Evidence map›Paper›PMID 23838027›Full record

SynthesisRheumatology (Oxford, England)2013

The effect of golimumab on haemoglobin levels in patients with rheumatoid arthritis, psoriatic arthritis or ankylosing spondylitis.

Daniel E Furst, Jonathan Kay, Mary Chester Wasko, Edward Keystone, Arthur Kavanaugh, Atul Deodhar, Frederick T Murphy, Jeanette H Magnus, Elizabeth C Hsia, Benjamin Hsu and 3 more

Abstract readMeta-Analysis
In one paragraph

Synthesis in Rheumatology (Oxford, England), 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
–field-weighted citation impact
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed.

  1. Anti-TNF-α effects on anemia in rheumatoid and psoriatic arthritis.International journal of immunopathology and pharmacology · 2017
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors.

Daniel E FurstUCLA Medical School, Rheumatology Division, 1000 Veteran Avenue, Rehab Center rm 32-59, Los Angeles, CA 90095-1670, USA. defurst@mednet.ucla.edu.
Jonathan Kay
Mary Chester Wasko
Edward Keystone
Arthur Kavanaugh
Atul Deodhar
Frederick T Murphy
Jeanette H Magnus
Elizabeth C Hsia
Benjamin Hsu
Stephen Xu
Mahboob U Rahman
Mittie K Doyle

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo evaluate the effect of golimumab on haemoglobin levels in patients with RA, PsA or AS.

methodsSecondary analysis was performed on integrated data from five randomized controlled studies: three RA, one PsA and one AS (2303 patients total). Golimumab 50 or 100 mg was injected s.c. every 4 weeks with or without MTX. Control groups received placebo injections plus MTX or background therapy. Patients with haemoglobin levels below the age- and sex-specific normal ranges were considered to have anaemia. Ferritin levels were used to distinguish anaemia of mixed aetiology (≥ 15 and <60 ng/ml) and anaemia of inflammation (≥ 60 ng/ml). Changes from baseline to weeks 14 and 24 in haemoglobin level were compared between treatment groups using an analysis of variance on the van der Waerden normal scores.

resultsAt baseline, 21% of RA patients, 9% of PsA patients and 15% of AS patients had anaemia. Of these, 24%, 57% and 25%, respectively, had anaemia of inflammation. The median increase from baseline to week 14 in the haemoglobin level of anaemic patients was 0.3 g/dl in the control group and 0.9 g/dl in the golimumab group (P < 0.001). Haemoglobin levels improved within the subgroups of patients with anaemia of mixed aetiology (control, 0.4 g/dl vs golimumab, 0.7 g/dl) (P = 0.305) and with anaemia of inflammation (0.2 vs 1.4 g/dl, respectively) (P < 0.001).

conclusionCompared with the control group, patients receiving golimumab treatment had significantly improved haemoglobin levels, particularly among patients with anaemia of inflammation.

Indexed as

AdultAnemiaAntibodies, MonoclonalAntirheumatic AgentsArthritisArthritis, PsoriaticArthritis, RheumatoidC-Reactive ProteinDose-Response Relationship, DrugDouble-Blind MethodFemaleHemoglobinsHumansInflammation MediatorsMaleMiddle AgedAntibodies, MonoclonalAntirheumatic AgentsC-Reactive ProteingolimumabHemoglobinsInflammation MediatorsTumor Necrosis Factor-alphaanaemiaankylosing spondylitisanti-TNF-α agentgolimumabpsoriatic arthritisrheumatoid arthritis

Identifiers

PMID23838027
PMCPMC3775295

What OpenQuestion holds

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Registered trials

None linked

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.