Evidence map›Paper›PMID 28270190›Full record

ArticleArthritis research & therapy2017

Social media for arthritis-related comparative effectiveness and safety research and the impact of direct-to-consumer advertising.

Jeffrey R Curtis, Lang Chen, Phillip Higginbotham, W Benjamin Nowell, Ronit Gal-Levy, James Willig, Monika Safford, Joseph Coe, Kaitlin O'Hara, Roee Sa'adon

Open access · goldAbstract read
In one paragraph

Article in Arthritis research & therapy, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 2 pooled it
3.7field-weighted citation impact, top 7% 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

15 citing papers in PubMed, 2 syntheses or guidelines pooled it, 28 citations in OpenAlex.

  1. Pooled it
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  5. Pharmacovigilance in the digital age: gaining insight from social media data.Experimental biology and medicine (Maywood, N.J.) · 2025
    Review
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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

10 authors at 3 institutions in 1 country.

Jeffrey R CurtisThe University of Alabama at Birmingham, FOT 802, 1720 2nd Ave S, Birmingham, AL, 35294-3408, USA. jcurtis@uab.edu.
Lang ChenThe University of Alabama at Birmingham, FOT 802, 1720 2nd Ave S, Birmingham, AL, 35294-3408, USA.
Phillip HigginbothamThe University of Alabama at Birmingham, FOT 802, 1720 2nd Ave S, Birmingham, AL, 35294-3408, USA.
W Benjamin NowellGlobal Healthy Living Foundation/CreakyJoints, Upper Nyack, NY, USA.
Ronit Gal-LevyTreato Ltd, Or Yehuda, Israel.
James WilligThe University of Alabama at Birmingham, FOT 802, 1720 2nd Ave S, Birmingham, AL, 35294-3408, USA.
Monika SaffordWeill-Cornell Department of Medicine, New York, NY, USA.
Joseph CoeGlobal Healthy Living Foundation/CreakyJoints, Upper Nyack, NY, USA.
Kaitlin O'HaraTreato Ltd, Princeton, NY, USA.
Roee Sa'adonTreato Ltd, Or Yehuda, Israel.
University of Alabama at Birmingham · USGlobal Healthy Living Foundation · USCornell University · US

Funding

UAB Multidisciplinary Clinical Research CenterP60AR064172 · NIAMS · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI BRIDGES, S LOUIS · 2013 to 2018
$4.5M
NIAMS NIH HHS P60 AR064172
6 · The paper itself

Abstract

backgroundSocial media may complement traditional data sources to answer comparative effectiveness/safety questions after medication licensure.

methodsThe Treato platform was used to analyze all publicly available social media data including Facebook, blogs, and discussion boards for posts mentioning inflammatory arthritis (e.g. rheumatoid, psoriatic). Safety events were self-reported by patients and mapped to medical ontologies, resolving synonyms. Disease and symptom-related treatment indications were manually redacted. The units of analysis were unique terms in posts. Pre-specified conditions (e.g. herpes zoster (HZ)) were selected based upon safety signals from clinical trials and reported as pairwise odds ratios (ORs); drugs were compared with Fisher's exact test. Empirically identified events were analyzed using disproportionality analysis and reported as relative reporting ratios (RRRs). The accuracy of a natural language processing (NLP) classifier to identify cases of shingles associated with arthritis medications was assessed.

resultsAs of October 2015, there were 785,656 arthritis-related posts. Posts were predominantly US posts (75%) from patient authors (87%) under 40 years of age (61%). For HZ posts (n = 1815), ORs were significantly increased with tofacitinib versus other rheumatoid arthritis therapies. ORs for mentions of perforated bowel (n = 13) were higher with tocilizumab versus other therapies. RRRs associated with tofacitinib were highest in conditions related to baldness and hair regrowth, infections and cancer. The NLP classifier had a positive predictive value of 91% to identify HZ. There was a threefold increase in posts following television direct-to-consumer advertisement (p = 0.04); posts expressing medication safety concerns were significantly more frequent than favorable posts.

conclusionSocial media is a challenging yet promising data source that may complement traditional approaches for comparative effectiveness research for new medications.

Indexed as

Direct-to-Consumer AdvertisingAntibodies, Monoclonal, HumanizedAntirheumatic AgentsArthritis, RheumatoidComparative Effectiveness ResearchHerpes ZosterHumansIntestinal PerforationNatural Language ProcessingPiperidinesPyrimidinesPyrrolesSocial MediaAntibodies, Monoclonal, HumanizedAntirheumatic AgentsPiperidinesPyrimidinesPyrrolestocilizumabtofacitinibEtanerceptFacebookHerpes zosterRheumatoid arthritisSocial mediaTocilizumabTofacitinibTwitter

Identifiers

PMID28270190
PMCPMC5341200
OpenAlexW2592827712

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.