Evidence map›Paper›PMID 40069856›Full record

ArticleBMC rheumatology2025

Disease activity during pregnancy in patients with rheumatoid arthritis or spondyloarthritis: results from the multicentre prospective GR2 study.

Marion Couderc, Céline Lambert, Sabrina Hamroun, Denis Gallot, Nathalie Costedoat-Chalumeau, Laure Gossec, Gaëlle Guettrot-Imbert, Veronique Le Guern, Christophe Richez, Martin Soubrier and 2 more

Abstract read
In one paragraph

Article in BMC rheumatology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Review
  2. Article
  3. Review
  4. 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

12 authors.

Marion CoudercRheumatology Department, Université Clermont-Auvergne, CHU Clermont-Ferrand, 58 rue Montalembert, Clermont-Ferrand, 63000, France. mcouderc@chu-clermontferrand.fr.
Céline LambertBiostatistics Unit, DRCI, CHU Clermont-Ferrand, Clermont-Ferrand, France.
Sabrina HamrounRheumatology Department, Hôpital Cochin, AP-HP, Paris, France.
Denis GallotDepartment of Obstetrics, CHU Clermont-Ferrand, Clermont-Ferrand, France.
Nathalie Costedoat-ChalumeauECAMO Team, INSERM U-1153, Center of Research in Epidemiology and Statistics (CRESS), Université Paris-Cité, Paris, France.
Laure GossecINSERM, Institut Pierre Louis d'Epidémiologie et de Santé Publique, Sorbonne Université, Paris, France.
Gaëlle Guettrot-ImbertAssistance Publique-Hôpitaux de Paris, Internal Medicine Department, Centre de Référence Maladies Auto-immunes et Systémiques Rares, Hôpital Cochin, Université de Paris, Paris, France.
Veronique Le GuernAssistance Publique-Hôpitaux de Paris, Internal Medicine Department, Centre de Référence Maladies Auto-immunes et Systémiques Rares, Hôpital Cochin, Université de Paris, Paris, France.
Christophe RichezRheumatology Department, Centre de Référence des Maladie Autoimmunes et Systémiques Rares, Pellegrin Hospital, Centre Hospitalier Universitaire, Bordeaux, France.
Martin SoubrierRheumatology Department, Université Clermont-Auvergne, CHU Clermont-Ferrand, 58 rue Montalembert, Clermont-Ferrand, 63000, France.
Anna MoltoRheumatology Department, Hôpital Cochin, AP-HP, Paris, France.
GR2 Study group

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPregnancy may have a beneficial effect on disease activity in rheumatoid arthritis (RA) but the evidence is more conflicting in spondyloarthritis (SpA). The aim of this study was to analyse disease activity and relapse during pregnancy in women with RA and SpA.

methodsConsecutive pregnant women with RA or SpA were enrolled in this French multicentre observational cohort from 2014 to 2022. Women who had at least two prenatal visits (including one in the first trimester) were included in the analysis. Disease relapse was defined as treatment intensification (initiation or switch of a DMARD) or increase in disease activity scores (DAS28-CRP for RA patients; ASDAS-CRP and/or BASDAI for SpA patients).

resultsOf the 124 pregnant women included, 53 had RA and 71 had SpA. A total of 18 (35%) RA and 44 (62%) SPA received a TNF inhibitor during pregnancy. At the group level, disease activity indexes remained stable in the 1st, 2nd and 3rd trimesters. Disease relapse during pregnancy occurred in 17 (32%) RA patients and 28 (39%) SpA patients, among whom 30 (24%) requiring a treatment intensification. In multivariable analysis, factors associated with disease relapse were nulliparity (odds ratio, OR: 6.5, 95%CI: 1.1 to 37.9) and a disease flare in the 12 months prior to conception (OR: 8.2, 95%CI: 1.6 to 42.7) for RA patients, and a history of bDMARD use (OR: 5.4, 95%CI: 1.1 to 27.3) for SpA patients.

conclusionDisease activity remained stable during pregnancy in women with RA and SpA but almost a quarter required major changes to their treatment.

Indexed as

Disease activityPregnancyRheumatoid arthrtisSpondyloarthritisTreatment

Identifiers

PMID40069856
PMCPMC11895226

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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.