Evidence map›Paper›PMID 35301890›Full record

ArticleMultiple sclerosis (Houndmills, Basingstoke, England)2022

Association of pregnancies with risk of multiple sclerosis.

Christiane Gasperi, Alexander Hapfelmeier, Antonius Schneider, Klaus A Kuhn, Ewan Donnachie, Bernhard Hemmer

Open access · hybridAbstract read
In one paragraph

Article in Multiple sclerosis (Houndmills, Basingstoke, England), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.7field-weighted citation impact, top 32% 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

2 citing papers in PubMed, 5 citations in OpenAlex.

  1. Article
  2. 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

6 authors at 3 institutions in 1 country.

Christiane GasperiDepartment of Neurology, Klinikum rechts der Isar, TUM School of Medicine, Technical University of Munich, Munich, Germany.
Alexander HapfelmeierInstitute for AI and Informatics in Medicine, TUM School of Medicine, Technical University of Munich, Munich, Germany/Institute of General Practice and Health Services Research, TUM School of Medicine, Technical University Munich, Munich, Germany.
Antonius SchneiderInstitute of General Practice and Health Services Research, TUM School of Medicine, Technical University Munich, Munich, Germany.
Klaus A KuhnInstitute for AI and Informatics in Medicine, TUM School of Medicine, Technical University of Munich, Munich, Germany.
Ewan DonnachieBavarian Association of Statutory Health Insurance Physicians, Munich, Germany.ORCID 0000-0002-0668-0049
Bernhard HemmerDepartment of Neurology, Klinikum rechts der Isar, TUM School of Medicine, Technical University of Munich, Munich, Germany/ Munich Cluster for Systems Neurology (SyNergy), Munich, Germany.ORCID 0000-0001-5985-6784
Technical University of Munich · DETUM Klinikum · DENational Association of Statutory Health Insurance Physicians · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPregnancies have an impact on the disease course of multiple sclerosis (MS), but their relationship with MS risk is yet unclear.

objectiveTo determine the relationships of pregnancies and gynecological diagnoses with MS risk.

methodsIn this retrospective case-control study, we assessed differences in gynecological International Classification of Diseases, 10th Revision (ICD-10) code recording rates between women with MS (

resultsTwenty-eight ICD-10 codes were recorded less frequently for women with MS as compared to women without autoimmune disease, 18 of which are pregnancy-related. After adjustment for pregnancies, all codes unrelated to pregnancies were still negatively associated with MS. In a sensitivity analysis excluding women with evidence for possible demyelinating events before diagnosis, all associations were more pronounced. In comparison to women with psoriasis, most associations could be confirmed; that was not true in comparison to women with Crohn's disease.

conclusionOur findings provide evidence for a possible protective effect of pregnancies on MS risk likely independent of or in addition to a previously suggested reversed causality. The negative associations of gynecological disorders with disease risk need further investigation. The associations might be shared by different autoimmune diseases.

Indexed as

Autoimmune DiseasesCrohn DiseaseMultiple SclerosisPsoriasisCase-Control StudiesFemaleHumansPregnancyRetrospective Studiesautoimmune diseasescase–control studieshealth services researchMultiple sclerosispregnancyrisk factors

Identifiers

PMID35301890
PMCPMC9315178
OpenAlexW4220695778

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.