Evidence map›Paper›PMID 35497641›Full record

ArticleJAAD international2022

Psoriasis and adverse pregnancy outcomes: A nationwide case-control study in 491,274 women in Denmark.

Cæcilie Bachdal Johansen, Alexander Egeberg, Espen Jimenez-Solem, Lone Skov, Simon Francis Thomsen

Open access · goldAbstract read
In one paragraph

Article in JAAD international, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
3.0field-weighted citation impact, top 9% 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, 1 synthesis or guideline pooled it, 16 citations in OpenAlex.

  1. Pooled it
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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

5 authors at 2 institutions in 1 country.

Cæcilie Bachdal JohansenDepartment of Dermatology and Venereology, Bispebjerg And Frederiksberg Hospital, Copenhagen, Denmark.
Alexander EgebergDepartment of Dermatology and Venereology, Bispebjerg And Frederiksberg Hospital, Copenhagen, Denmark.
Espen Jimenez-SolemDepartment of Clinical Pharmacology, Bispebjerg And Frederiksberg Hospital, Copenhagen, Denmark.
Lone SkovDepartment of Dermatology and Allergy, Herlev and Gentofte Hospital, Copenhagen, Denmark.
Simon Francis ThomsenDepartment of Dermatology and Venereology, Bispebjerg And Frederiksberg Hospital, Copenhagen, Denmark.
University of Copenhagen · DKFrederiksberg Hospital · DK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: The chronic systemic inflammation associated with psoriasis supposedly creates an undesirable milieu for a pregnancy, resulting in an increased risk of adverse pregnancy outcomes (APOs). Objective: To investigate the association between psoriasis and APOs as well as how the association differs according to psoriasis severity (mild and moderate-to-severe). Methods: This nationwide register-based case-control study collected data from 1973 to 2017. Cases were APOs (spontaneous abortion, ectopic pregnancy [EP], intrauterine fetal death, and stillbirth). Singleton live births were controls. Adjusted logistic regression models were used for statistical analyses. Results: In total, 42,041 (8.56%) APOs and 449,233 (91.44%) controls were included. EP was the only APO that was found to be statistically associated with psoriasis (odds ratio, 1.34; 95% CI, 1.06-1.68). Odds ratio for EP was the highest for women with moderate-to-severe psoriasis (odds ratio, 2.77; 95% CI, 1.13-6.76). The absolute risk of EP was 2.48% higher for women with moderate-to-severe psoriasis compared with women without psoriasis (3.98% vs 1.50%). Limitations: No access to clinical data confirming psoriasis severity. Conclusion: The present study found a significant association between EP and psoriasis (absolute risk of 3.98%). As EP is the leading cause of maternal morbidity and mortality in the first trimester of pregnancy, our findings call for particular care for women of reproductive age with psoriasis.

Indexed as

APO, adverse pregnancy outcomeectopic pregnancyEP, ectopic pregnancyfetal deathIBD, inflammatory bowel diseaseICD-10, International Statistical Classification of Diseases, Tenth RevisionIUFD, intrauterine fetal deathOR, odds ratiopregnancypregnancy outcomePsA, psoriatic arthritispsoriasispsoriasis severityspontaneous abortionstillbirthTh17, T helper cell type 17women

Identifiers

PMID35497641
PMCPMC9043664
OpenAlexW4224254103

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.