Evidence map›Paper›PMID 38947314›Full record

ReviewFrontiers in immunology2024

Fertility issues in women of childbearing age with spondyloarthritis.

Sara Bindoli, Giacomo Cozzi, Mariagrazia Lorenzin, Paolo Sfriso, Andrea Doria, Laura Scagnellato, Roberta Ramonda

Abstract readReview
In one paragraph

Review in Frontiers in immunology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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.

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

1 citing paper in PubMed.

  1. Review
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

7 authors.

Sara BindoliRheumatology Unit, Department of Medicine, University of Padova, Padova, Italy.
Giacomo CozziRheumatology Unit, Department of Medicine, University of Padova, Padova, Italy.
Mariagrazia LorenzinRheumatology Unit, Department of Medicine, University of Padova, Padova, Italy.
Paolo SfrisoRheumatology Unit, Department of Medicine, University of Padova, Padova, Italy.
Andrea DoriaRheumatology Unit, Department of Medicine, University of Padova, Padova, Italy.
Laura ScagnellatoRheumatology Unit, Department of Medicine, University of Padova, Padova, Italy.
Roberta RamondaRheumatology Unit, Department of Medicine, University of Padova, Padova, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The topic of fertility in women with spondyloarthritis (SpA) has been scarcely investigated to date. Recent systematic reviews and registry studies have brought renewed attention to the plight of women of childbearing age with rheumatic diseases, in particular SpA. Fertility may be impacted by physical impairment, hormonal imbalances and psychological distress. Several studies observed a reduction in anti-Müllerian hormone in women with SpA, reflecting a reduced ovarian reserve (OR). Furthermore, disease activity and the use of certain therapies can alter fertility, and this is reflected in a prolonged time-to-pregnancy (TTP), a validated outcome measure that can evaluate the status of subfertility. The employment of glucocorticoids or non-steroidal anti-inflammatory drugs has also been linked to reduced fertility, whereas the use of biologics, especially tumour necrosis factor inhibitors (TNFi), is not associated with a prolonged TTP. In all women of childbearing age with rheumatic diseases, preconception counselling is paramount, and a referral to a reproductive specialist should be considered in the presence of multiple factors that may influence fertility. A comprehensive evaluation involving a multidisciplinary team of rheumatologists, gynaecologists, and often psychologists is warranted. In this narrative review, we collected the currently available literature focusing on fertility issues in women affected by SpA, providing data on fertility outcomes, hormonal imbalance, and therapeutic concerns.

Indexed as

FertilityInfertility, FemaleSpondylarthritisAdultFemaleHumansOvarian ReservePregnancybDMARDfertilityhormonespregnancy outcomepsychological distressspondyloarthritis

Identifiers

PMID38947314
PMCPMC11214269

What OpenQuestion holds

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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.