Evidence map›Paper›PMID 20444750›Full record

ReviewAnnals of the rheumatic diseases2010

EULAR recommendations for the management of rheumatoid arthritis with synthetic and biological disease-modifying antirheumatic drugs.

Josef S Smolen, Robert Landewé, Ferdinand C Breedveld, Maxime Dougados, Paul Emery, Cecile Gaujoux-Viala, Simone Gorter, Rachel Knevel, Jackie Nam, Monika Schoels and 25 more

Erratum issued 3 registry-linked trialsOpen access · bronzeAbstract readConsensus StatementReview
In one paragraph

Review in Annals of the rheumatic diseases, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. It is linked to 3 registered trials, which are not on this map. Cited by 531 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
531citing papers in PubMed, 6 pooled it
26.7field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02000336 phase3completednot on this mapstarted 2014, after this paper: background citation

Comparison of the Efficacy and Safety of Two Different Starting Dosages of Prednisolone in Early Active Rheumatoid Arthritis: a Randomized, Placebo Controlled Trial

TypeinterventionalSponsorProf. Dr. rer. nat. H.J. TrampischRan2014 to 2019Enrolled395ConditionsProgression of Rheumatoid ArthritisArmsPrednisolone, Placebo
NCT02087696 phase4unknown statusnot on this mapstarted 2014, after this paper: background citation

Uncontrolled Study to Evaluate Efficacy of Tocilizumab in Patients With Moderate or Severe Rheumatoid Arthritis and Candidates With a Biological Monotherapy

TypeinterventionalSponsorSpanish Foundation of RheumatologyRan2014 to 2016Enrolled122ConditionsArthritis, RheumatoidArmsTocilizumab
NCT05671627 unknown statusnot on this mapstarted 2022, after this paper: background citation

An Impaired Functional Reserve of Adrenal Cortex May Associate With difficult-to Treat RA: Can a Disturbed Cortisol Circadian Rhythm Serve as a Predictor of Difficult-to-treat RA?

TypeobservationalSponsorNational and Kapodistrian University of AthensRan2022 to 2023Enrolled50ConditionsRheumatoid ArthritisArmsDMARDs
3 · Its place in the literature

Who cites it

531 citing papers in PubMed, 6 syntheses or guidelines pooled it, 410 citations in OpenAlex.

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  4. The EANM guideline for radiosynoviorthesis.European journal of nuclear medicine and molecular imaging · 2022
    Guideline
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471 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

  • Erratum issued
5 · Who and what money

Authors and funding

35 authors at 20 institutions in 13 countries.

Josef S SmolenDivision of Rheumatology, Department of Medicine 3, Medical University of Vienna, Waehringer Guertel 18-20, A-1090 Vienna, Austria. josef.smolen@wienkav.at
Robert Landewé
Ferdinand C Breedveld
Maxime Dougados
Paul Emery
Cecile Gaujoux-Viala
Simone Gorter
Rachel Knevel
Jackie Nam
Monika Schoels
Daniel Aletaha
Maya Buch
Laure Gossec
Tom Huizinga
Johannes W J W Bijlsma
Gerd Burmester
Bernard Combe
Maurizio Cutolo
Cem Gabay
Juan Gomez-Reino
Marios Kouloumas
Tore K Kvien
Emilio Martin-Mola
Iain McInnes
Karel Pavelka
Piet van Riel
Marieke Scholte
David L Scott
Tuulikki Sokka
Guido Valesini
Ronald van Vollenhoven
Kevin L Winthrop
John Wong
Angela Zink
Désirée van der Heijde
Leiden University Medical Center · NLEuropean League Against Rheumatism · CHMaastricht University Medical Centre · NLMedical University of Vienna · ATNIHR Leeds Musculoskeletal Biomedical Research Unit · GBUniversité Paris Cité · FRCentral Finland Health Care District · FIDiakonhjemmet Hospital · NOGerman Rheumatism Research Centre · DEHospital Universitario La Paz · ESHumboldt-Universität zu Berlin · DEInstitute of Rheumatology · CZKarolinska University Hospital · SEKing's College School · GBKlinik Hietzing · ATOregon Health & Science University · USPitié-Salpêtrière Hospital · FRRadboud University Nijmegen · NLSapienza University of Rome · ITTufts University · US

Funding

Versus Arthritis 18475
6 · The paper itself

Abstract

Treatment of rheumatoid arthritis (RA) may differ among rheumatologists and currently, clear and consensual international recommendations on RA treatment are not available. In this paper recommendations for the treatment of RA with synthetic and biological disease-modifying antirheumatic drugs (DMARDs) and glucocorticoids (GCs) that also account for strategic algorithms and deal with economic aspects, are described. The recommendations are based on evidence from five systematic literature reviews (SLRs) performed for synthetic DMARDs, biological DMARDs, GCs, treatment strategies and economic issues. The SLR-derived evidence was discussed and summarised as an expert opinion in the course of a Delphi-like process. Levels of evidence, strength of recommendations and levels of agreement were derived. Fifteen recommendations were developed covering an area from general aspects such as remission/low disease activity as treatment aim via the preference for methotrexate monotherapy with or without GCs vis-à-vis combination of synthetic DMARDs to the use of biological agents mainly in patients for whom synthetic DMARDs and tumour necrosis factor inhibitors had failed. Cost effectiveness of the treatments was additionally examined. These recommendations are intended to inform rheumatologists, patients and other stakeholders about a European consensus on the management of RA with DMARDs and GCs as well as strategies to reach optimal outcomes of RA, based on evidence and expert opinion.

Indexed as

AlgorithmsAntirheumatic AgentsArthritis, RheumatoidCost-Benefit AnalysisEvidence-Based MedicineGlucocorticoidsHumansImmunosuppressive AgentsTumor Necrosis Factor-alphaAntirheumatic AgentsGlucocorticoidsImmunosuppressive AgentsTumor Necrosis Factor-alpha

Identifiers

PMID20444750
PMCPMC2935329
OpenAlexW2607079988

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.