Evidence map›Paper›PMID 28822981›Full record

ArticleAnnals of the rheumatic diseases2017

Spectrum of lymphomas across different drug treatment groups in rheumatoid arthritis: a European registries collaborative project.

Louise K Mercer, Anne C Regierer, Xavier Mariette, William G Dixon, Eva Baecklund, Karin Hellgren, Lene Dreyer, Merete Lund Hetland, René Cordtz, Kimme Hyrich and 11 more

Open access · hybridAbstract read
In one paragraph

Article in Annals of the rheumatic diseases, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
37citing papers in PubMed, 1 pooled it
9.1field-weighted citation impact, top 1% 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

37 citing papers in PubMed, 1 synthesis or guideline pooled it, 93 citations in OpenAlex.

  1. Pooled it
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  8. [Risks of Cancer Associated with Therapeutic Drugs for Inflammatory Bowel Disease].The Korean journal of gastroenterology = Taehan Sohwagi Hakhoe chi · 2024
    Review
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

21 authors at 16 institutions in 9 countries.

Louise K MercerArthritis Research UK Centre for Epidemiology, University of Manchester, Manchester, UK.
Anne C RegiererEpidemiology Unit, German Rheumatism Research Centre, Berlin, Germany.
Xavier MarietteDepartment of Rheumatology, Université Paris-Sud, Hôpitaux Universitaires Paris-Sud, Le Kremlin Bicêtre, Paris, France.
William G DixonArthritis Research UK Centre for Epidemiology, University of Manchester, Manchester, UK.
Eva BaecklundDepartment of Medical Sciences, Uppsala University, Uppsala, Sweden.
Karin HellgrenClinical Epidemiology Unit, Karolinska Institutet, Stockholm, Sweden.
Lene DreyerCenter for Rheumatology and Spine Diseases, Gentofte University Hospital, Rigshospitalet, Hellerup, Denmark.
Merete Lund HetlandDANBIO, Copenhagen Center for Arthritis Research, Centre of Head and Orthopaedics, Rigshospitalet, Copenhagen, Denmark.
René CordtzCenter for Rheumatology and Spine Diseases, Gentofte University Hospital, Rigshospitalet, Hellerup, Denmark.
Kimme HyrichArthritis Research UK Centre for Epidemiology, University of Manchester, Manchester, UK.
Anja StrangfeldEpidemiology Unit, German Rheumatism Research Centre, Berlin, Germany.
Angela ZinkEpidemiology Unit, German Rheumatism Research Centre, Berlin, Germany.
Helena CanhaoEpiDoC Unit, Universidade Nova de Lisboa, CEDOC, NOVA Medical School and National School of Public Health, Lisbon, Portugal.
M Victoria HernandezDepartment of Rheumatology, Hospital Clinic of Barcelona, Barcelona, Spain.
Florence TubachDépartement of BIOSPIM, Département BIOSPIM Hôpital Pitié-Salpétrière, AP-HP, Sorbonne Universités, Université Pierre et Marie Curie, Paris, France.
Jacques-Eric GottenbergDepartment of Rheumatology, CHU Strasbourg, Strasbourg, France.
Jacques MorelDepartment of Rheumatology, University of Montpellier and Teaching Hospital Lapeyronie, Montpellier, France.
Jakub ZavadaInstitute of Rheumatology, First Faculty of Medicine, Charles University, Prague, Czech Republic.
Florenzo IannoneRheumatology Unit, University of Bari, Bari, Italy.
Johan AsklingClinical Epidemiology Unit, Karolinska Institutet, Stockholm, Sweden.
Joachim ListingEpidemiology Unit, German Rheumatism Research Centre, Berlin, Germany.
Charité - Universitätsmedizin Berlin · DEGerman Rheumatism Research Centre · DEKarolinska Institutet · SERigshospitalet · DKUniversity of Manchester · GBCharles University · CZGentofte Hospital · DKHôpital Civil, Strasbourg · FRHôpitaux Universitaires Paris-Ouest · FRHospital Clínic de Barcelona · ESSorbonne Université · FRUniversidade Nova de Lisboa · PTUniversité de Montpellier · FRUniversity of Bari Aldo Moro · ITUppsala University · SEVersus Arthritis · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLymphomas comprise a heterogeneous group of malignant diseases with highly variable prognosis. Rheumatoid arthritis (RA) is associated with a twofold increased risk of both Hodgkin's lymphoma (HL) and non-Hodgkin's lymphoma (NHL). It is unknown whether treatment with biologic disease-modifying antirheumatic drugs (bDMARDs) affect the risk of specific lymphoma subtypes.

methodsPatients never exposed to (bionaïve) or ever treated with bDMARDs from 12 European biologic registers were followed prospectively for the occurrence of first ever histologically confirmed lymphoma. Patients were considered exposed to a bDMARD after having received the first dose. Lymphomas were attributed to the most recently received bDMARD.

resultsAmong 124 997 patients (mean age 59 years; 73.7% female), 533 lymphomas were reported. Of these, 9.5% were HL, 83.8% B-cell NHL and 6.8% T-cell NHL. No cases of hepatosplenic T-cell lymphoma were observed. Diffuse large B-cell lymphoma (DLBCL) was the most frequent B-cell NHL subtype (55.8% of all B-cell NHLs). The subtype distributions were similar between bionaïve patients and those treated with tumour necrosis factor inhibitors (TNFi). For other bDMARDs, the numbers of cases were too small to draw any conclusions. Patients with RA developed more DLBCLs and less chronic lymphocytic leukaemia compared with the general population.

conclusionThis large collaborative analysis of European registries has successfully collated subtype information on 533 lymphomas. While the subtype distribution differs between RA and the general population, there was no evidence of any modification of the distribution of lymphoma subtypes in patients with RA treated with TNFi compared with bionaïve patients.

Indexed as

Antirheumatic AgentsArthritis, RheumatoidEuropeFemaleHumansLymphomaLymphoma, B-CellLymphoma, Non-HodgkinLymphoma, T-CellMaleMiddle AgedRegistriesRisk FactorsTumor Necrosis Factor InhibitorsAntirheumatic AgentsTumor Necrosis Factor Inhibitorsanti-TNFDMARDs(biologic)epidemiologyrheumatoid arthritis

Identifiers

PMID28822981
PMCPMC5705847
OpenAlexW2739190894

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

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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.