Evidence map›Paper›PMID 27708953›Full record

ArticleEuropean journal of rheumatology2015

Current antiviral practice and course of Hepatitis B virus infection in inflammatory arthritis: a multicentric observational study (A + HBV study).

Umut Kalyoncu, Hakan Emmungil, Ahmet Mesut Onat, Sedat Yılmaz, Timuçin Kaşifoglu, Servet Akar, Nevsun İnanç, Fatih Yıldız, Orhan Küçükşahin, Ömer Karadağ and 25 more

Open access · diamondAbstract read
In one paragraph

Article in European journal of rheumatology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
0.4field-weighted citation impact, top 30% 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

2 citing papers in PubMed, 1 synthesis or guideline pooled it, 5 citations in OpenAlex.

  1. Pooled it
  2. 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

35 authors at 17 institutions in 2 countries.

Umut KalyoncuDepartment of Internal Medicine, Division of Rheumatology, Hacettepe University Faculty of Medicine, Ankara, Turkey.
Hakan EmmungilDepartment of Internal Medicine, Division of Rheumatology, Ege University Faculty of Medicine, İzmir, Turkey.
Ahmet Mesut OnatDepartment of Internal Medicine, Division of Rheumatology, Gaziantep University Faculty of Medicine, Gaziantep, Turkey.
Sedat YılmazDivision of Rheumatology, Gülhane Military Faculty of Medicine, Ankara, Turkey.
Timuçin KaşifogluDepartment of Internal Medicine, Division of Rheumatology, Osmangazi University, Faculty of Medicine, Eskişehir, Turkey.
Servet AkarDepartment of Internal Medicine, Division of Rheumatology, Dokuz Eylül University Faculty of Medicine, İzmir, Turkey.
Nevsun İnançDepartment of Internal Medicine, Division of Rheumatology, Marmara University Faculty of Medicine, İstanbul, Turkey.
Fatih YıldızDepartment of Internal Medicine, Division of Rheumatology, Çukurova University Faculty of Medicine, Adana, Turkey.
Orhan KüçükşahinDepartment of Internal Medicine, Division of Rheumatology, Ankara University Faculty of Medicine, Ankara, Turkey.
Ömer KaradağDivision of Rheumatology, Diyarbakır Goverment Hospital, Diyarbakır, Turkey.
Rıdvan MercanDepartment of Internal Medicine, Division of Rheumatology, Gazi University Faculty of Medicine, Ankara, Turkey.
Cemal BesDepartment of Internal Medicine, Division of Rheumatology, Abant Izzet Baysal University Faculty of Medicine, Bolu, Turkey.
Veli YazısızDepartment of Internal Medicine, Division of Rheumatology, Antalya University Faculty of Medicine, Antalya, Turkey.
Barış YılmazerDepartment of Internal Medicine, Division of Rheumatology, Kocaeli University Faculty of Medicine, Kocaeli, Turkey.
Mustafa ÖzmenDepartment of Internal Medicine, Division of Rheumatology, İzmir Atatürk Training and Research Hospital, İzmir, Turkey.
Şükran ErtenDepartment of Internal Medicine, Division of Rheumatology, Ankara Atatürk Education and Research Hospital, Ankara, Turkey.
Soner ŞenelDepartment of Internal Medicine, Division of Rheumatology, Erciyes University Faculty of Medicine, Kayseri, Turkey.
Ayten YazıcıDepartment of Internal Medicine, Division of Rheumatology, Sakarya Education and Research Hospital, Sakarya, Turkey.
Koray TaşçılarDepartment of Internal Medicine, Division of Rheumatology, Cerrahpaşa University, Faculty of Medicine, İstanbul, Turkey.
Melike KalfaDepartment of Internal Medicine, Division of Rheumatology, Ege University Faculty of Medicine, İzmir, Turkey.
Sedat KirazDepartment of Internal Medicine, Division of Rheumatology, Hacettepe University Faculty of Medicine, Ankara, Turkey.
Bünyamin KısacıkDepartment of Internal Medicine, Division of Rheumatology, Gaziantep University Faculty of Medicine, Gaziantep, Turkey.
Yavuz PehlivanDepartment of Internal Medicine, Division of Rheumatology, Gaziantep University Faculty of Medicine, Gaziantep, Turkey.
Levent KılıçDepartment of Internal Medicine, Division of Rheumatology, Hacettepe University Faculty of Medicine, Ankara, Turkey.
İsmail ŞimşekDivision of Rheumatology, Gülhane Military Faculty of Medicine, Ankara, Turkey.
Ayşe ÇefleDepartment of Internal Medicine, Division of Rheumatology, Kocaeli University Faculty of Medicine, Kocaeli, Turkey.
Nurullah AkkoçDepartment of Internal Medicine, Division of Rheumatology, Dokuz Eylül University Faculty of Medicine, İzmir, Turkey.
Haner DireskeneliDepartment of Internal Medicine, Division of Rheumatology, Marmara University Faculty of Medicine, İstanbul, Turkey.
Eren ErkenDepartment of Internal Medicine, Division of Rheumatology, Çukurova University Faculty of Medicine, Adana, Turkey.
Murat TurgayDepartment of Internal Medicine, Division of Rheumatology, Ankara University Faculty of Medicine, Ankara, Turkey.
Mehmet Akif ÖztürkDepartment of Internal Medicine, Division of Rheumatology, Gazi University Faculty of Medicine, Ankara, Turkey.
Mehmet SoyDepartment of Internal Medicine, Division of Rheumatology, Abant Izzet Baysal University Faculty of Medicine, Bolu, Turkey.
Kenan AksuDepartment of Internal Medicine, Division of Rheumatology, Ege University Faculty of Medicine, İzmir, Turkey.
Ayhan DinçDivision of Rheumatology, Gülhane Military Faculty of Medicine, Ankara, Turkey.
İhsan ErtenliDepartment of Internal Medicine, Division of Rheumatology, Hacettepe University Faculty of Medicine, Ankara, Turkey.
Kocaeli Üniversitesi · TREge University · TRMilitary Medical Academy · RSAnkara University · TRBolu Abant İzzet Baysal University · TRCukurova University · TRDokuz Eylül University · TRGaziantep University · TRGazi University · TRHacettepe University · TRIzmir Atatürk Eğitim ve Araştırma Hastanesi · TRMarmara University · TRAnkara Atatürk Eğitim ve Araştırma Hastanesi · TRErciyes University · TREskişehir Osmangazi University · TRIstanbul University-Cerrahpaşa · TRSivas State Hospital · TR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe reactivation of hepatitis B virus (HBV) infection is a well-known event in hepatitis B surface antigen (HbsAg)-positive patients receiving immunosuppressive therapy. The objective of this study was to assess the antiviral practice and course of HBV infection in inflammatory arthritis. MATERIAL AND

methodsNineteen rheumatology centers participated in this retrospective study. HbsAg-positive patients who were taking disease-modifying antirheumatic drugs and who were being tested for HBV viral load at a minimum of two different time points were included. The case report form (CRF) consisted of demographic data, rheumatic diseases, treatment profiles, transaminase levels, viral hepatitis serological markers, and HBV viral load. The reactivation of HBV was defined as the abrupt rise in HBV replication by an increase in serum HBV DNA levels in a patient with a previously inactive HBV infection.

resultsIn total, the data of 101 (female 50.5%) patients were included (76 patients with inactive HBV carriers and 25 patients with chronic HBV infection). The mean age of patients was 44±12 years, and the mean follow-up duration was 31±22 months. Of the 101 patients, 70 (69.3%) received antiviral treatment. HBV reactivation was detected in 13 of 76 (17.1%) patients with inactive HBV carriers. HBV reactivation was observed less frequently, not although significantly, in those patients receiving antiviral prophylaxis compared with those not receiving prophylaxis [5/41 (12.2%) vs. 8/33 (24.2%), p=0.17]. Forty-two patients (31 patients had inactive HBV carriers) were using anti-tumor necrosis factor agents. HBV reactivation was detected in 6 of the 31 (19.3%) patients. Twenty-five patients had chronic hepatitis, and five (20%) of them had not received antiviral prophylaxis. HBV viral loads were persistently elevated in 7 (28%) of 25 patients (three patients under and four patients not under antiviral treatment).

conclusionHBV reactivation was observed in approximately 17% of patients under immunosuppressive treatments. HBV reactivation was more frequently observed in those who did not receive antiviral prophylaxis.

Indexed as

ankylosing spondylitishepatitis B infectionhepatitis B reactivationhepatitis B viral loadRheumatoid arthritis

Identifiers

PMID27708953
PMCPMC5047228
OpenAlexW2529630843

What OpenQuestion holds

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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.