Evidence map›Paper›PMID 27330166›Full record

Observational studyRheumatology (Oxford, England)2016

Anti-citrullinated protein antibodies are linked to erosive disease in an observational study of patients with psoriatic arthritis.

Frank Behrens, Michaela Koehm, Diamant Thaçi, Holger Gnann, Gerd Greger, Bianca Maria Wittig, Harald Burkhardt

Registry-linked trialOpen access · hybridAbstract readObservational Study
In one paragraph

Observational study in Rheumatology (Oxford, England), 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01111240 (A Long Term Documentation to Demonstrate Long Term Efficacy and Safety of Humira® in Patients With Psoriatic Arthritis Under Conditions of Daily Practice), which is not on this map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
4.8field-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.

NCT01111240 completednot on this map

A Long Term Documentation to Demonstrate Long Term Efficacy and Safety of Humira® in Patients With Psoriatic Arthritis Under Conditions of Daily Practice

TypeobservationalSponsorAbbVie (prior sponsor, Abbott)Ran2005 to 2013Enrolled4,635ConditionsPsoriatic Arthritis
3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 1 synthesis or guideline pooled it, 34 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. Review
  5. Article
  6. Article
  7. Review
  8. [Clinical characteristics of psoriatic arthritis with positive rheumatoid factor or anti-cyclic citrullinated peptide antibody].Beijing da xue xue bao. Yi xue ban = Journal of Peking University. Health sciences · 2019
    Article
  9. Osteoporosis in Rheumatic Diseases.International journal of molecular sciences · 2019
    Review
  10. Review
  11. Article
  12. Article
  13. Article
  14. 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 4 institutions in 1 country.

Frank BehrensDivision of Rheumatology, University Hospital Frankfurt, Goethe University Project Group Translational Medicine & Pharmacology TMP, Fraunhofer Institute for Molecular Biology and Applied Ecology IME, Frankfurt am Main.
Michaela KoehmDivision of Rheumatology, University Hospital Frankfurt, Goethe University Project Group Translational Medicine & Pharmacology TMP, Fraunhofer Institute for Molecular Biology and Applied Ecology IME, Frankfurt am Main.
Diamant ThaçiComprehensive Center of Inflammation Medicine, University Hospital Schleswig-Holstein Campus, Lübeck.
Holger GnannGKM Gesellschaft für Therapieforschung mbH, München.
Gerd GregerAbbVie Deutschland GmbH & Co KG, Wiesbaden, Germany.
Bianca Maria WittigAbbVie Deutschland GmbH & Co KG, Wiesbaden, Germany.
Harald BurkhardtDivision of Rheumatology, University Hospital Frankfurt, Goethe University Project Group Translational Medicine & Pharmacology TMP, Fraunhofer Institute for Molecular Biology and Applied Ecology IME, Frankfurt am Main harald.burkhardt@kgu.de.
AbbVie (Germany) · DEGoethe University Frankfurt · DEFraunhofer Institute for Molecular Biology and Applied Ecology · DEUniversity of Lübeck · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveACPAs are associated with bone destruction in RA. The aim of this study was to evaluate the association between ACPA and bone destruction in patients with a distinct inflammatory disorder, PsA.

methodsWe used baseline data from a large observational study of PsA patients preparing to initiate treatment with adalimumab to analyse demographic and disease characteristics by ACPA status. To ensure a homogeneous PsA study population, only patients with active psoriatic skin manifestations who met Classification of Psoriatic Arthritis criteria for PsA were included in the analyses, thereby minimizing the risk of including misdiagnosed RA patients. Multiple logistic regression analyses were used to explore potential associations between ACPA seropositivity and bone destruction.

resultsOf 1996 PsA patients who met the strict inclusion criteria, 105 (5.3%) were positive for ACPA. ACPA-positive patients had significantly higher swollen joint counts and 28-joint DAS values than ACPA-negative patients and significantly higher rates of erosive changes and dactylitis. Multiple logistic regression analysis confirmed the association of ACPA seropositivity with a 2.8-fold increase in the risk of erosive disease.

conclusionAs has been previously shown for RA, ACPA is associated with bone destruction in PsA, suggesting that the osteocatabolic effect of ACPA is not confined to RA but is also detectable in the different pathogenetic context of a distinct disease entity.

trial registrationClinicalTrials.gov, NCT01111240.

Indexed as

AdalimumabAntirheumatic AgentsArthritis, PsoriaticAutoantibodiesFemaleHumansMaleMiddle AgedOsteoporosisPeptides, CyclicAdalimumabAntirheumatic AgentsAutoantibodiescyclic citrullinated peptidePeptides, Cyclicadalimumabanti-citrullinated protein antibodieserosionsobservational studyosteoporosispsoriatic arthritis

Identifiers

PMID27330166
PMCPMC5034218
OpenAlexW2473254454

What OpenQuestion holds

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LicenceCC BY-NC
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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.