Evidence map›Paper›PMID 25114684›Full record

ReviewInternational journal of rheumatology2014

HBV Reactivation in Patients Treated with Antitumor Necrosis Factor-Alpha (TNF-α) Agents for Rheumatic and Dermatologic Conditions: A Systematic Review and Meta-Analysis.

Fabrizio Cantini, Stefania Boccia, Delia Goletti, Florenzo Iannone, Emanuele Leoncini, Nikola Panic, Francesca Prignano, Giovanni Battista Gaeta

Open access · hybridAbstract readReview
In one paragraph

Review in International journal of rheumatology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 8 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 8 pooled it
4.9field-weighted citation impact, top 5% 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

26 citing papers in PubMed, 8 syntheses or guidelines pooled it, 65 citations in OpenAlex.

  1. Pooled it
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  3. Regional risk ofFrontiers in pharmacology · 2023
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  5. Guideline
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  9. Trial
  10. Article
  11. Review
  12. Review
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  15. Hepatitis B virus reactivation in rheumatoid arthritis.World journal of clinical cases · 2022
    Review
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  18. Review
  19. Article
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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

8 authors at 5 institutions in 1 country.

Fabrizio CantiniDivision of Rheumatology, Misericordia e Dolce Hospital, Via Cavour 87/89, 59100 Prato, Italy.
Stefania BocciaSection of Hygiene, Institute of Public Health, Department of Public Health, Università Cattolica del Sacro Cuore, L.go F.Vito 1, 00168 Rome, Italy.
Delia GolettiTranslational Research Unit, Department of Epidemiology and Preclinical Research, INMI, Via Portuense 292, 00149 Rome, Italy.ORCID 0000-0001-8360-4376
Florenzo IannoneRheumatology Unit, Interdisciplinary Department of Medicine, University of Bari, Piazza Giulio Cesare 1, 70124 Bari, Italy.
Emanuele LeonciniSection of Hygiene, Institute of Public Health, Department of Public Health, Università Cattolica del Sacro Cuore, L.go F.Vito 1, 00168 Rome, Italy.
Nikola PanicSection of Hygiene, Institute of Public Health, Department of Public Health, Università Cattolica del Sacro Cuore, L.go F.Vito 1, 00168 Rome, Italy.ORCID 0000-0002-5930-9884
Francesca PrignanoDermatology Clinic/ASF Department of Surgery and Translational Medicine, University of Florence, Via Lorenzo Il Magnifico 104, 50129 Florence, Italy.
Giovanni Battista GaetaSection of Infectious Diseases, Department of Internal Medicine, Second University of Naples, Via S. Pansini 5, 80131 Naples, Italy.
Università Cattolica del Sacro Cuore · ITOspedale Misericordia e Dolce · ITUniversity of Bari Aldo Moro · ITUniversity of Campania "Luigi Vanvitelli" · ITUniversity of Florence · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction. Antitumor necrosis factor-alpha (TNF-α) agents are widely used for treatment of rheumatic and dermatological diseases. We conducted the systematic review and meta-analysis to assess the prevalence of HBV reactivation among patients treated with anti-TNF-α. Methods and Findings. A comprehensive literature search of MEDLINE, Scopus, and ISI Web of Knowledge databases was conducted. From 21 studies included in the systematic review, 9 included patients with occult chronic HBV infection and 6 included patients with overt infection while 6 addressed both groups. Based on 10 studies eligible for meta-analysis we report pooled estimate of HBV reactivation of 4.2% (95% CI: 1.4-8.2%, I (2): 74.7%). The pooled prevalence of reactivation was 3.0% (95% CI: 0.6-7.2, I (2): 77.1%) for patients with occult infection, and 15.4% (95% CI: 1.2-41.2%, I (2): 79.9%) for overt infection. The prevalence of reactivation was 3.9% (95% CI: 1.1-8.4%, I (2): 51.1%) for treatment with etanercept and 4.6% (95% CI: 0.5-12.5%, I (2): 28.7%) for adalimumab. For subgroup of patients without any antiviral prophylaxis the pooled reactivation was 4.0% (95% CI: 1.2-8.3%, I (2): 75.6%). Conclusion. Although HBV reactivation rate is relatively low in patients treated with anti-TNF-α for rheumatic and dermatological conditions, the antiviral prophylaxis would be recommended in patients with overt chronic HBV infection.

Identifiers

PMID25114684
PMCPMC4119686
OpenAlexW2040913701

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.