Evidence map›Paper›PMID 36205545›Full record

ArticleRheumatology (Oxford, England)2023

'I turned in my man card': a qualitative study of the experiences, coping styles and support needs of men with systemic sclerosis.

Caroline A Flurey, John D Pauling, Lesley Ann Saketkoo, Christopher P Denton, Paul Galdas, Dinesh Khanna, Adrian Williams, Michael Hughes

Open access · hybridAbstract read
In one paragraph

Article in Rheumatology (Oxford, England), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.3field-weighted citation impact, top 20% 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, 9 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

8 authors at 8 institutions in 2 countries.

Caroline A FlureyDepartment of Social Sciences, Faculty of Health and Applied Sciences, University of the West of England, Bristol, UK.ORCID 0000-0002-7092-6170
John D PaulingDepartment of Rheumatology, North Bristol NHS Trust, Bristol, UK.ORCID 0000-0002-2793-2364
Lesley Ann SaketkooSchool of Medicine, Tulane University, New Orleans, LA, USA.
Christopher P DentonCentre for Rheumatology, Division of Medicine, University College London, London, UK.ORCID 0000-0003-3975-8938
Paul GaldasDepartment of Health Sciences, University of York, York, UK.
Dinesh KhannaUniversity of Michigan Scleroderma Program, Institute for Healthcare Policy and Innovation, University of Michigan, Ann Arbor, MI, USA.ORCID 0000-0003-1412-4453
Adrian WilliamsDepartment of Rheumatology, Royal United Hospitals Bath NHS Foundation Trust, Bath, UK.
Michael HughesDepartment of Rheumatology, Tameside and Glossop Integrated Care NHS Foundation Trust, Ashton-Under-Lyne, UK.
North Bristol NHS Trust · GBRoyal United Hospital Bath NHS Trust · GBTulane University · USUniversity College London · GBUniversity of Manchester · GBUniversity of Michigan · USUniversity of the West of England · GBUniversity of York · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesMen with SSc have a more severe clinical phenotype and reduced survival compared with women. No previous psychosocial studies have focused solely on men with SSc. This study aimed to explore experiences, coping strategies and support preferences of men with SSc. MATERIAL AND

methodsAn international qualitative research study comprising seven focus groups (three USA, four UK) of 25 men with SSc. Transcripts were analysed using reflexive thematic analysis.

resultsThree overarching themes and one underpinning theme were identified. In 'impact of SSc on masculinity', the men described an 'impact on roles and activities', reported 'sex, intimacy, and erectile dysfunction' as a salient issue that may be overlooked by clinicians, and experienced challenges to 'masculine self-image'. 'Dealing with SSc' meant 'always being prepared', 'becoming an expert' and 'balancing priorities' in responsibilities, activities and symptom management. In 'support for living with SSc' men were selective in '(Not) talking about SSc', would '(reluctantly) accept help' and described 'preferences for support'. Underpinning these experiences was 'facing an uncertain future' with some participants preferring not to focus on an unpredictable future, and others worrying about disease progression.

conclusionThese novel data suggest SSc impacts male patients' masculine identity and roles, and although they will accept practical help, they may mask the full emotional impact. Sex and intimacy are important overlooked issues with erectile dysfunction often not discussed at diagnosis. Further research should develop a self-management intervention for men with rheumatic diseases with a combination of disease-specific and common core components.

Indexed as

Erectile DysfunctionScleroderma, SystemicAdaptation, PsychologicalFemaleFocus GroupsHumansMaleQualitative Researcherectile dysfunctiongendermasculinitymenmortalityqualitativequality of lifesclerodermaSSc

Identifiers

PMID36205545
PMCPMC10234190
OpenAlexW4303431674

What OpenQuestion holds

Textmetadata
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.