Evidence map›Paper›PMID 40802093›Full record

ArticleRheumatology international2025

Fertility and infertility knowledge among physicians caring for women with rheumatic diseases is suboptimal: a cross-sectional survey.

Andres Manuel Ortiz-Rios, Mara Alejandra Ponce-Santillán, Braulio Rafael Avalos-Garcia, Eva Abigaid Galindo-Calvillo, Maria Eugenia Corral-Trujillo, Carolina Treviño-Sanchez, Samantha Lynn Salinas-Rodriguez, Lourdes Michelle Pola-Lobo, David Alejandro Ramirez-Cantu, Jesus Mario Ortiz-Palafox and 4 more

Abstract read
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In one paragraph

Article in Rheumatology international, 2025. 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

14 authors.

Andres Manuel Ortiz-RiosRheumatology Service, Hospital Universitario "Dr. José Eleuterio González", Universidad Autónoma de Nuevo León, Av. Madero y Gonzalitos s/n, Col. Mitras Centro, C.P.64460, Monterrey, Nuevo León, Mexico.ORCID http://orcid.org/0009-0008-5482-6242
Mara Alejandra Ponce-SantillánRheumatology Service, Hospital Universitario "Dr. José Eleuterio González", Universidad Autónoma de Nuevo León, Av. Madero y Gonzalitos s/n, Col. Mitras Centro, C.P.64460, Monterrey, Nuevo León, Mexico.ORCID http://orcid.org/0009-0005-5304-8723
Braulio Rafael Avalos-GarciaRheumatology Service, Hospital Universitario "Dr. José Eleuterio González", Universidad Autónoma de Nuevo León, Av. Madero y Gonzalitos s/n, Col. Mitras Centro, C.P.64460, Monterrey, Nuevo León, Mexico.ORCID http://orcid.org/0009-0000-6236-203X
Eva Abigaid Galindo-CalvilloRheumatology Service, Hospital Universitario "Dr. José Eleuterio González", Universidad Autónoma de Nuevo León, Av. Madero y Gonzalitos s/n, Col. Mitras Centro, C.P.64460, Monterrey, Nuevo León, Mexico.ORCID http://orcid.org/0009-0006-7659-7378
Maria Eugenia Corral-TrujilloRheumatology Service, Hospital Universitario "Dr. José Eleuterio González", Universidad Autónoma de Nuevo León, Av. Madero y Gonzalitos s/n, Col. Mitras Centro, C.P.64460, Monterrey, Nuevo León, Mexico.ORCID http://orcid.org/0000-0001-6906-0640
Carolina Treviño-SanchezRheumatology Service, Hospital Universitario "Dr. José Eleuterio González", Universidad Autónoma de Nuevo León, Av. Madero y Gonzalitos s/n, Col. Mitras Centro, C.P.64460, Monterrey, Nuevo León, Mexico.ORCID http://orcid.org/0009-0000-9435-7497
Samantha Lynn Salinas-RodriguezRheumatology Service, Hospital Universitario "Dr. José Eleuterio González", Universidad Autónoma de Nuevo León, Av. Madero y Gonzalitos s/n, Col. Mitras Centro, C.P.64460, Monterrey, Nuevo León, Mexico.ORCID http://orcid.org/0009-0000-0821-0545
Lourdes Michelle Pola-LoboRheumatology Service, Hospital Universitario "Dr. José Eleuterio González", Universidad Autónoma de Nuevo León, Av. Madero y Gonzalitos s/n, Col. Mitras Centro, C.P.64460, Monterrey, Nuevo León, Mexico.ORCID http://orcid.org/0009-0007-3899-9197
David Alejandro Ramirez-CantuRheumatology Service, Hospital Universitario "Dr. José Eleuterio González", Universidad Autónoma de Nuevo León, Av. Madero y Gonzalitos s/n, Col. Mitras Centro, C.P.64460, Monterrey, Nuevo León, Mexico.ORCID http://orcid.org/0009-0000-8891-324X
Jesus Mario Ortiz-PalafoxRheumatology Service, Hospital Universitario "Dr. José Eleuterio González", Universidad Autónoma de Nuevo León, Av. Madero y Gonzalitos s/n, Col. Mitras Centro, C.P.64460, Monterrey, Nuevo León, Mexico.ORCID http://orcid.org/0009-0004-5857-3028
Jesus Alberto Cardenas-de la GarzaRheumatology Service, Hospital Universitario "Dr. José Eleuterio González", Universidad Autónoma de Nuevo León, Av. Madero y Gonzalitos s/n, Col. Mitras Centro, C.P.64460, Monterrey, Nuevo León, Mexico.ORCID http://orcid.org/0000-0002-5099-0079
Dionicio Angel Galarza-DelgadoRheumatology Service, Hospital Universitario "Dr. José Eleuterio González", Universidad Autónoma de Nuevo León, Av. Madero y Gonzalitos s/n, Col. Mitras Centro, C.P.64460, Monterrey, Nuevo León, Mexico.ORCID http://orcid.org/0000-0001-9714-2109
Lorena Perez-BarbosaRheumatology Service, Hospital Universitario "Dr. José Eleuterio González", Universidad Autónoma de Nuevo León, Av. Madero y Gonzalitos s/n, Col. Mitras Centro, C.P.64460, Monterrey, Nuevo León, Mexico.ORCID http://orcid.org/0000-0001-5033-9588
Cassandra Michele Skinner-TaylorRheumatology Service, Hospital Universitario "Dr. José Eleuterio González", Universidad Autónoma de Nuevo León, Av. Madero y Gonzalitos s/n, Col. Mitras Centro, C.P.64460, Monterrey, Nuevo León, Mexico. casskinner@prodigy.net.mx.ORCID http://orcid.org/0000-0002-1800-0020

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Women with autoimmune rheumatic diseases (ARDs) face increased risks of infertility, yet fertility-related knowledge among physicians remains underexplored. We aimed to evaluate fertility and infertility knowledge among physicians treating women with rheumatic diseases, using the validated Fertility and Infertility Treatment Knowledge Score (FIT-KS). A cross-sectional web-based study was conducted among 102 physicians across different specialties in Mexico involved in the care of women with ARDs. Participants completed the FIT-KS, a 29-item questionnaire that assesses knowledge of natural fertility and infertility treatments. Recruitment occurred online between March and June 2025. Associations between participant characteristics and knowledge scores were analyzed. The mean FIT-KS score was 18.51 out of 29 (63.82%). Participants demonstrated good knowledge of basic fertility concepts (e.g., most fertile age, timing of conception). Still, notable gaps were observed in age-related fertility decline, IVF success rates, and treatment outcomes. Physicians under age 35 (95% CI 0.208-2.565) and females scored significantly higher (95% CI 0.646-2.99). Obstetrics and gynecology specialists had the highest scores (mean 19.87), while rheumatologists and internal medicine specialists scored lower (mean 17.95 and 17.85 (95% CI 0.24-3.80)). Fertility knowledge among physicians caring for women with ARDs is suboptimal, especially among non-reproductive specialists. To address these gaps, targeted education needs to be implemented through the integration of fertility and reproductive health topics into rheumatology fellowship curricula, offering continuing medical education sessions focused on fertility preservation and pregnancy planning, and conducting interdisciplinary workshops. These initiatives should aim to enhance knowledge, confidence, and communication in fertility counseling.

Indexed as

Clinical CompetenceFertilityHealth Knowledge, Attitudes, PracticeInfertility, FemalePhysiciansRheumatic DiseasesAdultCross-Sectional StudiesFemaleHumansMexicoMiddle AgedSurveys and QuestionnairesFertilityMedical educationPhysiciansReproductive healthRheumatic diseasesSurveys and questionnaires

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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.