Evidence map›Paper›PMID 30305158›Full record

ArticleArthritis research & therapy2018

Persistence and adverse events of biological treatment in adult patients with juvenile idiopathic arthritis: results from BIOBADASER.

Juan José Bethencourt Baute, Carlos Sanchez-Piedra, Dolores Ruiz-Montesinos, Marta Medrano San Ildefonso, Carlos Rodriguez-Lozano, Eva Perez-Pampin, Ana Ortiz, Sara Manrique, Rosa Roselló, Victoria Hernandez and 9 more

Open access · goldAbstract readMulticenter Study
In one paragraph

Article in Arthritis research & therapy, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.7field-weighted citation impact, top 28% 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

3 citing papers in PubMed, 6 citations in OpenAlex.

  1. Observational
  2. Article
  3. 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

19 authors at 9 institutions in 1 country.

Juan José Bethencourt BauteServicio de Reumatología, Hospital Universitario de Canarias, Tenerife, Spain.
Carlos Sanchez-PiedraResearch Unit, Sociedad Española de Reumatología, Madrid, Spain.
Dolores Ruiz-MontesinosServicio de Reumatología, Hospital Universitario del Virgen Macarena, Sevilla, Spain.
Marta Medrano San IldefonsoServicio de Reumatología Hospital Universitario Miguel Servet, Zaragoza, Spain.
Carlos Rodriguez-LozanoServicio de Reumatología, Hospital Universitario de Gran Canaria Dr. Negrín, Las Palmas, Spain.
Eva Perez-PampinServicio de Reumatología, Hospital Clínico Universitario de Santiago, A Coruña, Spain.
Ana OrtizServicio de Reumatología, Hospital de La Princesa, Madrid, Spain.
Sara ManriqueUGC de Reumatología, Instituto de Investigación Biomédica de Málaga (IBIMA), Hospital Regional Universitario de Málaga, Universidad de Málaga, Málaga, Spain.
Rosa RosellóServicio de Reumatología, Hospital San Jorge, Huesca, Spain.
Victoria HernandezServicio de Reumatología, Hospital Clinic de Barcelona, Barcelona, Spain.
Cristina CamposServicio de Reumatología, Hospital General Universitario Valencia, Valencia, Spain.
Agustí SellasServicio de Reumatología, Hospital Vall d'Hebron, Barcelona, Spain.
Walter Alberto Sifuentes-GiraldoServicio Reumatología, Hospital Ramón y Cajal, Madrid, Spain.
Javier García-GonzálezServicio de Reumatología, Hospital 12 de Octubre, Madrid, Spain.
Fernando Sanchez-AlonsoResearch Unit, Sociedad Española de Reumatología, Madrid, Spain.
Federico Díaz-GonzálezServicio de Reumatología, Hospital Universitario de Canarias, c/Ofra s/n 38320, La Laguna, Santa Cruz de Tenerife, Spain.
Juan Jesús Gómez-ReinoServicio de Reumatología, Hospital Clínico Universitario de Santiago, A Coruña, Spain.
Sagrario Bustabad ReyesServicio de Reumatología, Hospital Universitario de Canarias, c/Ofra s/n 38320, La Laguna, Santa Cruz de Tenerife, Spain. sagrario.bustabad@gmail.com.
BIOBADASER study group
Hospital Universitario de Canarias · ESHospital Clínic de Barcelona · ESHospital Regional Universitario de Málaga · ESHospital Universitario de Gran Canaria Doctor Negrín · ESHospital Universitario Virgen Macarena · ESVall d'Hebron Hospital Universitari · ESHospital Universitario de La Princesa · ESHospital Universitario Ramón y Cajal · ESSociedad Española de Reumatología · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundBiologic therapy has changed the prognosis of patients with juvenile idiopathic arthritis (JIA). The aim of this study was to examine the pattern of use, drug survival, and adverse events of biologics in patients with JIA during the period from diagnosis to adulthood.

methodsAll patients included in BIOBADASER (Spanish Registry for Adverse Events of Biological Therapy in Rheumatic Diseases), a multicenter prospective registry, diagnosed with JIA between 2000 and 2015 were analyzed. Proportions, means, and SDs were used to describe the population. Incidence rates and 95% CIs were calculated to assess adverse events. Kaplan-Meier analysis was used to compare the drug survival rates.

resultsA total of 469 patients (46.1% women) were included. Their mean age at diagnosis was 9.4 ± 5.3 years. Their mean age at biologic treatment initiation was 23.9 ± 13.9 years. The pattern of use of biologics during their pediatric years showed a linear increase from 24% in 2000 to 65% in 2014. Biologic withdrawal for disease remission was higher in patients who initiated use biologics prior to 16 years of age than in those who were older (25.7% vs 7.9%, p < 0.0001). Serious adverse events had a total incidence rate of 41.4 (35.2-48.7) of 1000 patient-years. Patients younger than 16 years old showed significantly increased infections (p < 0.001).

conclusionsSurvival and suspension by remission of biologics were higher when these compounds were initiated in patients with JIA who had not yet reached 16 years of age. The incidence rate of serious adverse events in pediatric vs adult patients with JIA treated with biologics was similar; however, a significant increase of infection was observed in patients under 16 years old.

Indexed as

RegistriesAdolescentAdultAntirheumatic AgentsArthritis, JuvenileBiological TherapyChildDrug-Related Side Effects and Adverse ReactionsHumansMiddle AgedProspective StudiesSpainTreatment OutcomeAntirheumatic AgentsBiologic treatmentClinical practiceJuvenile idiopathic arthritisSafety therapy

Identifiers

PMID30305158
PMCPMC6235210
OpenAlexW2897242708

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.