Evidence map›Paper›PMID 33882998›Full record

SynthesisArthritis research & therapy2021

"Walking into the unknown…" key challenges of pregnancy and early parenting with inflammatory arthritis: a systematic review and thematic synthesis of qualitative studies.

Nevena Rebić, Ria Garg, Ursula Ellis, Vanessa Kitchin, Sarah Munro, Glen Hazlewood, Neda Amiri, Nick Bansback, Mary A De Vera

Open access · goldAbstract readSystematic Review
In one paragraph

Synthesis in Arthritis research & therapy, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
2.4field-weighted citation impact, top 12% 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

8 citing papers in PubMed, 17 citations in OpenAlex.

  1. Illness Experiences of Young Women With Rheumatoid Arthritis in South Korea.Health expectations : an international journal of public participation in health care and health policy · 2026
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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

9 authors at 3 institutions in 1 country.

Nevena RebićFaculty of Pharmaceutical Sciences, University of British Columbia, 2405 Wesbrook Mall, Vancouver, BC, V6T 1Z3, Canada.
Ria GargFaculty of Pharmaceutical Sciences, University of British Columbia, 2405 Wesbrook Mall, Vancouver, BC, V6T 1Z3, Canada.
Ursula EllisUniversity of British Columbia Library, 2198 Health Sciences Mall, Vancouver, BC, V6T 1Z3, Canada.
Vanessa KitchinUniversity of British Columbia Library, 2198 Health Sciences Mall, Vancouver, BC, V6T 1Z3, Canada.
Sarah MunroDepartment of Obstetrics and Gynaecology, University of British Columbia, Suite 930, 1125 Howe Street, Vancouver, BC, V6Z 2K8, Canada.
Glen HazlewoodArthritis Research Centre of Canada, 5591 Number 3 Rd, Richmond, BC, V6X 2C7, Canada.
Neda AmiriDivision of Rheumatology, Department of Medicine, Faculty of Medicine, University of British Columbia, 802-1200 Burrard Street, Vancouver, BC, V6Z 2C7, Canada.
Nick BansbackCentre for Health Evaluation and Outcome Sciences, 588-1081 Burrard Street St. Paul's Hospital, Vancouver, BC, V6Z 1Y6, Canada.
Mary A De VeraFaculty of Pharmaceutical Sciences, University of British Columbia, 2405 Wesbrook Mall, Vancouver, BC, V6T 1Z3, Canada. mdevera@mail.ubc.ca.ORCID 0000-0002-2205-2683
University of British Columbia · CAUniversity of British Columbia Hospital · CAUniversity of Calgary · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTo conduct a systematic review and thematic synthesis of qualitative studies on the pregnancy and early parenting experiences of patients with inflammatory arthritis (IA).

methodsWe searched online databases for English-language, qualitative studies capturing the experiences of females with IA or their healthcare providers with pregnancy and/or early parenthood. We extracted findings from included studies and used thematic synthesis to develop descriptive and higher-order analytical themes.

resultsOf 20 included studies, our analysis identified 5 analytical themes among patients and 3 among providers. Patients' reproductive desires, the impact of IA on their ability to experience pregnancy, and the availability of information to guide preparedness informed their pregnancy decisions. Patients' IA management, pregnancy expectations, and access to support influenced their reproductive experiences. Patients' experiences seeking information and care revealed substantial gaps in reproductive care provision to patients with IA. Reproductive uncertainty related to IA placed a heavy burden on patients' emotional and psychological wellbeing. Reproductive care provision was influenced by providers' perceived professional responsibility to address patients' reproductive goals, fears of negative outcomes, and capacity to harness patient trust, incorporate reproductive care into rheumatology practice and facilitate multi-disciplinary care coordination.

conclusionsOur review illuminated several barriers to experiencing pregnancy among patients with IA, particularly related to pregnancy planning support, availability of information, and care coordination among the patient's healthcare team. To improve care, these barriers may be mitigated through the provision of relevant, practical, and consistent information as well as patient-centred multi-disciplinary approaches for managing pregnancy among patients with IA.

Indexed as

ArthritisWalkingFemaleHealth PersonnelHumansParentingPregnancyQualitative ResearchInflammatory arthritisPregnancyQualitative methodsSystematic review

Identifiers

PMID33882998
PMCPMC8059168
OpenAlexW3153565290

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.