HD-62914NICHD NIH HHS R21 HD062914
6 · The paper itself

Abstract

objectivePregnancy and reproductive outcomes have been associated with altered risk of some autoimmune diseases, including rheumatoid arthritis (RA). We sought to determine whether prior pregnancy resulting in a low birth weight (LBW) infant or preterm birth is associated with a risk of subsequent RA in the mother.

methodsWe conducted an analysis of RA risk in parous women from a population-based prospective study of newly diagnosed cases of RA and age-matched healthy controls. The primary outcome measure was disease status (RA versus control), with exposures of prior preterm birth and prior delivery of an infant with LBW (≤2,500 gm), very low birth weight (VLBW; ≤1,500 gm), or extremely low birth weight (ELBW; ≤1,000 gm). A preplanned analysis including only rheumatoid factor (RF)-positive RA cases was also conducted.

resultsA total of 202 RA cases and 1,102 controls were analyzed. Prior delivery of an infant with ELBW was associated with RA in the mother (relative risk [RR] 3.7 [95% confidence interval (95% CI) 1.0-13.2]). Prior VLBW (RR 4.0 [95% CI 1.3-11.4]) and ELBW (RR 5.5 [95% CI 1.4-22.5]) infants were associated with RF-positive RA. Prior LBW deliveries and preterm births were more common among RA cases than controls, but the differences were not statistically significant.

conclusionCompared to those with uncomplicated pregnancies, women with a prior VLBW or ELBW delivery had a higher risk of RA, particularly RF-positive RA. This association may reflect common risk factors for pregnancy complications and RA. Alternatively, complicated pregnancy itself may confer risk of subsequent RA.

Indexed as

Infant, Low Birth WeightPregnancy OutcomePremature BirthArthritis, RheumatoidFemaleHumansInfant, NewbornPregnancyRisk

Identifiers

PMID24574209
PMCPMC5318164
OpenAlexW1770925372

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

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 OpenQuestion graph.