Evidence map›Paper›PMID 36115952›Full record

ArticleBMC public health2022

Pregnancy loss and the risk of rheumatoid arthritis in Chinese women: findings from the China Kadoorie biobank.

Jia Yi Hee, Sha Huang, Khai Pang Leong, Li Chun, Yuxun Oswald Zhang, Ruofan Gongye, Kun Tang

Open access · goldAbstract read
In one paragraph

Article in BMC public health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
2.2field-weighted citation impact, top 12% 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

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 13 citations in OpenAlex.

  1. Pooled it
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  3. Review
  4. Article
  5. Review
  6. 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 4 institutions in 3 countries.

Jia Yi Hee *Vanke School of Public Health, Tsinghua University, Zhongguancun North Street, Beijing, 100084, Haidian District, China.ORCID 0000-0002-5863-4458
Sha Huang *Vanke School of Public Health, Tsinghua University, Zhongguancun North Street, Beijing, 100084, Haidian District, China.ORCID 0000-0001-8419-0320
Khai Pang LeongDepartment of Rheumatology, Allergy and Immunology, Tan Tock Seng Hospital, Singapore, Singapore.ORCID 0000-0003-4060-5525
Li ChunDepartment of Rheumatology and Immunology, Peking University People's Hospital, Beijing, China.ORCID 0000-0001-7981-7184
Yuxun Oswald ZhangVanke School of Public Health, Tsinghua University, Zhongguancun North Street, Beijing, 100084, Haidian District, China.ORCID 0000-0002-7315-6204
Ruofan GongyeDepartment of Maternal and Child Health, Gillings School of Public Health, University of North Carolina, Chapel Hill, NC, USA.ORCID 0000-0002-3085-7721
Kun TangVanke School of Public Health, Tsinghua University, Zhongguancun North Street, Beijing, 100084, Haidian District, China. tangk@tsinghua.edu.cn.ORCID 0000-0002-5444-186X
Tsinghua University · CNPeking University · CNTan Tock Seng Hospital · SGUniversity of North Carolina at Chapel Hill · US

Funding

Wellcome Trust
6 · The paper itself

Abstract

Considering the female preponderance of rheumatoid arthritis (RA), and disease onset typically after the reproductive years, pregnancy and childbirth may play a role in the aetiology of the disease. Adverse outcomes of pregnancy have been found to precede the diagnosis of autoimmune diseases, including RA, but the evidence is scant and inconsistent. Therefore, we investigate whether pregnancy loss is associated with the risk of RA in Chinese women. Data from the China Kadoorie Biobank, conducted by the University of Oxford and the Chinese Centre for Disease Control and Prevention, of 299,629 Chinese women who had been pregnant were used. Multivariable logistic regression and stratified analyses were employed to analyse the association between types of pregnancy loss with the risk of RA. Pregnancy loss was significantly associated with increased risk of RA (OR 1.12, 95% CI 1.06-1.18), specifically, spontaneous (OR 1.11, 95% CI 1.03-1.20) and induced abortions (OR 1.11, 95% CI 1.06-1.17). There was no significant association between stillbirth and the risk of RA (OR 1.07, 95% CI 0.97-1.18). The risk of developing RA increases with the number of pregnancy losses: one loss confers an OR of 1.09 (95% CI 1.03-1.16), two an OR of 1.13 (95% CI 1.05-1.20), three or more an OR of 1.19 (95% CI 1.10-1.28) and OR of 1.06 (95% CI 1.03-1.08) for each additional. Spontaneous and induced abortions are associated with an increased risk of RA in Chinese women.

Indexed as

Abortion, InducedAbortion, SpontaneousArthritis, RheumatoidBiological Specimen BanksFemaleHumansPregnancyStillbirthChina Kadoorie biobankInduced abortionPregnancy lossRheumatoid arthritisSpontaneous abortionStillbirth

Identifiers

PMID36115952
PMCPMC9482729
OpenAlexW4296248425

What OpenQuestion holds

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LicenceCC BY
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.