Vasculitis & polymyalgia rheumatica

Pregnancy outcomes in antineutrophil cytoplasmic antibody (ANCA)-associated vasculitis patients: A systematic review and meta-analysis

Joint Bone SpinePublished Systematic review and meta-analysis

Authors' conclusion

The analysis demonstrated higher occurrence of adverse outcomes in pregnant women suffering from AAV accompanied by an increased risk of disease flare during pregnancy.

Study context

Population
Pregnancies in patients with AAV (GPA, EGPA, MPA); PubMed, Scopus, Cochrane Library and Cinahl searched until September 2022
Participants
92 pregnancies6 studies
Outcome
Prevalence of pre-term delivery, IUGR neonates and disease flare
Methodological detailsrandom effects model, blinded data extraction and risk-of-bias assessment by three investigators
  • Random effects model
  • Blinded data extraction and risk-of-bias assessment by three investigators

Pooled result

As reported in the abstract

Pooled prevalence of adverse pregnancy outcomes
  • Pre-term delivery: 18% (CI: 0.10-0.30), P=non-significant
  • Intrauterine growth restriction (IUGR) neonates: 20% (CI: 0.11-0.33), P=non-significant
  • Disease flare: 28% (CI: 0.09-0.59), P<0.01

Original publication

Pregnancy outcomes in ANCA-associated vasculitis patients: A systematic review and meta-analysis. Joint Bone Spine. Published 5 July 2023. doi:10.1016/j.jbspin.2023.105609

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