Evidence map›Paper›PMID 25523080›Full record

Observational studyBMC gastroenterology2014

Lack of evidence of viral reactivation in HBsAg-negative HBcAb-positive and HCV patients undergoing immunosuppressive therapy for psoriasis.

Filomena Morisco, Maria Guarino, Serena La Bella, Luisa Di Costanzo, Nicola Caporaso, Fabio Ayala, Nicola Balato

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in BMC gastroenterology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
1.7field-weighted citation impact, top 16% 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

11 citing papers in PubMed, 1 synthesis or guideline pooled it, 29 citations in OpenAlex.

  1. Guideline
  2. Article
  3. Article
  4. Article
  5. Article
  6. Updates on Chronic HBV: Current Challenges and Future Goals.Current treatment options in gastroenterology · 2019
    Review
  7. Article
  8. Review
  9. Article
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  11. 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

7 authors at 1 institution in 1 country.

Filomena MoriscoDepartment of Clinical Medicine and Surgery, Gastroenterology Unit, University of Naples "Federico II", Via S. Pansini, 5, Naples, 80131, Italy. filomena.morisco@unina.it.
Maria GuarinoDepartment of Clinical Medicine and Surgery, Gastroenterology Unit, University of Naples "Federico II", Via S. Pansini, 5, Naples, 80131, Italy. maria.guarino86@gmail.com.
Serena La BellaDermatology Units, University of Naples "Federico II", Via S. Pansini, 5, Naples, 80131, Italy. serena.labella@yahoo.it.
Luisa Di CostanzoDermatology Units, University of Naples "Federico II", Via S. Pansini, 5, Naples, 80131, Italy. luisadicostanzo@virgilio.it.
Nicola CaporasoDepartment of Clinical Medicine and Surgery, Gastroenterology Unit, University of Naples "Federico II", Via S. Pansini, 5, Naples, 80131, Italy. nicola.caporaso@unina.it.
Fabio AyalaDermatology Units, University of Naples "Federico II", Via S. Pansini, 5, Naples, 80131, Italy. ayala@unina.it.
Nicola BalatoDermatology Units, University of Naples "Federico II", Via S. Pansini, 5, Naples, 80131, Italy. balato@unina.it.
University of Naples Federico II · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHBV and HCV reactivation have been widely reported in patients undergoing immunosuppressive therapy (IT); however, few data are available on the risk of reactivation in patients with psoriasis receiving IT. The aim of our study was to assess the prevalence of HBV and HCV infection in patients with psoriasis and to evaluate the effects of IT during the course of the infection.

methodsThe study included psoriatic patients who attended an Italian tertiary referral hospital from 2009 to 2012. A total of 224 patients were enrolled. We evaluated: HBV and HCV markers, type of IT and the occurrence of viral reactivation. The observational period ranged from the beginning of IT to the last visit, with a mean follow-up period of 54 months.

resultsTwo hundred and twenty patients (135 males and 89 females; mean age 59 years; range 18-86 years) with psoriasis, with or without psoriatic arthritis, receiving conventional IT and/or biological drugs were tested for markers of infection. We identified 23/224 patients (10.2%) with isolated positivity for HBcAb positivity, 36/224 (16%) with positivity for HBsAb/HBcAb, and 15/224 (6.6%) with positivity for HCV-Ab. No patient was HBsAg positive, none of them underwent pre-emptive therapy with lamivudine or other antiviral drugs and no one showed episodes of viral reactivation.

conclusionsThe prevalence of HBsAg in patients with psoriasis is lower than that observed in the general population. The prevalence of isolated positivity for HBcAb and of combined positivity for HBcAb and HBsAb is 10.2% and 16%, respectively. The prevalence of HCV infection (HCV-RNA+) is 4%. In patients with psoriasis and HCV-Ab or HBcAb positivity, the IT seems to be safe, regardless of the type of drugs.

Indexed as

Virus ActivationAdolescentAdultAgedAged, 80 and overFemaleHepacivirusHepatitis BHepatitis B AntibodiesHepatitis B Surface AntigensHepatitis CHumansImmunosuppressive AgentsMaleMiddle AgedPsoriasisHepatitis B AntibodiesHepatitis B Surface AntigensImmunosuppressive Agents

Identifiers

PMID25523080
PMCPMC4279461
OpenAlexW2024513897

What OpenQuestion holds

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LicenceCC BY
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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.