Evidence map›Paper›PMID 38221659›Full record

ArticleArthritis care & research2024

Pregnancy Outcomes in a Diverse US Lupus Cohort.

Julia F Simard, Emily F Liu, Eliza Chakravarty, Amadeia Rector, Miranda Cantu, Daniel Z Kuo, Gary M Shaw, Maurice L Druzin, Michael H Weisman, Monique M Hedderson

Open access · hybridAbstract read
In one paragraph

Article in Arthritis care & research, 2024. 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
1.9field-weighted citation impact, top 16% 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, 4 citations in OpenAlex.

  1. Article
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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

10 authors at 6 institutions in 1 country.

Julia F SimardStanford University School of Medicine, Stanford, California.ORCID 0000-0001-5735-9856
Emily F LiuKaiser Permanente Northern California, Oakland.
Eliza ChakravartyOklahoma Medical Research Foundation, Oklahoma City.
Amadeia RectorStanford University School of Medicine, Stanford, California.ORCID 0000-0002-6590-847X
Miranda CantuPatient Partner, Portage, Michigan.
Daniel Z KuoKaiser Permanente, Redwood City Medical Center, Redwood City, California.
Gary M ShawStanford University School of Medicine, Stanford, California.
Maurice L DruzinStanford University School of Medicine, Stanford, California.
Michael H WeismanStanford University School of Medicine, Stanford, California.
Monique M HeddersonKaiser Permanente Northern California, Oakland.
Stanford Medicine · USKaiser Permanente · USKaiser Permanente Redwood City Medical Center · USNational Patient Safety Foundation · USOklahoma Medical Research Foundation · USStanford University · US

Funding

Can hydroxychloroquine prevent preeclampsia and preterm delivery in lupus pregnancy?R01AR077103 · NIAMS · STANFORD UNIVERSITY · PI SIMARD, JULIA F · 2020 to 2024
$2.4M
NIAMS NIH HHS R01 AR077103
6 · The paper itself

Abstract

objectiveAlthough the population of patients with systemic lupus erythematosus (SLE) is racially and ethnically diverse, many study populations are homogeneous. Further, data are often lacking on critical factors, such as antiphospholipid antibodies (aPLs). We investigated live birth rates in patients with SLE at Kaiser Permanente Northern California, including race and ethnicity and aPL data.

methodsElectronic health records of pregnancies with outcomes observed from 2011 to 2020 were identified among patients with SLE. Prevalent SLE was defined as two or more International Classification of Diseases-coded visits seven or more days apart before the last menstrual period. We summarized patient characteristics, medication orders, health care use, and medication use. Pregnancy outcomes (live birth, stillbirth, spontaneous abortion, ectopic pregnancy, and molar pregnancy) were presented overall and stratified by race and ethnicity, aPL status, and nephritis history.

resultsWe identified 657 pregnancies among 453 patients with SLE. The cohort was diverse, reflecting the Northern California population (27% Asian, 26% Hispanic, 26% Non-Hispanic White, 13% Non-Hispanic Black, 5% multiracial, and approximately 2% Pacific Islander and Native American). Approximately 74% of observed pregnancies ended in live birth, 23% resulted in spontaneous abortion, 2% were ectopic or molar pregnancies, and <1% were stillbirths. There was limited variability in live births by race and ethnic group (72%-79%), aPL status (69.5%-77%), and nephritis history (71%-75%).

conclusionOur findings are consistent with previous studies; however, some methodologic differences may yield a range of live birth rates. We found that approximately 74% of pregnancies in patients with SLE ended in live birth, with modest variability in spontaneous abortion by race and ethnicity, nephritis history, and aPL status.

Indexed as

Abortion, SpontaneousLupus Erythematosus, SystemicLupus NephritisPregnancy ComplicationsAntibodies, AntiphospholipidFemaleHumansPregnancyPregnancy OutcomeAntibodies, Antiphospholipid

Identifiers

PMID38221659
PMCPMC11042669
OpenAlexW4390884757

What OpenQuestion holds

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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.