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논문 기본 정보

자료유형
학술저널
저자정보
Ahn Soo Min (Division of Rheumatology Department of Internal Medicine Asan Medical Center University of Ulsan College of Medicine Seoul Korea.) Joo Young Bin (Division of Rheumatology Department of Internal Medicine Hanyang University Guri Hospital Guri Korea.Hanyang University Institute for Rheumatology Research Seoul Korea.) Kim Yun Jin (Biostatistical Consulting and Research Lab Medical Research Collaborating Center Hanyang University Seoul Korea.) Bang So-Young (Division of Rheumatology Department of Internal Medicine Hanyang University Guri Hospital Guri Korea.Hanyang University Institute for Rheumatology Research Seoul Korea.) Lee Hye-Soon (Division of Rheumatology Department of Internal Medicine Hanyang University Guri Hospital Guri Korea.Hanyang University Institute for Rheumatology Research Seoul Korea.)
저널정보
대한의학회 Journal of Korean Medical Science Journal of Korean Medical Science Vol.38 No.22
발행연도
2023.6
수록면
1 - 16 (16page)
DOI
10.3346/jkms.2023.38.e172

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Background: This study aimed to analyze pregnancy outcomes based on biologic agents use in women using the nationwide population-based database. Methods: The study used the claims database to identify women of childbearing age with several rheumatic (rheumatoid arthritis, juvenile idiopathic arthritis, ankylosing spondylitis, psoriatic arthritis) and inflammatory bowel diseases (Crohn’s disease and ulcerative colitis) who had pregnancy-related codes between January 2010 and December 2019. We analyzed live births and adverse pregnancy outcomes based on the previous use of biologics. We also stratified the patients according to duration of biologic agent exposure before pregnancy and the use of biologics during pregnancy to analyze the pregnancy outcomes by subgroups. Results: We identified 4,787 patients with pregnancy events. Among them, 1,034 (21.6%) used biologics before pregnancy. Live birth rate was not different between the biologics group and biologics naïve group (75.0% vs. 75.2%). Multivariate analyses showed that biologics use was associated with higher risk of intrauterine growth retardation (odds ratio [OR], 1.780) and lower risk of gestational diabetes mellitus (OR, 0.776) compared with biologics naïve. Biologics use during pregnancy was associated with higher risk of preterm delivery (OR, 1.859), preeclampsia/eclampsia (OR, 1.762), intrauterine growth retardation (OR, 3.487), and cesarean section (OR, 1.831), but lower risk of fetal loss (OR, 0.274) compared with biologics naïve. Conclusions: Although there was no difference in live birth rate between the biologics group and biologics naïve group, biologics use seems to be associated with several adverse pregnancy outcomes, especially in patients with biologics during pregnancy. Therefore, patients with biologics during pregnancy need to be carefully observed for adverse pregnancy outcomes.

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