Evidence map›Paper›PMID 38806189›Full record

ArticleRMD open2024

Increased risk of adverse gestational outcomes in pregnant women with primary Sjögren's syndrome.

Zhen Tan, Meilin Shao, Yingbo Zhou, Li Wang, Yan Ma, Nan Xiang, Xiang Yuan, Bin Wang, Xiangliang Xie, Mingtao Zhou and 3 more

Abstract read
In one paragraph

Article in RMD open, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
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

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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

5 citing papers in PubMed.

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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

13 authors.

Zhen TanThe First Affiliated Hospital of USTC, Hefei, Anhui, China.ORCID 0000-0002-9988-5587
Meilin ShaoThe First Affiliated Hospital of USTC, Hefei, Anhui, China.
Yingbo ZhouThe First Affiliated Hospital of USTC, Hefei, Anhui, China.
Li WangThe First Affiliated Hospital of USTC, Hefei, Anhui, China.
Yan MaThe First Affiliated Hospital of USTC, Hefei, Anhui, China.
Nan XiangThe First Affiliated Hospital of USTC, Hefei, Anhui, China.
Xiang YuanThe First Affiliated Hospital of USTC, Hefei, Anhui, China.
Bin WangHuainan First People's Hospital, Huainan, Anhui, China.
Xiangliang XieMa'anshan People's Hospital, Maanshan, Anhui, China.
Mingtao ZhouPeople's Hospital of Chizhou, Chizhou, Anhui, China.
Yumin WangHuangshan City People's Hospital, Huangshan, Anhui, China.
Sidong LiUniversity of Science and Technology, Hefei, Anhui, China.
Xiaomei LiThe First Affiliated Hospital of USTC, Hefei, Anhui, China lixiaomei@ustc.edu.cn.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThis study aimed to identify risk factors contributing to diverse pregnancy outcomes in primary Sjögren's syndrome (pSS) cases.

methodsA retrospective analysis was conducted on pregnant individuals with pSS, who received outpatient or inpatient care across multiple hospitals in Anhui Province, China, from January 2015 to December 2022.

resultsThis study included 164 pregnant women with pSS and 328 control subjects, with no statistically significant difference in average age between the two groups. Analysis of pregnancy outcomes revealed that, compared with the control group, pregnant women in the pSS group were more likely to experience miscarriages, both spontaneous (12.80% vs 1.52%, p<0.001) and therapeutic (6.10% vs 0.91%, p<0.05). The proportion of placental abnormalities detected during prenatal ultrasound in women from the pSS group was higher (14.63% vs 6.40%, p<0.05). In the analysis of pregnancy outcomes for live-born neonates, a higher incidence of congenital heart abnormalities was observed in the pSS group (27.34% vs 12.03%, p<0.05). While there were no significant differences between the pSS pregnancies in terms of both normal and adverse pregnancy outcomes, a comparison of fetal survival and fetal loss in pSS pregnancies revealed a greater use of prophylactic anticoagulant therapy in the fetal survival group. Notably, the application of low molecular weight heparin (LMWH) emerged as an independent protective factor for fetal survival.

conclusionsCompared with non-autoimmune controls, pregnancy in women with pSS presents more challenges. Importantly, we observed that the use of LMWH as anticoagulant therapy is an independent protective measure for fetal survival.

Indexed as

Pregnancy ComplicationsPregnancy OutcomeSjogren's SyndromeAbortion, SpontaneousAdultCase-Control StudiesChinaFemaleHeparin, Low-Molecular-WeightHumansPregnancyRetrospective StudiesRisk FactorsHeparin, Low-Molecular-WeightAutoimmunityRisk FactorsSjogren's Syndrome

Identifiers

PMID38806189
PMCPMC11138269

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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.