Evidence map›Paper›PMID 25090948›Full record

ReviewNature reviews. Rheumatology2014

Rheumatoid arthritis and metabolic syndrome.

György Kerekes, Michael T Nurmohamed, Miguel A González-Gay, Ildikó Seres, György Paragh, Zsófia Kardos, Zsuzsa Baráth, László Tamási, Pál Soltész, Zoltán Szekanecz

Registry-linked trialAbstract readReview
PubMed Publisher
In one paragraph

Review in Nature reviews. Rheumatology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06724952 (Clinical Study Evaluating Anti Rheumatic Activity and The Role of Silymarin in Attenuating Methotrexate Toxicity in Patients With Rheumatoid Arthritis), which is not on this map. Cited by 108 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
108citing papers in PubMed, 2 pooled it
9.7field-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.

NCT06724952 phase4not yet recruitingnot on this mapstarted 2024, after this paper: background citation

Clinical Study Evaluating Anti Rheumatic Activity and The Role of Silymarin in Attenuating Methotrexate Toxicity in Patients With Rheumatoid Arthritis

TypeinterventionalSponsorTanta UniversityRan2024 to 2025Enrolled44ConditionsRheumatoid Arthritis (RA)ArmsMTX S.C or IM and Silymarin 140 mg tab, MTX S.C or IM
3 · Its place in the literature

Who cites it

108 citing papers in PubMed, 2 syntheses or guidelines pooled it, 215 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Article
  5. Review
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Review
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Article

48 more citing papers are in PubMed but not listed here.

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

10 authors at 4 institutions in 3 countries.

György KerekesDepartment of Angiology, Institute of Medicine, University of Debrecen Clinical Centre, Moricz Zs str, Debrecen 4032, Hungary.
Michael T NurmohamedDepartments of Internal Medicine and Rheumatology, VU University Medical Centre, De Boelelaan 1117, 1081 HV Amsterdam, Netherlands.
Miguel A González-GayDepartment of Rheumatology, Hospital Universitario Marqués de Valdecilla, Avenida de Valdecilla s/n, 39011 Santander, Spain.
Ildikó SeresDivision of Metabolic Diseases, Institute of Medicine, University of Debrecen Medical and Health Sciences Centre, Nagyerdei str 98, Debrecen 4032, Hungary.
György ParaghDivision of Metabolic Diseases, Institute of Medicine, University of Debrecen Medical and Health Sciences Centre, Nagyerdei str 98, Debrecen 4032, Hungary.
Zsófia KardosDepartment of Rheumatology, Szent Ferenc Hospital, Csabai kapu street 41, Miskolc 3529, Hungary.
Zsuzsa BaráthDepartment of Rheumatology, Szent Ferenc Hospital, Csabai kapu street 41, Miskolc 3529, Hungary.
László TamásiDepartment of Rheumatology, Szent Ferenc Hospital, Csabai kapu street 41, Miskolc 3529, Hungary.
Pál SoltészDepartment of Angiology, Institute of Medicine, University of Debrecen Clinical Centre, Moricz Zs str, Debrecen 4032, Hungary.
Zoltán SzekaneczDepartment of Rheumatology, Institute of Medicine, University of Debrecen, Faculty of Medicine, Nagyerdei str. 98, Debrecen 4032, Hungary.
University of Debrecen · HUJahn Ferenc Dél-Pesti Kórház és Rendelőintézet · HUMarqués de Valdecilla University Hospital · ESVrije Universiteit Amsterdam · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Rheumatoid arthritis (RA), especially active disease, is associated with considerable changes in body composition, lipids, adipokines and insulin sensitivity. Metabolic changes, such as increased total cholesterol, LDL cholesterol and triglyceride levels, occur even in preclinical RA. Active RA is associated with decreased lipid levels, BMI, fat and muscle mass, as well as altered lipid profiles. Some of these changes are also seen in metabolic syndrome, and could increase cardiovascular mortality. Importantly, the systemic inflammation underlying RA is an independent risk factor for cardiovascular disease. This Perspectives article summarizes data on the associations of various components of metabolic syndrome with RA, and discusses the effects of biologic therapy on these factors. The authors propose that components of metabolic syndrome should be monitored in patients with RA throughout the disease course, and argue that optimal disease control using biologic agents might attenuate several adverse effects of metabolic syndrome in these patients.

Indexed as

Antirheumatic AgentsArthritis, RheumatoidCachexiaCholesterol, HDLCholesterol, LDLDyslipidemiasHumansInflammationInsulin ResistanceMetabolic SyndromeObesityTriglyceridesAntirheumatic AgentsCholesterol, HDLCholesterol, LDLTriglycerides

Identifiers

PMID25090948
OpenAlexW2052770133

What OpenQuestion holds

Textmetadata
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.