Evidence map›Paper›PMID 35235814›Full record

ArticleAnnals of epidemiology2022

A prospective study of preconception asthma and spontaneous abortion.

Jennifer J Yland, Holly M Crowe, Elizabeth E Hatch, Sydney K Willis, Tanran R Wang, Ellen M Mikkelsen, David A Savitz, Allan J Walkey, Kenneth J Rothman, Lauren A Wise

Open access · goldAbstract read
In one paragraph

Article in Annals of epidemiology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.0field-weighted citation impact, top 25% 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

5 citing papers in PubMed, 7 citations in OpenAlex.

  1. The Preconception Health and Health Behaviors of Australian First-Time Fathers: A Cross-Sectional Study.Health education & behavior : the official publication of the Society for Public Health Education · 2026
    Article
  2. Article
  3. Dupilumab shows no elevated risk for maternal adverse pregnancy outcomes: A propensity-matched cohort study.Journal of the European Academy of Dermatology and Venereology : JEADV · 2025
    Article
  4. Article
  5. Article
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

10 authors at 4 institutions in 2 countries.

Jennifer J YlandDepartment of Epidemiology, Boston University School of Public Health, Boston, MA. Electronic address: yland@bu.edu.
Holly M CroweDepartment of Epidemiology, Boston University School of Public Health, Boston, MA.
Elizabeth E HatchDepartment of Epidemiology, Boston University School of Public Health, Boston, MA.
Sydney K WillisDepartment of Epidemiology, Boston University School of Public Health, Boston, MA.
Tanran R WangDepartment of Epidemiology, Boston University School of Public Health, Boston, MA.
Ellen M MikkelsenDepartment of Clinical Epidemiology, Department of Clinical Medicine, Aarhus University and Aarhus University Hospital, Aarhus, Denmark.
David A SavitzDepartment of Epidemiology, Brown University School of Public Health, Providence, RI.
Allan J WalkeyBoston University School of Medicine, Boston, MA.
Kenneth J RothmanDepartment of Epidemiology, Boston University School of Public Health, Boston, MA; RTI Health Solutions, Research Triangle Park, NC.
Lauren A WiseDepartment of Epidemiology, Boston University School of Public Health, Boston, MA.
Boston University · USAarhus University Hospital · DKBrown University · USRTI Health Solutions · US

Funding

An internet-based preconception cohort study in North America and DenmarkR01HD086742 · NICHD · BOSTON UNIVERSITY MEDICAL CAMPUS · PI LAUREN A WISE · 2016 to 2026
$6.7M
NICHD NIH HHS R01 HD086742
6 · The paper itself

Abstract

purposeTo evaluate the relationships among history of asthma, asthma severity, and spontaneous abortion (SAB).

methodsPregnancy Study Online is a preconception cohort study of North American couples. During the preconception period, female participants reported their history of physician-diagnosed asthma, age at first diagnosis, and use of asthma medications in the previous 4 weeks. Asthma severity was classified by medication use proximal to conception, from level 0 to 3 in increasing severity. Pregnancy and SAB were identified using data from follow-up questionnaires. We estimated hazard ratios (HRs) and 95% confidence intervals (CIs).

resultsAmong 6325 participants who conceived, 19% experienced SAB and 17% reported a history of asthma. There was no appreciable association between asthma history and SAB incidence (HR = 0.98; 95% CI: 0.84, 1.14). HRs comparing severity levels 0, 1, and 2-3 with no asthma were 0.82 (95% CI: 0.67, 1.01), 1.20 (95% CI: 0.91, 1.60), and 1.31 (95% CI: 0.97, 1.78), respectively. Among women who conceived without the use of fertility treatment, level 2-3 severity was associated with SAB (HR = 1.39; 95% CI: 1.02, 1.89).

conclusionsWhile history of asthma diagnosis was not materially associated with SAB, having severe asthma (based on medication use) was associated with greater SAB risk.

Indexed as

Abortion, SpontaneousAsthmaCohort StudiesFemaleHumansIncidenceMalePregnancyProspective StudiesAsthma severityMaternal asthmaMiscarriageSpontaneous abortion

Identifiers

PMID35235814
PMCPMC9081168
OpenAlexW4214753233

What OpenQuestion holds

Textmetadata
LicenceTDM
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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.