Evidence map›Paper›PMID 36966601›Full record

SynthesisSeminars in arthritis and rheumatism2023

Racial disparities in pregnancy outcomes among women with rheumatic diseases: A systematic literature review.

Gloria Shen, Maya Swaminathan, Irvin Huang, Diana Louden, Dominique Feterman, Muhammad Waqas Tahir, Namrata Singh

Open access · greenAbstract readSystematic Review
In one paragraph

Synthesis in Seminars in arthritis and rheumatism, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
2.3field-weighted citation impact, top 13% 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

3 citing papers in PubMed, 8 citations in OpenAlex.

  1. Review
  2. Review
  3. 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 2 institutions in 1 country.

Gloria ShenUniversity of Washington, Seattle, WA, United States.
Maya SwaminathanDivision of Rheumatology, Department of Internal Medicine, University of Washington, Seattle, WA, United States.
Irvin HuangDivision of Rheumatology, Department of Internal Medicine, University of Washington, Seattle, WA, United States.
Diana LoudenUniversity Libraries, University of Washington, Seattle, WA, United States.
Dominique FetermanDivision of Rheumatology, Department of Internal Medicine, University of Washington, Seattle, WA, United States.
Muhammad Waqas TahirDepartment of Hospital Internal Medicine, Mayo Clinic, Jacksonville, FL, United States.
Namrata SinghDivision of Rheumatology, Department of Internal Medicine, University of Washington, Seattle, WA, United States. Electronic address: nasingh@uw.edu.
University of Washington · USMayo Clinic Hospital · US

Funding

Improving shared decision-making around the use of disease modifying anti-rheumatic drugs in patients with rheumatoid arthritis and cancerK23AR079588 · NIAMS · UNIVERSITY OF WASHINGTON · PI Namrata Singh · 2022 to 2026
$821k
NIAMS NIH HHS K23 AR079588
6 · The paper itself

Abstract

objectiveThere is a limited understanding of racial disparities in adverse pregnancy outcomes (APO) among women with rheumatic diseases. The aim of our study was to conduct a systematic literature review to evaluate the impact of race on APO in women with rheumatic diseases.

methodsDatabases were searched to find reports of APO stratified by race among women with rheumatic diseases. The initial searches were conducted in July 2020 and updated in March 2021. Of the final included articles, the full text was reviewed, and data was extracted from each study using a standard data abstraction form.

resultsTen studies with a total of 39,720 patients met our eligibility criteria. There was a greater propensity for APO in racial minorities with rheumatic diseases compared to their White counterparts. Among women with systemic lupus erythematosus (SLE), Black women had the highest odds of APOs, particularly those with a concomitant diagnosis of antiphospholipid syndrome. Pooled meta-analysis could not be done due to multiple factors, including heterogeneity between studies.

conclusionRacial minorities with rheumatic diseases are more prone to APO compared to their White counterparts. One limitation is the lack of standardized criteria for APO, which prohibited direct comparison between studies. There is also a paucity of data looking at APOs among women with rheumatic diseases other than SLE. Further research is needed to explore the drivers of these racial disparities to guide targeted solutions for those in the greatest need.

Indexed as

Antiphospholipid SyndromeLupus Erythematosus, SystemicRheumatic DiseasesFemaleHumansPregnancyPregnancy OutcomePreterm birthRacial disparitiesRheumatoid arthritisSystemic lupus erythematosus

Identifiers

PMID36966601
PMCPMC10148907
OpenAlexW4353096263

What OpenQuestion holds

Textmetadata
LicenceTDM
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.