Evidence map›Paper›PMID 30428612›Full record

ArticleJournal of clinical medicine2018

Non-Hepatic Alkaline Phosphatase, hs-CRP and Progression of Vertebral Fracture in Patients with Rheumatoid Arthritis: A Population-Based Longitudinal Study.

Jih-Chen Yeh, Chang-Chin Wu, Cheuk-Sing Choy, Shu-Wei Chang, Jian-Chiun Liou, Kuo-Shu Chen, Tao-Hsin Tung, Wei-Ning Lin, Chih-Yu Hsieh, Chun-Ta Ho and 2 more

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In one paragraph

Article in Journal of clinical medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
2.0field-weighted citation impact, top 15% 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

8 citing papers in PubMed, 13 citations in OpenAlex.

  1. Article
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  4. CirculatingToxins · 2021
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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

12 authors at 6 institutions in 1 country.

Jih-Chen YehDepartment of Dentistry, Far Eastern Memorial Hospital, New Taipei City 220, Taiwan. b202093012@tmu.edu.tw.
Chang-Chin WuDepartment of Orthopedics, En Chu Kong Hospital, New Taipei City 237, Taiwan. Dtorth65@yahoo.com.tw.
Cheuk-Sing ChoyDepartment of Community Medicine, En Chu Kong Hospital, New Taipei City 237, Taiwan. prof.choy@gmail.com.
Shu-Wei ChangDepartment of Civil Engineering, National Taiwan University, Taipei 106, Taiwan. changsw@ntu.edu.tw.
Jian-Chiun LiouSchool of Biomedical Engineering, Taipei Medical University, Taipei 110, Taiwan. jcliou@tmu.edu.tw.
Kuo-Shu ChenDivision of Rheumatology, Department of Internal Medicine, En Chu Kong Hospital, New Taipei City 237, Taiwan. jillkaom@yahoo.com.tw.
Tao-Hsin TungDepartment of Medical Research and Education, Cheng Hsin General Hospital, Taipei 112, Taiwan. ch2876@gmail.com.
Wei-Ning LinGraduate Institution of Biomedical and Pharmaceutical Science, College of Medicine, Fu Jen Catholic University, New Taipei City 242, Taiwan. 081551@mail.fju.edu.tw.
Chih-Yu HsiehDivision of Nephrology, Department of Internal Medicine, En Chu Kong Hospital, New Taipei City 237, Taiwan. fish37435@Hotmail.com.
Chun-Ta HoDivision of Nephrology, Department of Internal Medicine, En Chu Kong Hospital, New Taipei City 237, Taiwan. earny2002@gmail.com.
Ting-Ming WangDepartment of Orthopaedic Surgery, School of Medicine, National Taiwan University, Taipei 106, Taiwan. dtorth76@yahoo.com.tw.
Jia-Feng ChangDepartment of Nursing, Yuanpei University of Medical Technology, Hsinchu 300, Taiwan. cjf6699@gmail.com.ORCID 0000-0002-9903-7473
National Taiwan University · TWEn Chu Kong Hospital · TWFu Jen Catholic University · TWCheng Hsin General Hospital · TWTaipei Medical University · TWYuanpei University · TW

Funding

Far Eastern memorial hospital FEMH-2018-C-086Far Eastern Memorial Hospital FEMH-2018-C-086
6 · The paper itself

Abstract

backgroundInteractions and early warning effects of non-hepatic alkaline phosphatase (NHALP) and high-sensitivity C-reactive protein (hs-CRP) on the progression of vertebral fractures (VFs) in patients with rheumatoid arthritis (RA) remain unclear. We aim to explore whether serum concentrations of NHALP and hs-CRP could serve as a promising dual biomarker for prognostic assessment of VF progression.

methodsUnadjusted and adjusted hazard ratios (aHRs) of VF progression were calculated for different categories of serum NHALP and hs-CRP using the Cox regression model in RA patients. The modification effect between serum NHALP and hs-CRP on VF progression was determined using an interaction product term.

resultsDuring 4489 person-years of follow-up, higher NHALP (>125 U/L) and hs-CRP (>3.0 mg/L) were robustly associated with incremental risks of VF progression in RA patients (aHR: 2.2 (95% confidence intervals (CIs): 1.2⁻3.9) and 2.0 (95% CI: 1.3⁻3.3) compared to the lowest HR category, respectively). The interaction between NHALP and hs-CRP on VF progression was statistically significant (

conclusionsIn light of underdiagnoses of VFs and misleading diagnosis by single test, NHALP and hs-CRP could serve as compensatory biomarkers to predict subclinical VF progression in RA patients.

Indexed as

alkaline phosphataseC-reactive proteinrheumatoid arthritisvertebral fractures

Identifiers

PMID30428612
PMCPMC6262279
OpenAlexW2901651687

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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.