"Disease knowledge index" and perspectives on reproductive issues: A nationwide study on 398 women with autoimmune rheumatic diseases

Laura Andreoli; Maria Grazia Lazzaroni; Chiara Carini; Francesca Dall'Ara; Cecilia Nalli; Rossella Reggia; Marília Rodrigues; Carolina Benigno; Elena Baldissera; Elena Bartoloni-Bocci; Fabio Basta; Francesca Bellisai; Alessandra Bortoluzzi; Corrado Campochiaro; Francesco Paolo Cantatore; Roberto Caporali; Angela Ceribelli; Cecilia B Chighizola; Paola Conigliaro; Addolorata Corrado; Maurizio Cutolo; Salvatore D'Angelo; Elena De Stefani; Andrea Doria; Maria Favaro; Colomba Fischetti; Rosario Foti; Armando Gabrielli; Elena Generali; Roberto Gerli; Maria Gerosa; Maddalena Larosa; Armin Maier; Nazzarena Malavolta; Marianna Meroni; Pier Luigi Meroni; Carlomaurizio Montecucco; Marta Mosca; Melissa Padovan; Giuseppe Paolazzi; Giulia Pazzola; Susanna Peccatori; Roberto Perricone; Giorgio Pettiti; Valentina Picerno; Immacolata Prevete; Véronique Ramoni; Nicoletta Romeo; Amelia Ruffatti; Carlo Salvarani; Gian Domenico Sebastiani; Carlo Selmi; Francesca Serale; Luigi Sinigaglia; Chiara Tani; Marica Trevisani; Marta Vadacca; Eleonora Valentini; Guido Valesini; Elisa Visalli; Ester Vivaldelli; Lucia Zuliani; Angela Tincani

doi:10.1016/j.jbspin.2018.12.002

"Disease knowledge index" and perspectives on reproductive issues: A nationwide study on 398 women with autoimmune rheumatic diseases

Laura Andreoli, Maria Grazia Lazzaroni, Chiara Carini, Francesca Dall'Ara, Cecilia Nalli, Rossella Reggia, Marília Rodrigues, Carolina Benigno, Elena Baldissera, Elena Bartoloni-Bocci, Fabio Basta, Francesca Bellisai, Alessandra Bortoluzzi, Corrado Campochiaro, Francesco Paolo Cantatore, Roberto Caporali, Angela Ceribelli, Cecilia B Chighizola, Paola Conigliaro, Addolorata CorradoMaurizio Cutolo, Salvatore D'Angelo, Elena De Stefani, Andrea Doria, Maria Favaro, Colomba Fischetti, Rosario Foti, Armando Gabrielli, Elena Generali, Roberto Gerli, Maria Gerosa, Maddalena Larosa, Armin Maier, Nazzarena Malavolta, Marianna Meroni, Pier Luigi Meroni, Carlomaurizio Montecucco, Marta Mosca, Melissa Padovan, Giuseppe Paolazzi, Giulia Pazzola, Susanna Peccatori, Roberto Perricone, Giorgio Pettiti, Valentina Picerno, Immacolata Prevete, Véronique Ramoni, Nicoletta Romeo, Amelia Ruffatti, Carlo Salvarani, Gian Domenico Sebastiani, Carlo Selmi, Francesca Serale, Luigi Sinigaglia, Chiara Tani, Marica Trevisani, Marta Vadacca, Eleonora Valentini, Guido Valesini, Elisa Visalli, Ester Vivaldelli, Lucia Zuliani, Angela Tincani

Research output: Contribution to journal › Article › peer-review

Abstract

OBJECTIVE: The reproductive choices of women affected by rheumatic diseases (RD) can be influenced by several factors, including the quality of physician-patient communication. We conducted a survey on reproductive issues aiming at exploring the unmet needs of women with RD during childbearing age.METHODS: We administered 65 multiple-choice and 12 open-answer questions about pregnancy counselling, contraception, use of drugs during pregnancy and other women reproductive issues to 477 consecutive women with RD aged 18-55 years followed-up in 24 rheumatology centres in Italy. Analysis was restricted to 398 patients who received their diagnosis of RD before the age of 45. According to the RD diagnosis, patients were subdivided into 2 groups: connective tissue diseases (n = 249) and chronic arthritis (n = 149).RESULTS: At the time of interview, women in both groups had a mean age of 40 years. Nearly one third of patients in each group declared not to have received any counselling about either pregnancy desire nor contraception. A smaller family size than desired was reported by nearly 37% of patients, because of concerns related to maternal disease in one fourth of the cases. A "Disease Knowledge Index" (DKI) was created to investigate the degree of patients' information about the implications of their RD on reproductive issues. Having received counselling was associated with higher DKI values and with a positive impact on family planning.CONCLUSION: Italian women of childbearing age affected by RD reported several unmet needs in their knowledge about reproductive issues. Strategies are needed to implement and facilitate physician-patient communication.

Original language	English
Journal	Joint Bone Spine
DOIs	https://doi.org/10.1016/j.jbspin.2018.12.002
Publication status	Published - Dec 21 2018

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10.1016/j.jbspin.2018.12.002

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Andreoli, L., Lazzaroni, M. G., Carini, C., Dall'Ara, F., Nalli, C., Reggia, R., Rodrigues, M., Benigno, C., Baldissera, E., Bartoloni-Bocci, E., Basta, F., Bellisai, F., Bortoluzzi, A., Campochiaro, C., Cantatore, F. P., Caporali, R., Ceribelli, A., Chighizola, C. B., Conigliaro, P., ... Tincani, A. (2018). "Disease knowledge index" and perspectives on reproductive issues: A nationwide study on 398 women with autoimmune rheumatic diseases. Joint Bone Spine. https://doi.org/10.1016/j.jbspin.2018.12.002

Andreoli, L, Lazzaroni, MG, Carini, C, Dall'Ara, F, Nalli, C, Reggia, R, Rodrigues, M, Benigno, C, Baldissera, E, Bartoloni-Bocci, E, Basta, F, Bellisai, F, Bortoluzzi, A, Campochiaro, C, Cantatore, FP, Caporali, R, Ceribelli, A, Chighizola, CB, Conigliaro, P, Corrado, A, Cutolo, M, D'Angelo, S, De Stefani, E, Doria, A, Favaro, M, Fischetti, C, Foti, R, Gabrielli, A, Generali, E, Gerli, R, Gerosa, M, Larosa, M, Maier, A, Malavolta, N, Meroni, M, Meroni, PL , Montecucco, C, Mosca, M, Padovan, M, Paolazzi, G, Pazzola, G, Peccatori, S, Perricone, R, Pettiti, G, Picerno, V, Prevete, I, Ramoni, V, Romeo, N, Ruffatti, A, Salvarani, C, Sebastiani, GD, Selmi, C, Serale, F, Sinigaglia, L, Tani, C, Trevisani, M, Vadacca, M, Valentini, E, Valesini, G, Visalli, E, Vivaldelli, E, Zuliani, L & Tincani, A 2018, '"Disease knowledge index" and perspectives on reproductive issues: A nationwide study on 398 women with autoimmune rheumatic diseases', Joint Bone Spine. https://doi.org/10.1016/j.jbspin.2018.12.002

@article{2a81e95b2908419db05d9e235713d1fe,

title = "{"}Disease knowledge index{"} and perspectives on reproductive issues: A nationwide study on 398 women with autoimmune rheumatic diseases",

abstract = "OBJECTIVE: The reproductive choices of women affected by rheumatic diseases (RD) can be influenced by several factors, including the quality of physician-patient communication. We conducted a survey on reproductive issues aiming at exploring the unmet needs of women with RD during childbearing age.METHODS: We administered 65 multiple-choice and 12 open-answer questions about pregnancy counselling, contraception, use of drugs during pregnancy and other women reproductive issues to 477 consecutive women with RD aged 18-55 years followed-up in 24 rheumatology centres in Italy. Analysis was restricted to 398 patients who received their diagnosis of RD before the age of 45. According to the RD diagnosis, patients were subdivided into 2 groups: connective tissue diseases (n = 249) and chronic arthritis (n = 149).RESULTS: At the time of interview, women in both groups had a mean age of 40 years. Nearly one third of patients in each group declared not to have received any counselling about either pregnancy desire nor contraception. A smaller family size than desired was reported by nearly 37% of patients, because of concerns related to maternal disease in one fourth of the cases. A {"}Disease Knowledge Index{"} (DKI) was created to investigate the degree of patients' information about the implications of their RD on reproductive issues. Having received counselling was associated with higher DKI values and with a positive impact on family planning.CONCLUSION: Italian women of childbearing age affected by RD reported several unmet needs in their knowledge about reproductive issues. Strategies are needed to implement and facilitate physician-patient communication.",

author = "Laura Andreoli and Lazzaroni, {Maria Grazia} and Chiara Carini and Francesca Dall'Ara and Cecilia Nalli and Rossella Reggia and Mar{\'i}lia Rodrigues and Carolina Benigno and Elena Baldissera and Elena Bartoloni-Bocci and Fabio Basta and Francesca Bellisai and Alessandra Bortoluzzi and Corrado Campochiaro and Cantatore, {Francesco Paolo} and Roberto Caporali and Angela Ceribelli and Chighizola, {Cecilia B} and Paola Conigliaro and Addolorata Corrado and Maurizio Cutolo and Salvatore D'Angelo and {De Stefani}, Elena and Andrea Doria and Maria Favaro and Colomba Fischetti and Rosario Foti and Armando Gabrielli and Elena Generali and Roberto Gerli and Maria Gerosa and Maddalena Larosa and Armin Maier and Nazzarena Malavolta and Marianna Meroni and Meroni, {Pier Luigi} and Carlomaurizio Montecucco and Marta Mosca and Melissa Padovan and Giuseppe Paolazzi and Giulia Pazzola and Susanna Peccatori and Roberto Perricone and Giorgio Pettiti and Valentina Picerno and Immacolata Prevete and V{\'e}ronique Ramoni and Nicoletta Romeo and Amelia Ruffatti and Carlo Salvarani and Sebastiani, {Gian Domenico} and Carlo Selmi and Francesca Serale and Luigi Sinigaglia and Chiara Tani and Marica Trevisani and Marta Vadacca and Eleonora Valentini and Guido Valesini and Elisa Visalli and Ester Vivaldelli and Lucia Zuliani and Angela Tincani",

note = "Copyright {\textcopyright} 2018. Published by Elsevier Masson SAS.",

year = "2018",

month = dec,

day = "21",

doi = "10.1016/j.jbspin.2018.12.002",

language = "English",

journal = "Revue du Rhumatisme (English Edition)",

issn = "1169-8446",

publisher = "Elsevier Masson",

}

TY - JOUR

T1 - "Disease knowledge index" and perspectives on reproductive issues

T2 - A nationwide study on 398 women with autoimmune rheumatic diseases

AU - Andreoli, Laura

AU - Lazzaroni, Maria Grazia

AU - Carini, Chiara

AU - Dall'Ara, Francesca

AU - Nalli, Cecilia

AU - Reggia, Rossella

AU - Rodrigues, Marília

AU - Benigno, Carolina

AU - Baldissera, Elena

AU - Bartoloni-Bocci, Elena

AU - Basta, Fabio

AU - Bellisai, Francesca

AU - Bortoluzzi, Alessandra

AU - Campochiaro, Corrado

AU - Cantatore, Francesco Paolo

AU - Caporali, Roberto

AU - Ceribelli, Angela

AU - Chighizola, Cecilia B

AU - Conigliaro, Paola

AU - Corrado, Addolorata

AU - Cutolo, Maurizio

AU - D'Angelo, Salvatore

AU - De Stefani, Elena

AU - Doria, Andrea

AU - Favaro, Maria

AU - Fischetti, Colomba

AU - Foti, Rosario

AU - Gabrielli, Armando

AU - Generali, Elena

AU - Gerli, Roberto

AU - Gerosa, Maria

AU - Larosa, Maddalena

AU - Maier, Armin

AU - Malavolta, Nazzarena

AU - Meroni, Marianna

AU - Meroni, Pier Luigi

AU - Montecucco, Carlomaurizio

AU - Mosca, Marta

AU - Padovan, Melissa

AU - Paolazzi, Giuseppe

AU - Pazzola, Giulia

AU - Peccatori, Susanna

AU - Perricone, Roberto

AU - Pettiti, Giorgio

AU - Picerno, Valentina

AU - Prevete, Immacolata

AU - Ramoni, Véronique

AU - Romeo, Nicoletta

AU - Ruffatti, Amelia

AU - Salvarani, Carlo

AU - Sebastiani, Gian Domenico

AU - Selmi, Carlo

AU - Serale, Francesca

AU - Sinigaglia, Luigi

AU - Tani, Chiara

AU - Trevisani, Marica

AU - Vadacca, Marta

AU - Valentini, Eleonora

AU - Valesini, Guido

AU - Visalli, Elisa

AU - Vivaldelli, Ester

AU - Zuliani, Lucia

AU - Tincani, Angela

PY - 2018/12/21

Y1 - 2018/12/21

N2 - OBJECTIVE: The reproductive choices of women affected by rheumatic diseases (RD) can be influenced by several factors, including the quality of physician-patient communication. We conducted a survey on reproductive issues aiming at exploring the unmet needs of women with RD during childbearing age.METHODS: We administered 65 multiple-choice and 12 open-answer questions about pregnancy counselling, contraception, use of drugs during pregnancy and other women reproductive issues to 477 consecutive women with RD aged 18-55 years followed-up in 24 rheumatology centres in Italy. Analysis was restricted to 398 patients who received their diagnosis of RD before the age of 45. According to the RD diagnosis, patients were subdivided into 2 groups: connective tissue diseases (n = 249) and chronic arthritis (n = 149).RESULTS: At the time of interview, women in both groups had a mean age of 40 years. Nearly one third of patients in each group declared not to have received any counselling about either pregnancy desire nor contraception. A smaller family size than desired was reported by nearly 37% of patients, because of concerns related to maternal disease in one fourth of the cases. A "Disease Knowledge Index" (DKI) was created to investigate the degree of patients' information about the implications of their RD on reproductive issues. Having received counselling was associated with higher DKI values and with a positive impact on family planning.CONCLUSION: Italian women of childbearing age affected by RD reported several unmet needs in their knowledge about reproductive issues. Strategies are needed to implement and facilitate physician-patient communication.

AB - OBJECTIVE: The reproductive choices of women affected by rheumatic diseases (RD) can be influenced by several factors, including the quality of physician-patient communication. We conducted a survey on reproductive issues aiming at exploring the unmet needs of women with RD during childbearing age.METHODS: We administered 65 multiple-choice and 12 open-answer questions about pregnancy counselling, contraception, use of drugs during pregnancy and other women reproductive issues to 477 consecutive women with RD aged 18-55 years followed-up in 24 rheumatology centres in Italy. Analysis was restricted to 398 patients who received their diagnosis of RD before the age of 45. According to the RD diagnosis, patients were subdivided into 2 groups: connective tissue diseases (n = 249) and chronic arthritis (n = 149).RESULTS: At the time of interview, women in both groups had a mean age of 40 years. Nearly one third of patients in each group declared not to have received any counselling about either pregnancy desire nor contraception. A smaller family size than desired was reported by nearly 37% of patients, because of concerns related to maternal disease in one fourth of the cases. A "Disease Knowledge Index" (DKI) was created to investigate the degree of patients' information about the implications of their RD on reproductive issues. Having received counselling was associated with higher DKI values and with a positive impact on family planning.CONCLUSION: Italian women of childbearing age affected by RD reported several unmet needs in their knowledge about reproductive issues. Strategies are needed to implement and facilitate physician-patient communication.

U2 - 10.1016/j.jbspin.2018.12.002

DO - 10.1016/j.jbspin.2018.12.002

M3 - Article

JO - Revue du Rhumatisme (English Edition)

JF - Revue du Rhumatisme (English Edition)

SN - 1169-8446

ER -

"Disease knowledge index" and perspectives on reproductive issues: A nationwide study on 398 women with autoimmune rheumatic diseases

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