Evidence map›Paper›PMID 26698849›Full record

ArticleAnnals of the rheumatic diseases2016

Parental rheumatoid arthritis and long-term child morbidity: a nationwide cohort study.

Ane Lilleøre Rom, Chun Sen Wu, Jørn Olsen, Damini Jawaheer, Merete Lund Hetland, Bent Ottesen, Lina Steinrud Mørch

Abstract read
In one paragraph

Article in Annals of the rheumatic diseases, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 2 pooled it
2.3field-weighted citation impact, top 11% 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

9 citing papers in PubMed, 2 syntheses or guidelines pooled it, 18 citations in OpenAlex.

  1. Parental autoimmune diseases and offspring's allergic disease: A systematic review and meta-analysis.Pediatric allergy and immunology : official publication of the European Society of Pediatric Allergy and Immunology · 2026
    Pooled it
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  7. The Danish Medical Birth Register.European journal of epidemiology · 2018
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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

7 authors at 5 institutions in 2 countries.

Ane Lilleøre RomResearch Unit Women's and Children's Health, The Juliane Marie Centre, Copenhagen University Hospital Rigshospitalet, Copenhagen, Denmark.
Chun Sen WuSection for Epidemiology, Department of Public Health, University of Aarhus, Aarhus, Denmark Research Unit of Gynecology and Obstetrics, Institute of Clinical Research, University of Southern Denmark, Odense, Denmark Department of Obstetrics and Gynecology, Odense University Hospital, Odense, Denmark.
Jørn OlsenDepartment of Clinical Epidemiology, University of Aarhus, Aarhus, Denmark Department of Epidemiology, School of Public Health, University of California Los Angeles, Los Angeles, California, USA.
Damini JawaheerChildren's Hospital Oakland Research Institute, Oakland, California, USA.
Merete Lund HetlandCopenhagen Center for Arthritis Research, Center for Rheumatology and Spine Diseases, Rigshospitalet and Glostrup Hospital, Glostrup, Denmark Department of Clinical Medicine, Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark.
Bent OttesenDepartment of Obstetrics and Gynecology, The Juliane Marie Centre, Copenhagen University Hospital Rigshospitalet, Copenhagen, Denmark.
Lina Steinrud MørchGynaecological Clinic, Rigshospitalet, University of Copenhagen, Copenhagen, Denmark Virus, Lifestyle and Genes Unit, Danish Cancer Society Research Centre, Copenhagen, Denmark.
Rigshospitalet · DKCopenhagen University Hospital · DKGlostrup Hospital · DKOdense University Hospital · DKUniversity of California, Los Angeles · US

Funding

Health of Children Born by Mothers with Pheumatoid ArthritisR21AR059931 · NIAMS · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI OLSEN, JORN · 2011 to 2012
$333k
NIAMS NIH HHS R21 AR059931
6 · The paper itself

Abstract

objectiveTo estimate the influence of parental rheumatoid arthritis (RA) on child morbidity.

designNationwide cohort study.

settingIndividual linkage to nationwide Danish registries.

participantsAll singletons born in Denmark during 1977-2008 (n=1 917 723) were followed for an average of 16 years.

main outcome measuresAdjusted HRs for child morbidity; that is, 11 main diagnostic groups and specific autoimmune diseases within the International Classification of Diseases 8th and 10th versions.

resultsCompared with unexposed children, children exposed to maternal RA ('clinical' and 'preclinical') (n=13 566) had up to 26% higher morbidity in 8 of 11 main diagnostic groups. Similar tendencies were found in children exposed to paternal RA ('clinical' and 'preclinical') (n=6330), with statistically significantly higher morbidity in 6 of 11 diagnostic groups. HRs were highest for autoimmune diseases with up to three times increased risk of juvenile idiopathic arthritis (HR, 95% CI 3.30, 2.71 to 4.03 and 2.97, 2.20 to 4.01) and increased risk of up to 40% of diabetes mellitus type 1 (HR, 95% CI 1.37, 1.12 to 1.66 and 1.44, 1.09 to 1.90) and up to 30% increased HR of asthma (HR, 95% CI 1.28, 1.20 to 1.36 and 1.15, 1.04 to 1.26). Conclusions were roughly similar for children exposed to maternal clinical RA and for children only followed up to 16 years of age.

conclusionChildren of parents with RA had consistent excess morbidity. If the associations reflect biological mechanisms, genetic factors seem to play an important role. These findings call for attention given to children of parents with RA.

Indexed as

Genetic Predisposition to DiseasePedigreeAdolescentAdultArthritis, RheumatoidAutoimmune DiseasesChildCohort StudiesDenmarkFemaleHumansMaleMorbidityParentsProportional Hazards ModelsRegistriesEarly Rheumatoid ArthritisEpidemiologyRheumatoid Arthritis

Identifiers

PMID26698849
PMCPMC4919218
OpenAlexW2271254619

What OpenQuestion holds

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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 OpenQuestion graph.