Evidence map›Paper›PMID 29176449›Full record

ArticleCornea2018

Can Appropriate Systemic Treatment Help Protect the Cornea in Patients With Rheumatoid Arthritis? A Multidisciplinary Approach to Autoimmune Ocular Involvement.

Manuel J Amador-Patarroyo, Emilio Jalil-Florencia, Oscar Otero-Marquez, Nicolás Molano-Gonzalez, Ruben D Mantilla, Adriana Rojas-Villarraga, Juan-Manuel Anaya, Carmen Barraquer-Coll

Open access · hybridAbstract read
In one paragraph

Article in Cornea, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.9field-weighted citation impact, top 24% 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

1 citing paper in PubMed, 11 citations in OpenAlex.

  1. Article
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

8 authors at 1 institution in 1 country.

Manuel J Amador-PatarroyoEscuela Superior de Oftalmologia, Instituto Barraquer de America, Bogota, Colombia.
Emilio Jalil-FlorenciaEscuela Superior de Oftalmologia, Instituto Barraquer de America, Bogota, Colombia.
Oscar Otero-MarquezEscuela Superior de Oftalmologia, Instituto Barraquer de America, Bogota, Colombia.
Nicolás Molano-GonzalezCenter for Autoimmune Diseases Research (CREA), School of Medicine and Health Sciences, Universidad del Rosario, Bogota, Colombia. Dr. Rojas-Villarraga is now with Artmedica IPS, Bogotá, Colombia.
Ruben D MantillaCenter for Autoimmune Diseases Research (CREA), School of Medicine and Health Sciences, Universidad del Rosario, Bogota, Colombia. Dr. Rojas-Villarraga is now with Artmedica IPS, Bogotá, Colombia.
Adriana Rojas-VillarragaCenter for Autoimmune Diseases Research (CREA), School of Medicine and Health Sciences, Universidad del Rosario, Bogota, Colombia. Dr. Rojas-Villarraga is now with Artmedica IPS, Bogotá, Colombia.
Juan-Manuel AnayaCenter for Autoimmune Diseases Research (CREA), School of Medicine and Health Sciences, Universidad del Rosario, Bogota, Colombia. Dr. Rojas-Villarraga is now with Artmedica IPS, Bogotá, Colombia.
Carmen Barraquer-CollEscuela Superior de Oftalmologia, Instituto Barraquer de America, Bogota, Colombia.
Instituto Barraquer de América · CO

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo correlate rheumatologic with ophthalmic and laboratory findings in patients with rheumatoid arthritis (RA) to identify what effect these have on development of ocular disease.

methodsThis is a cross-sectional study of 172 eyes of 86 patients with RA. Patients were examined by a group of rheumatologists. Sociodemographic, clinical, and laboratory data were collected. All patients underwent complete ophthalmologic examination including corneal topography and endothelial cell count.

resultsThere was no significant correlation between RA-negative prognostic indicators (NPIs) and pathologic corneal findings. Patients using disease-modifying antirheumatic drugs (DMARDs) and antimalarial drugs had greater corneal volumes (mean difference 8.51 mm, 90% confidence interval [CI], 3.98-13.04, P = 0.004; and 2.24, 90% CI, 0.32-4.54, P = 0.048, respectively). Patients using azathioprine had lower endothelial cell counts compared with those using other drugs (mean difference 180 cells/mm, 90% CI, 69-291, P = 0.008). Patients using biologic DMARDs had better tear osmolarity values (between 280 and 300 mOsm/L) than patients not using them (mean difference 14.3 mOsm/L, P = 0.022). There was no correlation between NPIs of RA and positive keratoconus screening indices (Spearman correlation OD -0.013, P = 0.91; OS -0.033, P = 0.76).

conclusionsThere was no clear correlation between RA-NPIs and pathologic corneal findings in our study. DMARDs treatment may help maintain corneal integrity in our patients and prevented collagenolytic manifestations of RA. Other medications such as azathioprine should be used carefully, as endothelial damage may potentially occur.

Indexed as

AdultAgedAnalysis of VarianceAntirheumatic AgentsArthritis, RheumatoidCell CountCorneaCorneal DiseasesCorneal TopographyCross-Sectional StudiesEndothelial CellsFemaleHumansImmunosuppressive AgentsMaleMiddle AgedAntirheumatic AgentsImmunosuppressive Agents

Identifiers

PMID29176449
PMCPMC5768223
OpenAlexW2769848065

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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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.