Evidence map›Paper›PMID 37270202›Full record

ArticleRMD open2023

Increased risk of congenital malformations in offspring born to women with systemic lupus erythematosus in South Korea: a nationwide population-based study.

Young Mi Jung, Jin Kyun Park, Min-Jeong Oh, Chan-Wook Park, Joong Shin Park, Jong Kwan Jun, Seung Mi Lee, Geum Joon Cho

Open access · goldAbstract read
In one paragraph

Article in RMD open, 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
1.7field-weighted citation impact, top 15% 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, 7 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 2 institutions in 1 country.

Young Mi JungDepartment of Obstetrics and Gynecology, Seoul National University College of Medicine, Seoul, Korea (the Republic of).
Jin Kyun ParkDivision of Rheumatology, Department of Internal Medicine, Seoul National University College of Medicine, Seoul, Korea (the Republic of).ORCID 0000-0003-2167-9393
Min-Jeong OhDepartment of Obstetrics and Gynecology, Guro Hospital, College of Medicine, Korea University, Seoul, Korea (the Republic of).
Chan-Wook ParkDepartment of Obstetrics and Gynecology, Seoul National University College of Medicine, Seoul, Korea (the Republic of).
Joong Shin ParkDepartment of Obstetrics and Gynecology, Seoul National University College of Medicine, Seoul, Korea (the Republic of).
Jong Kwan JunDepartment of Obstetrics and Gynecology, Seoul National University College of Medicine, Seoul, Korea (the Republic of).
Seung Mi LeeDepartment of Obstetrics and Gynecology, Seoul National University College of Medicine, Seoul, Korea (the Republic of) md_cho@hanmail.net lbsm@snu.ac.kr.
Geum Joon ChoDepartment of Obstetrics and Gynecology, Guro Hospital, College of Medicine, Korea University, Seoul, Korea (the Republic of) md_cho@hanmail.net lbsm@snu.ac.kr.ORCID 0000-0001-6761-0944
Seoul National University · KRKorea University · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThe aim of this study was to determine the risk of congenital malformations in offspring born to women with systemic lupus erythematosus (SLE).

methodsThis nationwide population-based study included Korean women who had a singleton pregnancy. The risk of congenital malformations in women with SLE was compared with those without SLE. Multivariable analyses were performed to estimate the OR of congenital malformations. In a sensitivity analysis, the risk of malformation was compared between the offspring of women with SLE and those of propensity-matched women without SLE.

resultsOf a total of 3 279 204 pregnant women, 0.1% had SLE and their offspring had a higher frequency of congenital malformations (17.13% vs 11.99%, p<0.0001). After adjustment for age, parity, hypertension, diabetes, and fetal sex, the SLE group was found to be associated with an increased risk of congenital malformations in the nervous system (adjusted OR (aOR, 1.90; 95% CI, 1.20 to 3.03), eye, ear, face, and neck (aOR, 1.37; 95% CI, 1.09 to 1.71), circulatory system (aOR, 1.91; 95% CI, 1.67 to 2.20), and musculoskeletal system (aOR, 1.26; 95% CI, 1.05 to 1.52). Even after propensity matching, some of the tendencies were maintained.

conclusionsThis nationwide population-based study in South Korea indicates that compared with the general population, neonates born to SLE mothers have a slightly increased risk of congenital malformations affecting the nervous system, head and neck, cardiovascular system, and musculoskeletal system. When a woman with lupus becomes pregnant, careful fetal ultrasound and newborn screening can be helpful in identifying the risk of potential malformations.

Indexed as

Lupus Erythematosus, SystemicPregnancy ComplicationsFemaleHumansInfant, NewbornPregnancyRepublic of KoreaAntibodies, AnticardiolipinEpidemiologySystemic Lupus Erythematosus

Identifiers

PMID37270202
PMCPMC10255274
OpenAlexW4379260417

What OpenQuestion holds

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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.