Evidence map›Paper›PMID 24489444›Full record

ArticleMediators of inflammation2013

Usefulness of adalimumab in the treatment of refractory uveitis associated with juvenile idiopathic arthritis.

Carmen García-De-Vicuña, Manuel Díaz-Llopis, David Salom, Rosa Bou, Jesus Díaz-Cascajosa, Miguel Cordero-Coma, Gabriela Ortega, Norberto Ortego-Centeno, Marta Suarez-De-Figueroa, Juan Cruz-Martínez and 5 more

Open access · goldAbstract readMulticenter Study
In one paragraph

Article in Mediators of inflammation, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 3 pooled it
6.0field-weighted citation impact, top 4% 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.

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

22 citing papers in PubMed, 3 syntheses or guidelines pooled it, 50 citations in OpenAlex.

  1. Pooled it
  2. Guideline
  3. Pooled it
  4. Article
  5. Review
  6. Article
  7. Article
  8. Uveitis in juvenile idiopathic arthritis.World journal of pediatrics : WJP · 2020
    Review
  9. Observational
  10. Article
  11. Article
  12. Article
  13. Article
  14. An Update on Treatment of Pediatric Chronic Non-Infectious Uveitis.Current treatment options in rheumatology · 2017
    Article
  15. Discontinuation of long-term adalimumab treatment in patients with juvenile idiopathic arthritis-associated uveitis.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2017
    Article
  16. Observational
  17. Biologics in Pediatric Rheumatology: Quo Vadis?Current rheumatology reports · 2016
    Review
  18. [Uveitis associated with juvenile idiopathic arthritis : Optimization of immunomodulatory therapy].Der Ophthalmologe : Zeitschrift der Deutschen Ophthalmologischen Gesellschaft · 2016
    Review
  19. The Use of Biologic Therapies in Uveitis.Clinical reviews in allergy & immunology · 2015
    Review
  20. Review
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

15 authors at 12 institutions in 2 countries.

Carmen García-De-VicuñaOphthalmology Department, Hospital Sant Joan de Déu, Universidad de Barcelona, Passeig Sant Joan de Déu 2, Esplugues de Llobregat, 08950 Barcelona, Spain.
Manuel Díaz-LlopisService of Ophthalmology, Hospital Universitari i Politècnic La Fe, and Facultad de Medicina, Universidad de Valencia, Valencia, Spain.
David SalomService of Ophthalmology, Hospital Universitari i Politècnic La Fe, and Facultad de Medicina, Universidad de Valencia, Valencia, Spain.
Rosa BouUnit of Pediatric Rheumatology, Pediatrics Department, Hospital Sant Joan de Déu, Universidad de Barcelona, Esplugues del Llobregat, Barcelona, Spain.
Jesus Díaz-CascajosaOphthalmology Department, Hospital Sant Joan de Déu, Universidad de Barcelona, Passeig Sant Joan de Déu 2, Esplugues de Llobregat, 08950 Barcelona, Spain.
Miguel Cordero-ComaService of Ophthalmology, Hospital de León, León, Spain.
Gabriela OrtegaLaboratory of Ocular Immunology and Uveitis, Instituto Nacional de Rehabilitación, Calzada Mexico-Xochimilco, Mexico, DF, Mexico.
Norberto Ortego-CentenoService of Internal Medicine, Hospital San Cecilio, Granada, Spain.
Marta Suarez-De-FigueroaService of Ophthalmology, Hospital Ramón y Cajal, Madrid, Spain.
Juan Cruz-MartínezService of Rheumatology, Hospital de Pontevedra, Pontevedra, Spain.
Alex FonollosaService of Ophthalmology, Hospital de Cruces, Bilbao, Spain.
Ricardo BlancoService of Rheumatology, Hospital Universitario Marqués de Valdecilla, Santander, Spain.
Ángel María García-AparicioService of Rheumatology, Hospital Virgen de la Salud, Toledo, Spain.
Jose M Benítez-Del-CastilloService of Ophthalmology, Hospital Clínico San Carlos, Madrid, Spain.
Jordi AntónUnit of Pediatric Rheumatology, Pediatrics Department, Hospital Sant Joan de Déu, Universidad de Barcelona, Esplugues del Llobregat, Barcelona, Spain.
Hospital Sant Joan de Déu Barcelona · ESUniversitat de Barcelona · ESUniversitat de València · ESComplejo Hospitalario de Pontevedra · ESHospital Clínico San Carlos · ESHospital de Cruces · ESHospital de León · ESHospital Universitario Ramón y Cajal · ESHospital Virgen de la Salud · ESInstituto de Investigación Biosanitaria de Granada · ESInstituto Nacional de Rehabilitación · MXMarqués de Valdecilla University Hospital · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo assess the efficacy and safety of adalimumab in patients with juvenile idiopathic arthritis (JIA) and associated refractory uveitis.

designMulticenter, prospective case series.

methodsThirty-nine patients (mean [SD] age of 11.5 [7.9] years) with JIA-associated uveitis who were either not responsive to standard immunosuppressive therapy or intolerant to it were enrolled. Patients aged 13-17 years were treated with 40 mg of adalimumab every other week for 6 months and those aged 4-12 years received 24 mg/m(2) body surface.

resultsInflammation of the anterior chamber (2.02 [1.16] versus 0.42 [0.62]) and of the posterior segment (2.38 [2.97] versus 0.35 [0.71] decreased significantly between baseline and the final visit (P < 0.001). The mean (SD) macular thickness at baseline was 304.54 (125.03)  μ and at the end of follow-up was 230.87 (31.12)  μ (P < 0.014). Baseline immunosuppression load was 8.10 (3.99) as compared with 5.08 (3.76) at the final visit (P < 0.001). The mean dose of corticosteroids also decreased from 0.25 (0.43) to 0 (0.02) mg (P < 0.001). No significant side effects requiring discontinuation of therapy were observed.

conclusionAdalimumab seems to be an effective and safe treatment for JIA-associated refractory uveitis and may reduce steroid requirement.

Indexed as

AdalimumabAdolescentAntibodies, Monoclonal, HumanizedAntirheumatic AgentsArthritis, JuvenileChildChild, PreschoolFemaleHumansImmunosuppressive AgentsInflammationMalePatient SafetyProspective StudiesSteroidsTreatment OutcomeAdalimumabAntibodies, Monoclonal, HumanizedAntirheumatic AgentsImmunosuppressive AgentsSteroids

Identifiers

PMID24489444
PMCPMC3892756
OpenAlexW2132009328

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.