Evidence map›Paper›PMID 30799358›Full record

ArticleInternal medicine (Tokyo, Japan)2019

Effect of Biological Disease-modifying Anti-rheumatic Drugs on Airway and Interstitial Lung Disease in Patients with Rheumatoid Arthritis.

Izumi Kurata, Hiroto Tsuboi, Mayu Terasaki, Masaru Shimizu, Hirofumi Toko, Fumika Honda, Ayako Ohyama, Mizuki Yagishita, Atsumu Osada, Hiroshi Ebe and 7 more

Open access · diamondAbstract read
In one paragraph

Article in Internal medicine (Tokyo, Japan), 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 2 pooled it
5.9field-weighted citation impact, top 3% 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

15 citing papers in PubMed, 2 syntheses or guidelines pooled it, 55 citations in OpenAlex.

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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

17 authors at 1 institution in 1 country.

Izumi KurataDepartment of Internal Medicine, Faculty of Medicine, University of Tsukuba, Japan.
Hiroto TsuboiDepartment of Internal Medicine, Faculty of Medicine, University of Tsukuba, Japan.
Mayu TerasakiDepartment of Internal Medicine, Faculty of Medicine, University of Tsukuba, Japan.
Masaru ShimizuDepartment of Internal Medicine, Faculty of Medicine, University of Tsukuba, Japan.
Hirofumi TokoDepartment of Internal Medicine, Faculty of Medicine, University of Tsukuba, Japan.
Fumika HondaDepartment of Internal Medicine, Faculty of Medicine, University of Tsukuba, Japan.
Ayako OhyamaDepartment of Internal Medicine, Faculty of Medicine, University of Tsukuba, Japan.
Mizuki YagishitaDepartment of Internal Medicine, Faculty of Medicine, University of Tsukuba, Japan.
Atsumu OsadaDepartment of Internal Medicine, Faculty of Medicine, University of Tsukuba, Japan.
Hiroshi EbeDepartment of Internal Medicine, Faculty of Medicine, University of Tsukuba, Japan.
Hoshimi KawaguchiDepartment of Internal Medicine, Faculty of Medicine, University of Tsukuba, Japan.
Hiroyuki TakahashiDepartment of Internal Medicine, Faculty of Medicine, University of Tsukuba, Japan.
Shinya HagiwaraDepartment of Internal Medicine, Faculty of Medicine, University of Tsukuba, Japan.
Hiromitsu AsashimaDepartment of Internal Medicine, Faculty of Medicine, University of Tsukuba, Japan.
Yuya KondoDepartment of Internal Medicine, Faculty of Medicine, University of Tsukuba, Japan.
Isao MatsumotoDepartment of Internal Medicine, Faculty of Medicine, University of Tsukuba, Japan.
Takayuki SumidaDepartment of Internal Medicine, Faculty of Medicine, University of Tsukuba, Japan.
University of Tsukuba · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective Biological disease-modifying anti-rheumatic drugs (bDMARDs) represent an important advance in alleviating rheumatoid arthritis (RA), but their effect on rheumatic airway disease (AD) and interstitial lung disease (ILD) is still unclear. This study was performed to evaluate the association of the use of different bDMARDs with new-onset or worsening of RA-AD/ILD. Methods We performed a retrospective cohort study of RA patients who received bDMARDs and assessed their AD/ILD before and after drug initiation in our hospital over the past 10 years. We evaluated the serial changes in computed tomography (CT), classified patients according to AD/ILD progression, and analyzed associations between clinical characteristics and outcomes. Results We enrolled 49 patients. Thirty patients received tumor necrosis factor inhibitors (TNFis), 12 received abatacept (ABT), and the remaining 7 received tocilizumab (TCZ). Seventeen patients had ILD, 10 had AD, and 6 had both AD and ILD before the initiation of bDMARDs. New emergence or exacerbation of AD/ILD was observed in 18 patients after drug initiation, while the remaining 31 remained stable or improved. Multiple logistic regression analyses revealed that pre-existing AD was an independent risk factor against the emergence or exacerbation of RA-AD/ILD, and ABT use was a protective factor against it. Conclusion Our study showed that pre-existing RA-AD is associated with future worsening of RA-AD/ILD, and ABT over other bDMARDs was associated with a better prognosis. Future studies to confirm our results are needed.

Indexed as

AbataceptAgedAntibodies, Monoclonal, HumanizedAntirheumatic AgentsArthritis, RheumatoidDisease ProgressionFemaleHumansLung Diseases, InterstitialMaleMiddle AgedPrognosisRetrospective StudiesRisk FactorsTomography, X-Ray ComputedTumor Necrosis Factor-alphaAbataceptAntibodies, Monoclonal, HumanizedAntirheumatic AgentstocilizumabTumor Necrosis Factor-alphaabataceptairway diseasebiological DMARDsinterstitial lung diseaserheumatoid arthritis

Identifiers

PMID30799358
PMCPMC6630137
OpenAlexW2916944786

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.