Evidence map›Paper›PMID 28277344›Full record

Observational studyJournal of clinical rheumatology : practical reports on rheumatic & musculoskeletal diseases2017

Use of Hydroxychloroquine Is Associated With Improved Lipid Profile in Rheumatoid Arthritis Patients.

Jose Felix Restrepo, Inmaculada Del Rincon, Emily Molina, Daniel F Battafarano, Agustin Escalante

Open access · greenAbstract readObservational Study
In one paragraph

Observational study in Journal of clinical rheumatology : practical reports on rheumatic & musculoskeletal diseases, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
2.0field-weighted citation impact, top 14% 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

16 citing papers in PubMed, 30 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Review
  4. Sjogren's Disease and Elevated Cardiovascular Risk: Mechanisms and Treatment.Journal of cardiovascular development and disease · 2025
    Review
  5. Article
  6. Article
  7. Lipid metabolism and rheumatoid arthritis.Frontiers in immunology · 2023
    Review
  8. Hydroxychloroquine-induced Retinal Toxicity.Frontiers in pharmacology · 2023
    Review
  9. Article
  10. Review
  11. Review
  12. Review
  13. Cardiovascular Risk Assessment and Therapeutic Implications in Rheumatoid Arthritis.Journal of cardiovascular translational research · 2020
    Review
  14. Review
  15. Review
  16. 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

5 authors at 1 institution in 1 country.

Jose Felix RestrepoFrom the University of Texas Health Science Center at San Antonio, San Antonio, TX.
Inmaculada Del Rincon
Emily Molina
Daniel F Battafarano
Agustin Escalante
The University of Texas Health Science Center at San Antonio · US

Funding

Effect of Chronic Inflammation on Atherosclerosis Outcomes in RAR01HL085742 · NHLBI · UNIVERSITY OF TEXAS HLTH SCIENCE CENTER · PI DEL RINCON, INMACULADA · 2008 to 2013
$3.6M
NHLBI NIH HHS R01 HL085742
6 · The paper itself

Abstract

background/purposeWe examined the association between hydroxychloroquine (HCQ) and plasma lipid and glucose levels in rheumatoid arthritis (RA) cohort.

methodsThis is a retrospective cohort analysis of 1261 RA patients comparing fasting lipid profiles and plasma glucose between patients who were and were not taking HCQ. We divided patients into 3 groups based on HCQ exposure during follow-up: those who had never taken HCQ, those who took it intermittently, and those who took it continuously. We used multivariable models and propensity scoring to compensate for the effect of nonrandom treatment assignment.

resultsWe followed 1261 RA patients for a total of 4605 observations between 1996 and 2014. After adjusting for age, sex, ethnicity, other disease-modifying antirheumatic drugs (DMARDs), lipid-lowering medications, body mass index (BMI), and smoking, patients taking HCQ at baseline had significantly lower total cholesterol (TC) (P ≤ 0.001), low-density lipoprotein (LDL) (P ≤ 0.001), triglycerides (P = 0.013), and lipid profile ratios TC/high-density lipoprotein (HDL) (P ≤ 0.001) and LDL/HDL (P ≤ 0.001), as well as higher HDL (P ≤ 0.001).In longitudinal analyses, after adjusting for confounders, patients who continuously took HCQ showed significantly lower TC, LDL, TC/HDL, and LDL/HDL and higher HDL (P ≤ 0.01). Fasting plasma glucose levels were not significantly associated with HCQ exposure.

conclusionsHydroxychloroquine use was associated with lower lipid levels but not with the plasma glucose in this RA cohort. These findings support the need for a randomized trial to establish the role of HCQ in cardiovascular disease prevention in RA patients.

Indexed as

Arthritis, RheumatoidAntirheumatic AgentsBlood GlucoseBody Mass IndexCholesterolFemaleFollow-Up StudiesHumansHydroxychloroquineLipid MetabolismLipoproteins, LDLMaleMedication Therapy ManagementMiddle AgedTriglyceridesUnited StatesAntirheumatic AgentsBlood GlucoseCholesterolHydroxychloroquineLipoproteins, LDLTriglycerides

Identifiers

PMID28277344
PMCPMC5364043
OpenAlexW2594808207

What OpenQuestion holds

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LicenceTDM
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.