Evidence map›Paper›PMID 33840282›Full record

Observational studyLupus2021

The presence of lupus nephritis additionally increases the risk of preeclampsia among pregnant women with systemic lupus erythematosus.

Katarina Bremme, Sonja Honkanen, Iva Gunnarsson, Roza Chaireti

Open access · hybridAbstract readObservational Study
In one paragraph

Observational study in Lupus, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
2.4field-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

16 citing papers in PubMed, 1 synthesis or guideline pooled it, 24 citations in OpenAlex.

  1. Guideline
  2. The pathophysiology of pre-eclampsia.Nature reviews. Nephrology · 2026
    Review
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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

4 authors at 2 institutions in 1 country.

Katarina BremmeDepartment of Women's and Children's Health, Karolinska Institutet, Stockholm, Sweden.
Sonja HonkanenDepartment of Women's and Children's Health, Karolinska Institutet, Stockholm, Sweden.
Iva GunnarssonDivision of Rheumatology, Department of Medicine, Karolinska Institutet, Stockholm, Sweden.
Roza ChairetiDepartment of Molecular Medicine and Surgery, Karolinska Institute, Solna, Sweden.ORCID https://orcid.org/0000-0002-9069-1903
Karolinska University Hospital · SEKarolinska Institutet · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionPregnant women with systematic lupus erythematosus (SLE) have an increased risk of obstetric complications, such as preeclampsia and premature births. Previous studies have suggested that renal involvement could further increase the risk for adverse obstetric outcomes. PATIENTS AND

methodsThe study was conducted as a retrospective observational study on 103 women with SLE, who gave birth at the Karolinska University Hospital between the years 2000-2017. Thirty-five women had previous or active LN and 68 women had non-renal lupus. Data was collected from digital medical records. The outcomes that were analysed included infants born small for gestational age (SGA), premature birth, preeclampsia, SLE- or nephritis flare and caesarean section.

resultsWomen with LN, both with previous and with renal flare during pregnancy suffered from pre-eclampsia more often compared to women with non-renal lupus (25.7% vs 2.9%, p = 0.001) and this complication was associated with premature birth (p = 0.021) and caesarean section (p = 0.035).

conclusionsLupus nephritis is a significant risk factor for adverse obstetric outcomes in women with SLE, including preeclampsia. Those patients could benefit from more frequent antenatal controls and more vigorous follow-up.

Indexed as

AdultCase-Control StudiesCesarean SectionCohort StudiesFemaleFetal Growth RetardationHumansIncidenceLupus Erythematosus, SystemicLupus NephritisPre-EclampsiaPregnancyPregnancy ComplicationsPregnancy OutcomePremature BirthRetrospective Studieslupus nephritisobstetric outcomepreeclampsiapremature birthSystemic lupus erythematosus

Identifiers

PMID33840282
PMCPMC8120629
OpenAlexW3156655774

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.