Evidence map›Paper›PMID 36017607›Full record

ArticleLupus2022

The association of lupus nephritis with adverse pregnancy outcomes among women with lupus in North America.

Anika Lucas, Amanda M Eudy, Dafna Gladman, Michelle Petri, Murray Urowitz, Christina M Wyatt, Megan Eb Clowse

Open access · greenAbstract read
In one paragraph

Article in Lupus, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
4.6field-weighted citation impact, top 4% 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

12 citing papers in PubMed, 27 citations in OpenAlex.

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  12. Pregnancy Outcomes of Women Veterans with Autoimmune Disease.Women's health reports (New Rochelle, N.Y.) · 2024
    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

7 authors at 3 institutions in 2 countries.

Anika Lucas12277Duke University School of Medicine, Durham, NC, USA.ORCID 0000-0003-1879-3144
Amanda M Eudy12277Duke University School of Medicine, Durham, NC, USA.ORCID 0000-0002-3107-5545
Dafna Gladman26625University of Toronto, Toronto, ON, Canada.ORCID 0000-0002-9074-0592
Michelle PetriSchool of Medicine, 1466Johns Hopkins University, Baltimore, MD, USA.ORCID 0000-0003-1441-5373
Murray Urowitz26625University of Toronto, Toronto, ON, Canada.ORCID 0000-0001-7506-9166
Christina M Wyatt12277Duke University School of Medicine, Durham, NC, USA.
Megan Eb Clowse12277Duke University School of Medicine, Durham, NC, USA.
Duke University · USUniversity of Toronto · CAJohns Hopkins University · US

Funding

Institutional Career Development CoreKL2TR002554 · NCATS · DUKE UNIVERSITY · PI SVETKEY, LAURA P · 2018 to 2022
$8.2M
Hopkins Lupus CohortR01AR069572 · NIAMS · JOHNS HOPKINS UNIVERSITY · PI PETRI, MICHELLE A · 2016 to 2020
$3.4M
Optimizing Lupus Management in PregnancyK18HS023443 · AHRQ · DUKE UNIVERSITY · PI CLOWSE, MEGAN E.B. · 2015 to 2016
$423k
AHRQ HHS K18 HS023443NCATS NIH HHS KL2 TR002554NIAMS NIH HHS R01 AR069572
6 · The paper itself

Abstract

objectivesWe evaluated the association of lupus nephritis (LN) and adverse pregnancy outcomes in prospective cohorts of pregnant women with SLE (systemic lupus erythematosus).

methodsWe conducted a patient-level pooled analysis of data from three cohorts of pregnant women with SLE. Pooled logistic regression models were used to evaluate the association of LN and adverse pregnancy outcomes. Odds ratios and 95% confidence intervals were calculated using a fixed effect model by enrolling cohort.

resultsThe pooled cohort included 393 women who received care at clinics in the United States and Canada from 1995 to 2015. There were 144 (37%) women with a history of LN. Compared to women without LN, those with LN had higher odds of fetal loss (OR: 1.90; 95% CI: 1.01, 3.56) and preeclampsia (OR: 2.04; 95% CI: 1.01, 4.13). Among the 31 women with active nephritis (defined as urine protein ≥ 0.5 g/24 h) there was a higher odds of poor pregnancy outcome (OR: 3.08; 95% CI: 1.31, 7.23) and fetal loss (OR: 6.29; 95% CI: 2.52, 15.70) compared to women without LN.

conclusionsIn this pooled cohort of women with SLE, a history of LN was associated with fetal loss and preeclampsia. Active nephritis was associated with poor pregnancy outcome and fetal loss.

Indexed as

Lupus Erythematosus, SystemicLupus NephritisPre-EclampsiaPregnancy ComplicationsFemaleHumansPregnancyPregnancy OutcomeProspective StudiesRetrospective StudiesnephritisPregnancysystemic lupus erythematosus

Identifiers

PMID36017607
PMCPMC9880879
OpenAlexW4293206641

What OpenQuestion holds

Textmetadata
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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.