Spondyloarthritis & psoriatic arthritis

NSAID exposure delays time-to-pregnancy in patients with spondyloarthritis: an analysis of the GR2 prospective cohort

RMD OpenPublished Prospective cohort study

Authors' conclusion

Age and NSAID use during preconception were significantly associated with a longer TTP, after adjustment for other confounding factors.

Study context

Population
Consecutive women with spondyloarthritis (SpA) (per their rheumatologist) wanting to become pregnant, France, 2015–2021included before conception
Participants
88 women
Outcome
TTP (months), from study inclusion to conception
Methodological detailsobservational, multicentre (63 centres), Shared Frailty Cox models with random centre effect, multiple imputation
  • Observational
  • Multicentre (63 centres)
  • Shared Frailty Cox models with random centre effect
  • Multiple imputation

Main finding

As reported in the abstract

TTP

Women who became pregnant during follow-up

56

63.6%

Median time to pregnancy (TTP), months

16.1

95% CI 12.2 to 25.3

Observational data: associations, not effects.

Further findings

Factors associated with TTP (multivariate model)

Age (per year), HR
1.22 (95% CI 1.08 to 1.40; p<0.001)
NSAID use during preconception, HR
3.01 (95% CI 2.15 to 3.85; p=0.01)

Original publication

NSAID exposure delays time-to-pregnancy in patients with spondyloarthritis: an analysis of the GR2 prospective cohort. RMD Open. Published 29 November 2024. doi:10.1136/rmdopen-2024-004745

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