Evidence map›Paper›PMID 37099120›Full record

ArticleClinical rheumatology2023

Racial/ethnic disparities in the risk of preterm birth among women with systemic lupus erythematosus or rheumatoid arthritis.

Jennifer Strouse, Lena Sabih, Gretchen Bandoli, Rebecca Baer, Laura Jelliffe-Pawlowski, Christina Chambers, Kelli Ryckman, Namrata Singh

Open access · greenAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Clinical rheumatology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
1.0field-weighted citation impact, top 24% 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

4 citing papers in PubMed, 1 synthesis or guideline pooled it, 4 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. 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

8 authors at 6 institutions in 1 country.

Jennifer StrouseDivision of Immunology, Department of Internal Medicine, University of Iowa Hospitals and Clinics, Iowa, USA.
Lena SabihDivision of Rheumatology, Department of Internal Medicine, Saint Louis University, St. Louis, USA.
Gretchen BandoliDepartment of Pediatrics, University of California San Diego, La Jolla, CA, USA.
Rebecca BaerDepartment of Pediatrics, University of California San Diego, La Jolla, CA, USA.
Laura Jelliffe-PawlowskiThe California Preterm Birth Initiative, University of California San Francisco, San Francisco, CA, USA.
Christina ChambersDepartment of Pediatrics, University of California San Diego, La Jolla, CA, USA.
Kelli RyckmanDepartment of Epidemiology, University of Iowa, Iowa, IA, USA.
Namrata SinghDivision of Rheumatology, Department of Internal Medicine, University of Washington, 1959 NE Pacific Street, Room#BB561, Seattle, WA, 98195, USA. nasingh@uw.edu.ORCID http://orcid.org/0000-0001-7149-363X
University of California San Diego · USUniversity of California, San Francisco · USSaint Louis University · USUniversity of Iowa · USUniversity of Iowa Hospitals and Clinics · USUniversity of Washington · 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 AR079588NIAMS NIH HHS K23AR079588
6 · The paper itself

Abstract

objectiveIn a large multi-racial/ethnic cohort of women, we examined racial/ethnic disparities in preterm birth (PTB) risk stratified by autoimmune rheumatic disease (ARD) type, which included systemic lupus erythematosus (SLE) and rheumatoid arthritis (RA).

methodsBirth records linked to hospital discharge data of singleton births in California from 2007 to 2012 were leveraged for a retrospective cohort study including women with SLE or RA. The relative risk of PTB (< 37 versus ≥ 37 weeks' gestation) was compared among different racial/ethnic groups (Asian, Hispanic, Non-Hispanic (NH) Black, and NH White) and stratified by ARD type. Results were adjusted for relevant covariates using Poisson regression.

resultsWe identified 2874 women with SLE and 2309 women with RA. NH Black, Hispanic, and Asian women with SLE were 1.3 to 1.5 times more likely to have PTB compared to NH White women. NH Black women with RA were 2.0 to 2.4 times more likely to have PTB compared to Asian, Hispanic, or NH White women. The NH Black-NH White and NH Black-Hispanic disparity in PTB risk was significantly higher in women with RA compared to SLE or the general population.

conclusionOur findings highlight the racial/ethnic disparities for risk of PTB among women with SLE or RA and highlight that several of the disparities are higher for women with RA compared to those with SLE or the general population. These data may provide important public health information for addressing racial/ethnic disparities in the risk of preterm birth, particularly among women with RA. Key Points • There is an unmet need for studies that evaluate racial/ethnic disparities in birth outcomes specifically in women with RA or SLE. • This is one of the first studies describing racial/ethnic disparities in PTB risk for women with RA, and to draw conclusions regarding Asian women in the USA with rheumatic diseases and PTB. • These data provide important public health information for addressing racial/ethnic disparities in the risk of preterm birth among women with autoimmune rheumatic diseases.

Indexed as

Arthritis, RheumatoidAutoimmune DiseasesLupus Erythematosus, SystemicPremature BirthRheumatic DiseasesFemaleHumansInfant, NewbornRetrospective StudiesPreterm birthRace/ethnicityRheumatoid arthritisSLE

Identifiers

PMID37099120
PMCPMC10525002
OpenAlexW4367047781

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Registered trials

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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.