Evidence map›Paper›PMID 27832797›Full record

ArticleArthritis research & therapy2016

Effects of anti-TNF-α treatment on lipid profile in rheumatic diseases: an analytical cohort study.

Shadi Hassan, Uzi Milman, Joy Feld, Lihi Eder, Idit Lavi, Shai Cohen, Devy Zisman

Open access · goldFull text read
In one paragraph

Article in Arthritis research & therapy, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 2 pooled it
3.3field-weighted citation impact, top 8% 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

21 citing papers in PubMed, 2 syntheses or guidelines pooled it, 41 citations in OpenAlex.

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  12. Inflammatory Mediators in Atherosclerotic Vascular Remodeling.Frontiers in cardiovascular medicine · 2022
    Review
  13. The Effect of TNF-Cardiology research and practice · 2022
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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

7 authors at 3 institutions in 2 countries.

Shadi HassanDepartment of Internal Medicine, Carmel Medical Center, Haifa, Israel.
Uzi MilmanClinical Research Unit, Clalit Health Services, Haifa and Western Galilee District, Haifa, Israel.
Joy FeldDepartment of Rheumatology, Carmel Medical Center, Haifa, Israel.
Lihi EderWomen's College Research Institute, Women's College Hospital, Toronto, ON, Canada.
Idit LaviDepartment of Community Medicine and Epidemiology, Carmel Medical Center, Haifa, Israel.
Shai CohenDepartment of Internal Medicine, Carmel Medical Center, Haifa, Israel.
Devy ZismanThe Ruth and Bruce Rappoport Faculty of Medicine, Technion, Israel Institute of Technology, Haifa, Israel. devyzisman@gmail.com.ORCID 0000-0003-0523-2292
Carmel Medical Center · ILTechnion – Israel Institute of Technology · ILUniversity of Toronto · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe aim was to assess the influence of long-term treatment with tumor necrosis factor alpha (TNF-α) inhibitors on total cholesterol (TC), triglycerides (TG), low-density lipoprotein (LDL), high-density lipoprotein (HDL), and atherogenic index (AI) in rheumatoid arthritis (RA), psoriatic arthritis (PsA), and ankylosing spondylitis (AS) patients.

methodsA retrospective cohort study was conducted on RA, PsA, and AS patients treated with TNF-α inhibitors for at least 270 days between 2001 and 2011. Levels of TC, TG, LDL, and HDL and the AI were compared with baseline values at 0-6, 6-12, 12-18, and 18-24 months. Patients were further subdivided into three groups according to their HMG CoA reductase inhibitor (statin) treatment status in order to assess their effect on the results.

resultsThe records of 311 patients (152 RA, 90 PsA, and 69 AS) were reviewed. TC and TG increased following treatment with TNF-α inhibitors, from 180.85 ± 2.12 mg/dl and 116.00 ± 3.55 mg/dl at baseline to 188.12 ± 2.35 mg/dl (p = 0.02) and 132.02 ± 4.63 mg/dl at 0-6 months (p < 0.01), respectively, and to 184.88 ± 2.09 mg/dl (p = 0.02) and 129.36 ± 4.32 mg/dl at 18-24 months (p < 0.01), respectively. AI increased following treatment with TNF-α inhibitors, from -0.032 ± 0.017 at baseline to 0.004 ± 0.019 at 18-24 months (p < 0.01). LDL decreased significantly in patients who were treated with statins before and during the entire study period, from 119.97 ± 2.86 mg/dl at baseline to 104.02 ± 3.57 mg/dl at 18-24 months (p < 0.01), in contrast to an increase in LDL values in patients who did not receive statins during the study.

conclusionsTNF-α inhibitor treatment was associated with a significant increase in TC and TG levels and the AI. Adding statins to the treatment was associated with a significant decrease in LDL levels.

Indexed as

AdultAgedAntirheumatic AgentsCardiovascular DiseasesCohort StudiesFemaleHumansHydroxymethylglutaryl-CoA Reductase InhibitorsLipidsMaleMiddle AgedRetrospective StudiesRheumatic DiseasesTumor Necrosis Factor-alphaAntirheumatic AgentsHydroxymethylglutaryl-CoA Reductase InhibitorsLipidsTumor Necrosis Factor-alphaAnkylosing spondylitisLipid profilePsoriatic arthritisRheumatoid arthritisTNF-α inhibitors

Identifiers

PMID27832797
PMCPMC5103435
OpenAlexW2551049614

What OpenQuestion holds

Textfull text, public
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.