Frequency of Contraception Documentation in Women With Systemic Lupus Erythematosus and Rheumatoid Arthritis Within the Rheumatology Informatics System for Effectiveness Registry

Arthritis Care Res (Hoboken)Published Cross-sectional study

Main finding · Contraception documentationResult — go to the resultAdjusted odds ratio 0.84 95% CI 0.76–0.92

Authors' conclusion

There are large gaps in contraception documentation within the RISE registry that are particularly stark among women of color.

Study context

Population
Women of childbearing age (18–45 years) in 2018 with at least 2 visits with diagnosis codes for systemic lupus erythematosus (SLE) or rheumatoid arthritis (RA), US electronic health record (EHR)-based Rheumatology Informatics System for Effectiveness (RISE) registry
Participants
9,826 vs 19,009
Exposure
SLE vs RA; by race and ethnicity; by teratogen prescription
  • SLEn = 9,826
  • RAn = 19,009reference
Outcome
Frequency of contraception documentation
Follow-up
2018
Methodological detailsEHR-based registry, univariate and multivariate analyses
  • EHR-based registry
  • Univariate and multivariate analyses

Main finding

Contraception documentation

Adjusted odds ratio

0.84

95% CI 0.76–0.92

SLEvs RA
aOR 0.84 (95% CI 0.76–0.92)

As reported in the abstract

Any contraception documented (all women)
9.1%

Observational data: associations, not effects.

Further findings

Contraception documentation with teratogen prescription

aOR

Teratogen prescription, RA
1.31 (95% CI 1.16-1.47)
Teratogen prescription, SLE
1.08 (95% CI 0.91-1.28)

Original publication

Frequency of Contraception Documentation in Women With Systemic Lupus Erythematosus and Rheumatoid Arthritis Within the Rheumatology Informatics System for Effectiveness Registry. Arthritis Care Res (Hoboken). Published 31 October 2022. doi:10.1002/acr.24803

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