Evidence map›Paper›PMID 30535395›Full record

ArticleRheumatology (Oxford, England)2019

The temporal relationship between cancer and adult onset anti-transcriptional intermediary factor 1 antibody-positive dermatomyositis.

Alexander Oldroyd, Jamie C Sergeant, Paul New, Neil J McHugh, Zoe Betteridge, Janine A Lamb, William E Ollier, Robert G Cooper, Hector Chinoy, UKMyoNet

Open access · hybridAbstract read
In one paragraph

Article in Rheumatology (Oxford, England), 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 50 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
50citing papers in PubMed, 2 pooled it
6.8field-weighted citation impact, top 2% 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

50 citing papers in PubMed, 2 syntheses or guidelines pooled it, 104 citations in OpenAlex.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors at 5 institutions in 1 country.

Alexander OldroydCentre for Musculoskeletal Research, University of Manchester, Manchester.
Jamie C SergeantCentre for Biostatistics, University of Manchester, Manchester.
Paul NewMRC/ARUK Centre for Integrated Research into Musculoskeletal Ageing, University of Liverpool, Liverpool.
Neil J McHughDepartment of Pharmacy and Pharmacology, University of Bath, Bath.
Zoe BetteridgeDepartment of Pharmacy and Pharmacology, University of Bath, Bath.
Janine A LambDivision of Population Health, Health Services Research and Primary Care, University of Manchester, Manchester.
William E OllierCentre for Integrated Genomic Medical Research, University of Manchester, Manchester.
Robert G CooperMRC/ARUK Centre for Integrated Research into Musculoskeletal Ageing, University of Liverpool, Liverpool.
Hector ChinoyCentre for Musculoskeletal Research, University of Manchester, Manchester.
UKMyoNet
University of Liverpool · GBManchester Academic Health Science Centre · GBRoyal National Hospital for Rheumatic Diseases · GBUniversity of Manchester · GBUniversity of Bath · GB

Funding

Medical Research Council G0100594Medical Research Council G0600237Medical Research Council G0901461Medical Research Council MR/N003322/1Versus Arthritis 18474
6 · The paper itself

Abstract

objectivesTo characterize the 10 year relationship between anti-transcriptional intermediary factor 1 antibody (anti-TIF1-Ab) positivity and cancer onset in a large UK-based adult DM cohort.

methodsData from anti-TIF1-Ab-positive/-negative adults with verified diagnoses of DM from the UK Myositis Network register were analysed. Each patient was followed up until they developed cancer. Kaplan-Meier methods and Cox proportional hazard modelling were employed to estimate the cumulative cancer incidence.

resultsData from 263 DM cases were analysed, with a total of 3252 person-years and a median 11 years of follow-up; 55 (21%) DM cases were anti-TIF1-Ab positive. After 10 years of follow-up, a higher proportion of anti-TIF1-Ab-positive cases developed cancer compared with anti-TIF1-Ab-negative cases: 38% vs 15% [hazard ratio 3.4 (95% CI 2.2, 5.4)]. All the detected malignancy cases in the anti-TIF1-Ab-positive cohort occurred between 3 years prior to and 2.5 years after DM onset. No cancer cases were detected within the following 7.5 years in this group, whereas cancers were detected during this period in the anti-TIF1-Ab-negative cases. Ovarian cancer was more common in the anti-TIF1-Ab-positive vs -negative cohort: 19% vs 2%, respectively (P < 0.05). No anti-TIF1-Ab-positive case <39 years of age developed cancer, compared with 21 (53%) of those ≥39 years of age.

conclusionAnti-TIF1-Ab-positive-associated malignancy occurs exclusively within the 3 year period on either side of DM onset, the risk being highest in those ≥39 years of age. Cancer types differ according to anti-TIF1-Ab status, and this may warrant specific cancer screening approaches.

Indexed as

Time FactorsAdultAge FactorsAutoantibodiesDermatomyositisFemaleHumansMaleMiddle AgedNeoplasmsNuclear ProteinsProportional Hazards ModelsRisk FactorsTranscription FactorsAutoantibodiesNuclear Proteinstranscriptional intermediary factor 1Transcription Factorsautoantibodiescancerdermatomyositisepidemiologymyopathies

Identifiers

PMID30535395
PMCPMC6434375
OpenAlexW2893860748

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LicenceCC BY
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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.