Evidence map›Paper›PMID 37875747›Full record

ArticleRheumatology and therapy2023

Pregnancy Outcomes in Patients with Primary Sjögren's Syndrome Undergoing Assisted Reproductive Therapy: A Multi-center Retrospective Study.

Minxi Lao, Guangxi Luo, Peiyin Dai, Xiaoxue Zhang, Miaoguan Peng, Yuyi Chen, Hao Ren, Xiaodong Wang, Zhongping Zhan, Dongying Chen

Open access · goldAbstract read
In one paragraph

Article in Rheumatology and therapy, 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
1.4field-weighted citation impact, top 18% 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, 5 citations in OpenAlex.

  1. [Sjögren's disease and pregnancy].Zeitschrift fur Rheumatologie · 2026
    Review
  2. Article
  3. Article
  4. Reproductive Health in Scleroderma, Vasculitis, and Sjögren Syndrome.Journal of clinical rheumatology : practical reports on rheumatic & musculoskeletal diseases · 2024
    Review
  5. Article
  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

10 authors at 6 institutions in 1 country.

Minxi Lao *Department of Rheumatology, The First Affiliated Hospital of Sun Yat-Sen University, 58 Zhongshan 2nd Road, Guangzhou, 510080, China.
Guangxi Luo *Department of Rheumatology, The First Affiliated Hospital of Sun Yat-Sen University, 58 Zhongshan 2nd Road, Guangzhou, 510080, China.
Peiyin DaiDepartment of Rheumatology, The First Affiliated Hospital of Sun Yat-Sen University, 58 Zhongshan 2nd Road, Guangzhou, 510080, China.
Xiaoxue ZhangDepartment of Ultrasound, The First Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou, China.
Miaoguan PengDepartment of Endocrinology, The Third Affiliated Hospital of Guangzhou Medical University, Guangzhou, China.
Yuyi ChenDepartment of Obstetrics, The Third Affiliated Hospital of Guangzhou Medical University, Guangzhou, China.
Hao RenDepartment of Rheumatology, Nanfang Hospital of Southern Medical University, Guangzhou, China.
Xiaodong WangDepartment of Ultrasound, The First Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou, China.
Zhongping ZhanDepartment of Rheumatology, The First Affiliated Hospital of Sun Yat-Sen University, 58 Zhongshan 2nd Road, Guangzhou, 510080, China. zhanzhp@mail.sysu.edu.cn.
Dongying ChenDepartment of Rheumatology, The First Affiliated Hospital of Sun Yat-Sen University, 58 Zhongshan 2nd Road, Guangzhou, 510080, China. chendy3@mail.sysu.edu.cn.
The First Affiliated Hospital, Sun Yat-sen University · CNFirst Affiliated Hospital of Guangzhou University of Chinese Medicine · CNGuangzhou Medical University · CNNanfang Hospital · CNSun Yat-sen University · CNThird Affiliated Hospital of Guangzhou Medical University · CN

Funding

Guangzhou Municipal Science and Technology Bureau 202201011824Natural Science Foundation of Guangdong Province 2022A1515010911Natural Science Foundation of Guangdong Province 2023A1515010555
6 · The paper itself

Abstract

introductionThe aim of this work was to investigate the pregnancy outcomes in infertile patients with primary Sjögren's syndrome (pSS) undergoing assisted reproductive therapy (ART).

methodsA multi-center retrospective study was performed in pregnant women with pSS and ART from five tertiary hospitals from Guangdong Province from 2013 to 2022. Natural planned pregnancy in pSS and healthy people undergoing ART were selected as controls. Pregnancy outcomes were collected from medical records and compared among groups.

resultsTwenty-four pregnancies in pSS with ART, 70 natural planned pregnancies in pSS, and 96 pregnancies in healthy people with ART were analyzed. More than half of the pSS mothers undergoing ART have a past history of adverse pregnancy and spontaneous abortion was the most common (10/24, 41.7%). Primary infertility (25.0%) and recurrent spontaneous abortion (16.7%) were the leading causes of infertility in pSS. The major maternal adverse pregnancy outcome (APO) in pSS patients with ART was premature delivery (11/24, 45.8%), likely attributed to twin gestation (4/11, 36.4%) and fetal distress (3/11, 27.3%). Twenty-seven live infants were born from 22 successful deliveries. The live birth rate was 93.1% (27/29). The average delivery time was 36.1 ± 3.3 weeks of gestation. The average birthweight was 2434.4 ± 722.1 g, compared with 2844.9 g in natural planned pregnancy in pSS, and 3072.1 g from healthy mothers with ART (P < 0.001). Seven (25.9%) low-birthweight (LBW) infants were born, and the incidence was comparable to the other two groups (22.2% in natural pregnancy, 13.0% in healthy people, P = 0.09). No infants developed congenital heart block (CHB).

conclusionsART is an effective method for infertility in patients with pSS. Premature delivery is the leading maternal APOs. The incidence of fetal APOs does not increase, while birthweight is lower in offspring from pSS mothers with ART.

Indexed as

Assisted reproductive therapyOutcomePregnancyPremature deliveryPrimary Sjögren’s syndrome

Identifiers

PMID37875747
PMCPMC10654308
OpenAlexW4387909067

What OpenQuestion holds

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LicenceCC BY-NC
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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.