Evidence map›Paper›PMID 38825350›Full record

ArticleThe Journal of rheumatology2024

Exploring Reproductive Experiences With Women Enrolled in the International Vasculitis Pregnancy Registry.

Catherine A Sims, Brian Perry, Christine Yeung, Heather Tam, Joyce Kullman, Renée L Borchin, Cristina Burroughs, Peter A Merkel, Megan E B Clowse

Registry-linked trialAbstract read
In one paragraph

Article in The Journal of rheumatology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02593565 (The Vasculitis Pregnancy Registry), which is not on this map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

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.

NCT02593565 recruitingnot on this map

The Vasculitis Pregnancy Registry (V-PREG)

Typeobservational_patient_registrySponsorUniversity of PennsylvaniaRan2015 to 2027Enrolled100ConditionsVasculitis, Behcet's Disease, CNS Vasculitis, Cryoglobulinemic VasculitisArmsOnline questionnaires
3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

9 authors.

Catherine A SimsC.A. Sims, MD, Duke University, Division of Rheumatology & Immunology, Durham Veterans Affairs Healthcare System, Durham, North Carolina; cas206@duke.edu.
Brian PerryB. Perry, MPH, Department of Population Health Sciences, Duke University School of Medicine, Durham, North Carolina.
Christine YeungC. Yeung, BS, Vasculitis Patient-Powered Research Network, University of Pennsylvania, Division of Rheumatology, Philadelphia, Pennsylvania.
Heather TamH. Tam, Patient Advocate, Vasculitis Patient-Powered Research Network, Stanford, California.
Joyce KullmanJ. Kullman, Vasculitis Foundation, Kansas City, Missouri.
Renée L BorchinR.L. Borchin, BSW, C. Burroughs, BS, Health Informatics Institute, University of South Florida, Tampa, Florida.
Cristina BurroughsR.L. Borchin, BSW, C. Burroughs, BS, Health Informatics Institute, University of South Florida, Tampa, Florida.
Peter A MerkelP.A. Merkel, MD, MPH, Division of Rheumatology, University of Pennsylvania, Philadelphia, Pennsylvania.
Megan E B ClowseM.E.B. Clowse, MD, MPH, Division of Rheumatology & Immunology, Duke University, Durham, North Carolina, USA.

Funding

K24 Advancing Reproductive RheumatologyK24AR084072 · NIAMS · DUKE UNIVERSITY · PI Megan E.B. Clowse · 2024 to 2026
$472k
NIAMS NIH HHS K24 AR084072
6 · The paper itself

Abstract

objectiveThis study explored the reproductive journeys of women with vasculitis, including their conversations with healthcare providers, disease activity, medication changes, and delivery experiences.

methodsInterviews were conducted with women registered in the Vasculitis Pregnancy Registry (VPREG), an online patient-reported registry of pregnant women with vasculitis. A team of physicians, patients, and qualitative researchers developed a qualitative interview guide. Participant responses were evaluated using thematic analysis.

resultsEighteen patients with vasculitis who had experienced pregnancy were interviewed (10 antineutrophil cytoplasmic antibody-associated vasculitis, 4 Takayasu arteritis, 2 Behçet disease, 1 IgA vasculitis, 1 relapsing polychondritis). Thematic analysis revealed common experiences in the decision-making process during pregnancy planning, including accessing information from multiple sources, communicating with medical professionals, and changing treatment for vasculitis. Women sought information about vasculitis and pregnancy from various sources, including social media; however, opinions from their physicians and family members were most influential. Patients were more likely than providers to initiate conversations regarding family planning. Balancing differing opinions from subspecialists was challenging as many patients recalled acting as a liaison between multiple physicians during pregnancy. The need for self-advocacy was a common experience among patients. Most women had pregnancies that resulted in live births with delivery at term.

conclusionWhen making decisions about pregnancy, women of reproductive age with vasculitis used multiple resources. Patients consistently valued their medical provider's opinion over alternative sources of information. To ensure comprehensive medical care, half of women relied on self-advocacy to coordinate communication among subspecialists. Most women had pregnancies that resulted in live births with delivery at term.

Indexed as

Pregnancy Complications, CardiovascularRegistriesVasculitisAdultDecision MakingFamily Planning ServicesFemaleHumansPregnancyQualitative ResearchYoung Adultpregnancyqualitative researchreproductive healthcarevasculitiswomen’s health

Identifiers

PMID38825350
PMCPMC13195700

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Registered trials

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.