Evidence map›Paper›PMID 29088580›Full record

ArticleArthritis & rheumatology (Hoboken, N.J.)2018

Association of Tumor Necrosis Factor Inhibitor Treatment With Reduced Indices of Subclinical Atherosclerosis in Patients With Psoriatic Disease.

Lihi Eder, Aditya A Joshi, Amit K Dey, Richard Cook, Evan L Siegel, Dafna D Gladman, Nehal N Mehta

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In one paragraph

Article in Arthritis & rheumatology (Hoboken, N.J.), 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 47 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
47citing papers in PubMed, 2 pooled it
2.9field-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

47 citing papers in PubMed, 2 syntheses or guidelines pooled it, 67 citations in OpenAlex.

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  16. Cardiovascular comorbidities in psoriatic arthritis: state of the art.Therapeutic advances in musculoskeletal disease · 2024
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors at 4 institutions in 2 countries.

Lihi EderWomen's College Hospital and University of Toronto, Toronto, Ontario, Canada.
Aditya A JoshiNational Heart, Lung, and Blood Institute, NIH, Bethesda, Maryland.ORCID 0000-0003-4842-8666
Amit K DeyNational Heart, Lung, and Blood Institute, NIH, Bethesda, Maryland.
Richard CookUniversity of Waterloo, Waterloo, Ontario, Canada.
Evan L SiegelArthritis and Rheumatism Associates, Rockville, Maryland.
Dafna D GladmanUniversity of Toronto and Toronto Western Hospital, Toronto, Ontario, Canada.
Nehal N MehtaNational Heart, Lung, and Blood Institute, NIH, Bethesda, Maryland.
National Heart Lung and Blood Institute · USUniversity of Toronto · CAArthritis and Rheumatism Associates · USUniversity of Waterloo · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo assess the effect of tumor necrosis factor inhibitors (TNFi) on subclinical cardiovascular disease in patients with psoriatic disease.

methodsWe performed a 2-stage study. In stage 1, carotid total plaque area was assessed in patients with psoriasis or psoriatic arthritis (PsA) (n = 319) by ultrasound at baseline and after 2-3 years. The annual progression rate of atherosclerosis was the outcome of interest. In stage 2, PsA patients receiving TNFi (n = 21) and age- and sex-matched PsA patients not receiving any biologic agent (n = 13) underwent

resultsIn stage 1, men had significantly higher atherosclerosis progression than women (P < 0.001). TNFi was associated with reduced atherosclerosis progression in men after controlling for cardiovascular risk and use of statins (adjusted β = -2.20 [95% confidence interval -3.41, -1.00], P < 0.001). There was no association between TNFi and atherosclerosis progression in women (P = 0.74). In stage 2, patients receiving TNFi had reduced TBR at 1 year (P = 0.03). Those not receiving TNFi had no significant change in TBR (P = 0.32). The improvement in aortic vascular inflammation in the TNFi group was independent of cardiovascular risk factors (adjusted β = -0.41 [95% confidence interval -0.74, -0.08], P = 0.02).

conclusionOur findings indicate that TNFi treatment is associated with reduced progression of carotid plaques in men and improvement in vascular inflammation in both men and women with psoriatic disease.

Indexed as

AdultAgedAntirheumatic AgentsAtherosclerosisCanadaCohort StudiesDisease ProgressionFemaleFluorodeoxyglucose F18HumansMaleMiddle AgedPlaque, AtheroscleroticPositron Emission Tomography Computed TomographyProspective StudiesPsoriasisAntirheumatic AgentsFluorodeoxyglucose F18Tumor Necrosis Factor-alpha

Identifiers

PMID29088580
OpenAlexW2765277061

What OpenQuestion holds

Textmetadata
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.