Evidence map›Paper›PMID 28917384›Full record

ArticleJournal of the American Academy of Dermatology2017

Serious infections among a large cohort of subjects with systemically treated psoriasis.

Allison S Dobry, Charles P Quesenberry, G Thomas Ray, Jamie L Geier, Maryam M Asgari

Open access · greenAbstract readComparative Study
In one paragraph

Article in Journal of the American Academy of Dermatology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
1.7field-weighted citation impact, top 16% 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

13 citing papers in PubMed, 40 citations in OpenAlex.

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  13. Infections in the era of immunobiologicals.Anais brasileiros de dermatologia
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors at 3 institutions in 1 country.

Allison S DobryDepartment of Dermatology, Massachusetts General Hospital, Boston, Massachusetts; Department of Population Medicine, Harvard Medical School, Boston, Massachusetts.
Charles P QuesenberryDivision of Research, Kaiser Permanente Northern California, Oakland, California.
G Thomas RayDivision of Research, Kaiser Permanente Northern California, Oakland, California.
Jamie L GeierPfizer Inc, New York, New York.
Maryam M AsgariDepartment of Dermatology, Massachusetts General Hospital, Boston, Massachusetts; Department of Population Medicine, Harvard Medical School, Boston, Massachusetts; Division of Research, Kaiser Permanente Northern California, Oakland, California.
Harvard University · USKaiser Permanente · USPfizer (United States) · US

Funding

Patient-oriented research and mentoring program in dermatologic diseasesK24AR069760 · NIAMS · UNIVERSITY OF COLORADO DENVER · PI ASGARI, MARYAM MANDANA · 2017 to 2025
$1.9M
NIAMS NIH HHS K24 AR069760
6 · The paper itself

Abstract

backgroundBiologic therapy is effective for treatment of moderate-to-severe psoriasis but may be associated with an increased risk for serious infection.

objectiveTo estimate the serious infection rate among patients with psoriasis treated with biologic as compared with nonbiologic systemic agents within a community-based health care delivery setting.

methodsWe identified 5889 adult Kaiser Permanente Northern California health plan members with psoriasis who had ever been treated with systemic therapies and calculated the incidence rates and 95% confidence intervals (CIs) for serious infections over 29,717 person-years of follow-up. Adjusted hazard ratios (aHRs) were calculated using Cox regression.

resultsAdjusting for age, sex, race or ethnicity, and comorbidities revealed a significantly increased risk for overall serious infection among patients treated with biologics as compared with those treated with nonbiologics (aHR, 1.31; 95% CI, 1.02-1.68). More specifically, there was a significantly elevated risk for skin and soft tissue infection (aHR, 1.75; 95% CI, 1.19-2.56) and meningitis (aHR, 9.22; 95% CI, 1.77-48.10) during periods of active biologic use. LIMITATIONS: Risk associated with individual drugs was not examined.

conclusionWe found an increased rate of skin and soft tissue infections among patients with psoriasis treated with biologic agents. There also was a signal suggesting increased risk for meningitis. Clinicians should be aware of these potential adverse events when prescribing biologic agents.

Indexed as

AdultAgedAge DistributionAntibodies, Monoclonal, HumanizedBacterial InfectionsBiological ProductsCaliforniaCohort StudiesConfidence IntervalsDatabases, FactualDrug-Related Side Effects and Adverse ReactionsFemaleHumansImmunosuppressive AgentsIncidenceMaleAntibodies, Monoclonal, HumanizedBiological ProductsImmunosuppressive Agentsbiologicsepidemiologypsoriasisserious adverse infectionssoft tissue infectionsTNF-α

Identifiers

PMID28917384
PMCPMC5880275
OpenAlexW2754072312

What OpenQuestion holds

Textmetadata
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.