Evidence map›Paper›PMID 31799498›Full record

ArticleBMC rheumatology2019

Serious infections in patients with self-reported psoriatic arthritis from the Psoriasis Longitudinal Assessment and Registry (PSOLAR) treated with biologics.

Christopher T Ritchlin, Mona Stahle, Yves Poulin, Jerry Bagel, Soumya D Chakravarty, Shelly Kafka, Bhaskar Srivastava, Wayne Langholff, Alice B Gottlieb

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in BMC rheumatology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00508547 (A Multicenter, Open Registry of Patients With Plaque Psoriasis Who Are Candidates for Systemic Therapy Including Biologics), which is not on this map. Cited by 16 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 3 pooled it
1.7field-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.

NCT00508547 active not recruitingnot on this map

A Multicenter, Open Registry of Patients With Plaque Psoriasis Who Are Candidates for Systemic Therapy Including Biologics

Typeobservational_patient_registrySponsorJanssen Scientific Affairs, LLCRan2007 to 2030Enrolled20,167ConditionsPsoriasis
3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 3 syntheses or guidelines pooled it, 37 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Trial
  5. Article
  6. Article
  7. Article
  8. Review
  9. Review
  10. Article
  11. Article
  12. Infections in psoriatic arthritis: association with treatment.Therapeutic advances in musculoskeletal disease · 2024
    Review
  13. Review
  14. Review
  15. Review
  16. 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

9 authors at 7 institutions in 3 countries.

Christopher T Ritchlin1Division of Allergy, Immunology, and Rheumatology, University of Rochester Medical Center, 601 Elmwood Ave., Box 695, Rochester, NY 14642 USA.
Mona StahleDepartment of Medicine, Karolinska University Hospital, Karolinska Institutet, Stockholm, Sweden.
Yves Poulin3Université Laval and Centre de Recherche Dermatologique du Quebec métropolitain, Quebec, Canada.
Jerry Bagel4Psoriasis Treatment Center of Central New Jersey, East Windsor, NJ USA.
Soumya D Chakravarty5Janssen Scientific Affairs, LLC, Horsham, PA USA.
Shelly Kafka5Janssen Scientific Affairs, LLC, Horsham, PA USA.
Bhaskar Srivastava5Janssen Scientific Affairs, LLC, Horsham, PA USA.
Wayne Langholff7Janssen Research & Development, Spring House, PA USA.
Alice B Gottlieb8New York Medical College, Metropolitan Hospital, New York, NY USA.
Janssen Scientific Affairs (United States)Janssen (United States) · USKarolinska Institutet · SENew York Medical College · USUniversité Laval · CAUniversity of Rochester Medical Center · USVA New Jersey Health Care System · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPatients with psoriatic arthritis (PsA) have increased risk of adverse events, including serious infections (SI), compared with psoriasis patients.

methodsPatients eligible for, or receiving conventional systemic and biologic agents for psoriasis were followed prospectively using PSOLAR. Cohorts included: ustekinumab, tumor necrosis factor (TNF) inhibitors; infliximab; etanercept; adalimumab; non-biologic/methotrexate (MTX) (reference group); and non-biologic/non-MTX. Multivariate analyses using Cox hazard regression were used to identify factors associated with time to first SI. Rates of SI in PSOLAR psoriasis patients with self-reported PsA and possible risks with biologic therapy were evaluated.

resultsPSOLAR enrolled 4315 psoriasis patients with self-reported PsA. The overall population (

conclusionsPSOLAR psoriasis patients with self-reported PsA in the TNF inhibitors, infliximab, adalimumab, etanercept, and MTX cohorts had numerically higher SI rates than the ustekinumab cohort, although not statistically significant. Age, PGA 4, 5, history of infection, and diabetes were associated with an increased risk for SI, irrespective of biologic exposure.

trial registrationNCT00508547; Registered July 30, 2007.

Indexed as

PSOLARPsoriasisPsoriatic arthritisSerious infections

Identifiers

PMID31799498
PMCPMC6882230
OpenAlexW2990597987

What OpenQuestion holds

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Registered trials

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.