Cited by 326Rheumatoid Arthritis Research and TherapiesSex and Gender in HealthcareAutoimmune and Inflammatory Disorders Research

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Sex differences in rheumatoid arthritis: more than meets the eye

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van Vollenhoven, Ronald F·2009·BMC Medicine

DOI 10.1186/1741-7015-7-12PMC PMC2670321

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Abstract

Sex differences in the prevalence of autoimmune diseases such as rheumatoid arthritis (RA) are well described, but the literature is not as clear about sex differences in RA disease course and prognosis. A recent study from a very large cross-sectional international cohort demonstrated slightly worse levels of disease activity and function in female patients with RA, compared with men. These findings are discussed in the context of our evolving knowledge of sex differences in the expression of this prototypic autoimmune disease, both in terms of the actual disease activity level, the effects that the disease has on physical function, and our ability accurately to measure these aspects.

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Figure 1 X-linked genetic factors, hormonal factors, and exposures that may be different for men and women could all influence the prevalence of autoimmune diseases as well as their severity. The latter aspect is, however, also influenced by many more factors, including differences in the treatments given, the response to treatments, the subjective experience of the disease, and the instruments used to measure the disease. The thick arrows indicate established associations and the thin arrows putative associations.CC BY · PubMed Central

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Authors: van Vollenhoven, R. F.
Venue: BMC Medicine
Publisher: Springer Science and Business Media LLC
Published: 2009-03-30
Volume: 7
Issue: 1
Pages: 12-12
ISSN: 1741-7015 (ISSN-L)
DOI: 10.1186/1741-7015-7-12
PMC: PMC2670321
OpenAlex: W2090929542
Cited by: 326
References: 33
Citations by year: 2026: 22 · 2025: 23 · 2024: 35 · 2023: 33 · 2022: 38 · 2021: 43 · 2020: 39 · 2019: 31 · 2018: 25 · 2017: 9 · 2016: 6 · 2015: 5 · 2014: 5 · 2013: 1 · 2012: 5
FWCI: 2.59
Type: journal article
Language: en
Open access: gold
doi.org
Licence: cc-by
www.springer.com/tdm (unspecified)
Locations: BMC Medicine (publishedVersion, cc-by)
PubMed Central (publishedVersion, cc-by)
PubMed (publishedVersion)
DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
Topics: Health Sciences › Medicine › Rheumatology › Rheumatoid Arthritis Research and Therapies
Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Sex and Gender in Healthcare
Health Sciences › Medicine › Hematology › Autoimmune and Inflammatory Disorders Research
Keywords: rheumatoid arthritis, sex differences, disease activity, physical function, prognosis, autoimmune disease, clinical course, sex differences in disease expression
MeSH terms: Arthritis, Rheumatoid, Cross-Sectional Studies, Female, Humans, Male, Severity of Illness Index, Sex Characteristics, Cohort Studies, Prevalence

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