Evidence map›Paper›PMID 41334672›Full record

ArticleMuscle & nerve2026

Characterizing Perinatal Treatment Patterns and Outcomes in Myasthenia Gravis.

Melanie H Jacobson, Rupa Makadia, Ashley E L Anderson, Zia Choudhry, Nathan Hall, Jill Hardin, Sicong Huang, Janice M Massey, Anna Ostropolets, Ran Sun and 2 more

Abstract read
In one paragraph

Article in Muscle & nerve, 2026. 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. The role and mechanism of IL‑35 in myasthenia gravis (Review).International journal of molecular medicine · 2026
    Review
  3. Article
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.

Melanie H JacobsonJohnson & Johnson, Horsham, Pennsylvania, USA.
Rupa MakadiaJohnson & Johnson, Horsham, Pennsylvania, USA.
Ashley E L AndersonDepartment of Neurology, Houston Methodist, Houston, Texas, USA.
Zia ChoudhryJohnson & Johnson, Horsham, Pennsylvania, USA.
Nathan HallJohnson & Johnson, Horsham, Pennsylvania, USA.
Jill HardinJohnson & Johnson, Horsham, Pennsylvania, USA.ORCID https://orcid.org/0000-0003-2682-2187
Sicong HuangJohnson & Johnson, Cambridge, Massachusetts, USA.
Janice M MasseyDepartment of Neurology, Duke University Medical Center, Durham, North Carolina, USA.
Anna OstropoletsJohnson & Johnson, Horsham, Pennsylvania, USA.
Ran SunJohnson & Johnson, Horsham, Pennsylvania, USA.
Rebecca ZahaJohnson & Johnson, Horsham, Pennsylvania, USA.
Alexis A KrummeJohnson & Johnson, Horsham, Pennsylvania, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

INTRODUCTION/

aimsStudies on pregnancy in myasthenia gravis (MG) are limited by small sample sizes or examine a limited number of outcomes. The objective of this study was to estimate the prevalence of perinatal and infant outcomes and characterize perinatal treatment patterns in MG.

methodsWe conducted a retrospective cohort study in Merative MarketScan Commercial Claims and Encounters (CCAE) and two other United States health insurance claims databases. Pregnancies in females aged 18-49 years were identified and maternal and infant records were linked. MG was defined by ≥ 1 inpatient or ≥ 2 outpatient diagnoses within a 365-day period. The prevalence of six perinatal outcomes was calculated in the MG and total populations. Treatments were summarized by class.

resultsIn pregnancies from CCAE between 2000-2023, preeclampsia (10.7% vs. 7.1%), Cesarean section (42.9% vs. 36.7%), preterm birth (18.0% vs. 9.9%), and small for gestational age (4.3% vs. 1.7%) were more frequent among MG (n = 900) than the age-adjusted total population (n = 5,185,726). Lack of treatment for MG was common across the perinatal period: 54.3% were untreated in the 6 months preconception, 61.2% in pregnancy, and 57.8% in the 6 months postpartum. Of those taking acetylcholinesterase inhibitors or corticosteroids in pregnancy, 21.8% and 33.1% had not been taking them before pregnancy, respectively. DISCUSSION: MG was associated with a greater prevalence of certain perinatal outcomes, occurring in both mother and infant. In parallel, though most patients did not receive treatment in pregnancy those who did showed variation over time, suggesting a potential need for this population.

Indexed as

Myasthenia GravisPerinatal CarePregnancy ComplicationsPregnancy OutcomeAdolescentAdrenal Cortex HormonesAdultCesarean SectionCohort StudiesFemaleHumansInfant, NewbornMiddle AgedPregnancyPremature BirthRetrospective StudiesAdrenal Cortex Hormonesburden of diseasemyasthenia gravisperinatal periodpregnancytreatment patterns

Identifiers

PMID41334672
PMCPMC12803580

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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.