Evidence map›Paper›PMID 35840311›Full record

ArticleRMD open2022

Maternal and infant outcomes in pregnancies of women with axial spondyloarthritis compared with matched controls: results from nationwide health insurance data.

Imke Redeker, Anja Strangfeld, Johanna Callhoff, Ursula Marschall, Angela Zink, Xenofon Baraliakos

Open access · goldAbstract read
In one paragraph

Article in RMD open, 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
1.4field-weighted citation impact, top 19% 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.

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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

6 authors at 3 institutions in 1 country.

Imke RedekerEpidemiology and Health Services Research, German Rheumatism Research Centre, Berlin, Berlin, Germany Redeker.imke@gmail.com.ORCID 0000-0003-3377-2683
Anja StrangfeldEpidemiology and Health Services Research, German Rheumatism Research Centre, Berlin, Berlin, Germany.ORCID 0000-0002-6233-022X
Johanna CallhoffEpidemiology and Health Services Research, German Rheumatism Research Centre, Berlin, Berlin, Germany.ORCID 0000-0002-3923-2728
Ursula MarschallBARMER Institute for Health Systems Research, BARMER Statutory Health Insurance, Wuppertal, Germany.
Angela ZinkEpidemiology and Health Services Research, German Rheumatism Research Centre, Berlin, Berlin, Germany.
Xenofon BaraliakosInternal Medicine and Rheumatology, Ruhr University Bochum, Bochum, Germany.ORCID 0000-0002-9475-9362
German Rheumatism Research Centre · DEBARMER GEK · DERuhr University Bochum · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo investigate pregnancy outcomes in women with axial spondyloarthritis (axSpA) under different pharmacological treatments in comparison with matched controls.

methodsUsing health insurance data from 2006 to 2019, pregnancy outcomes of women with axSpA were compared with those of age-matched and calendar year-matched controls without axSpA. Women with axSpA were further stratified by treatment prior to delivery and pregnancy outcomes compared. Adjusted ORs (aORs) with 95% CIs were calculated using generalised estimating equation analyses.

resultsA total of 1021 pregnancy outcomes in patients with axSpA were identified (928 deliveries, 80 abortions, 13 ectopic pregnancies) and compared with 10 210 pregnancy outcomes in controls (9488 deliveries, 615 abortions, 147 ectopic pregnancies). Compared with controls, women with axSpA showed higher odds of elective caesarean section (aOR 1.52; 1.25 to 1.85).Among women with axSpA, the risk of preterm birth was higher under non-steroidal anti-inflammatory drugs (NSAIDs) treatment (aOR 2.22; 1.09 to 4.52) than without any anti-inflammatory treatment. The risks of preterm birth (aOR 4.01; 1.93 to 8.34) and small-for-gestational-age (aOR 3.22; 1.34 to 7.73) were increased under NSAIDs treatment in combination with conventional synthetic disease-modifying anti-rheumatic drugs (DMARDs), steroids or analgesics. Non-significant increased risks of small-for-gestational-age (aOR 1.68; 0.43 to 6.57) and preterm birth (aOR 1.56; 0.51 to 4.83) were found under biological DMARDs.

conclusionsWomen with axSpA have significantly increased odds of caesarean section compared with matched controls. Risks of preterm birth and small-for-gestational-age vary by type of anti-inflammatory treatment.

Indexed as

Antirheumatic AgentsAxial SpondyloarthritisPregnancy, EctopicPremature BirthAnti-Inflammatory Agents, Non-SteroidalCesarean SectionFemaleHumansInfant, NewbornInsurance, HealthPregnancyPregnancy OutcomeAnti-Inflammatory Agents, Non-SteroidalAntirheumatic Agentsaxial spondyloarthritishealth insurance datapregnancy outcomes

Identifiers

PMID35840311
PMCPMC9295643
OpenAlexW4285500419

What OpenQuestion holds

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LicenceCC BY-NC
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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.