Equity reporting in Systematic Review Meta-Analysis of Systemic Lupus Erythematosus and childbirth outcomes

Anna L. Place, Brian Dickson, Jordyn Prince, Michelle Green, Micah Hartwell

Research output: Contribution to conferencePosterpeer-review

Abstract

Purpose: Systemic Lupus Erythematosus (SLE) is an autoimmune inflammatory disease affecting tissue and organs leading to chronic pain and inflammation. Pregnant individuals with SLE are at risk for gestational comorbidities and adverse pregnancy outcomes. Many factors, including demographics and social determinants of health have been noted to affect SLE maternal health and childbirth outcomes. Given the importance of systematic reviews and meta-analysis (SRMAs) to informing medical practice—it is necessary for them to have a holistic scope of the human experience. The PROGRESS framework was developed and is used to assess equity reporting of Place, Race, Occupation, Gender/Sex, Religion, Education, Socioeconomic status, and Social capital. Thus, the primary objective of this study is to identify gaps in equity reporting among SRMAs related to SLE and maternal and child birth outcomes.

Methods: We searched PubMed, Embase, and Cochran databases for SRMAs and screened them for inclusion criteria—available in English, were published after 2003, and were within scope of topic. SRMAs were reviewed for PROGRESS items and other characteristics of the SRMAs were extracted.

Results: After initial screening and full-text review, a total of 12 SRMAs were included. From the PROGRESS framework, gender/sex was identified in all SRMAs given the context of this study. Race/ethnicity was the second most frequent PROGRESS component—appearing in 5 articles followed by SES in 3, and Place of residence in 2. Education and social capital appeared in 1 SRMA each while occupation and religion were not identified in any of the 12 articles reviewed.

Conclusions: Using the PROGRESS-Plus framework, our study found that gender and race were reported in several SRMAs. However, studies concerning occupation, religion, social capital and education were much less likely to be included in SRMAs if at all. Identifying these gaps in literature are important to pursue to ensure improvement of comprehensive and best informed healthcare treatment for pregnant patients with SLE.
Original languageAmerican English
Pages48
StatePublished - 13 Sep 2024
Event2024 Symposium on Tribal and Rural Innovations in Disparities and Equity for Health - Oklahoma State University College of Osteopathic Medicine at the Cherokee Nation, Tahlequah, United States
Duration: 13 Sep 202413 Sep 2024

Conference

Conference2024 Symposium on Tribal and Rural Innovations in Disparities and Equity for Health
Abbreviated titleSTRIDE 2024
Country/TerritoryUnited States
CityTahlequah
Period13/09/2413/09/24

Keywords

  • Systemic Lupus Erythematosus (SLE)
  • childbirth outcomes
  • PROGRESS
  • systematic review

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