Evidence map›Paper›PMID 39639407›Full record

ArticleBMC rheumatology2024

Discussing male sexual and reproductive health in the rheumatology outpatient clinic: a Q-methodology study.

L F Perez-Garcia, E Röder, H Pastoor, A C Lozada-Navarro, I Colunga-Pedraza, T Vargas-Aguirre, J van Exel, A Vargas-Guerrero, R J E M Dolhain

Abstract read
In one paragraph

Article in BMC rheumatology, 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
–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

3 citing papers in PubMed.

  1. Article
  2. Review
  3. Family Planning and Rheumatoid Arthritis.Current rheumatology reports · 2025
    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

9 authors.

L F Perez-GarciaDepartment of Rheumatology, Erasmus MC, University Medical Center, Doctor Molewaterplein 40, Rotterdam, GD, 3015, the Netherlands. l.perez@erasmusmc.nl.ORCID http://orcid.org/0000-0002-8958-9493
E RöderDepartment of Rheumatology, Erasmus MC, University Medical Center, Doctor Molewaterplein 40, Rotterdam, GD, 3015, the Netherlands.
H PastoorDepartment of Obstetrics and Gynecology, Division of Reproductive Endocrinology and Infertility, Erasmus MC, University Medical Center, Rotterdam, the Netherlands.
A C Lozada-NavarroHospital Faro del Mayab, Mérida, Mexico.
I Colunga-PedrazaCentre for Rheumatology, University Hospital "Dr. José Eleuterio González", Monterrey, Mexico.
T Vargas-AguirreSchool of Medicine and Health Sciences, TecSalud, Monterrey, Mexico.
J van ExelErasmus School of Health Policy & Management, Erasmus University Rotterdam, Rotterdam, the Netherlands.
A Vargas-GuerreroDepartment of Rheumatology, National Institute of Cardiology "Ignacio Chávez", Mexico City, Mexico.
R J E M DolhainDepartment of Rheumatology, Erasmus MC, University Medical Center, Doctor Molewaterplein 40, Rotterdam, GD, 3015, the Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesInflammatory arthritis (IA) has been associated with various problems related to male sexual and reproductive health (SRH). However, addressing these issues in the clinic remains a challenge. In this study, we aimed to describe the viewpoints of rheumatologists and male patients with IA regarding the aspects that influence their communication about SRH.

methodsRheumatologists and adult men with IA were invited to participate. This study uses Q-methodology, a mixed methods approach to systematically study subjectivity. Participants ranked 32 aspects according to their degree of influence (least-most influence) in addressing SRH and were then interviewed. Factor analysis was used to identify common patterns in the rankings. These patterns were interpreted as the different viewpoints of rheumatologists and male patients, supported by the qualitative data from the interviews. To obtain more generalizable results, the study was conducted in two countries with different socio-cultural backgrounds and healthcare systems, The Netherlands and Mexico.

results30 rheumatologists and 30 men with IA were included in each country. The analysis revealed three viewpoints in each group. Rheumatologists are more likely to be influenced by aspects such as the patient's desire to become a father or the patients' (young) age, but patients by a much more diverse pool of aspects, such as potential side effects of medication on their sexual function.

conclusionsThis study identified different viewpoints on the aspects that influence discussing SRH between rheumatologists and male patients, and important differences in viewpoints between both groups. Further research is needed to reach consensus on how and when rheumatologists and male patients should discuss SRH.

Indexed as

Patient care teamQualitative researchReproductive healthRheumatoid arthritisSexual health

Identifiers

PMID39639407
PMCPMC11622486

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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.