Evidence map›Paper›PMID 31839715›Full record

ArticleClinical medicine insights. Arthritis and musculoskeletal disorders2019

Patients Prescribed Anakinra for Acute Gout Have Baseline Increased Burden of Hyperuricemia, Tophi, and Comorbidities, and Ultimate All-Cause Mortality.

Ena Sharma, Brian Pedersen, Robert Terkeltaub

Open access · goldAbstract read
In one paragraph

Article in Clinical medicine insights. Arthritis and musculoskeletal disorders, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.7field-weighted citation impact, top 29% 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

1 citing paper in PubMed, 6 citations in OpenAlex.

  1. 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

3 authors at 1 institution in 1 country.

Ena SharmaDepartment of Medicine, San Diego Veterans Affairs Healthcare System, San Diego, CA, USA.
Brian PedersenDepartment of Medicine, San Diego Veterans Affairs Healthcare System, San Diego, CA, USA.
Robert TerkeltaubDepartment of Medicine, San Diego Veterans Affairs Healthcare System, San Diego, CA, USA.ORCID https://orcid.org/0000-0001-5368-7473
University of California San Diego · US

Funding

The Effects of Urate Lowering Therapy on Inflammation, Endothelial function, andP50AR060772 · NIAMS · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI SAAG, KENNETH G · 2012 to 2021
$12.8M
Novel Synovial Role in Pathogenesis of GoutR21AR075990 · NIAMS · VETERANS MEDICAL RESEARCH FDN/SAN DIEGO · PI TERKELTAUB, ROBERT A. · 2019 to 2020
$333k
Innate Inflammation in OsteoarthritisI01BX001660 · VA · VA SAN DIEGO HEALTHCARE SYSTEM · PI TERKELTAUB, ROBERT A. · 2012 to 2020
–
BLRD VA I01 BX001660NIAMS NIH HHS P50 AR060772NIAMS NIH HHS R21 AR075990
6 · The paper itself

Abstract

objectiveThe interleukin-1 (IL-1) receptor antagonist anakinra is an effective, off-label option in acute gout flares, when conventional therapy options are narrowed. We performed a retrospective, randomized, case-controlled study to gain clinical insight on baseline factors for gout patients most likely to receive anakinra, and ultimate mortality of those who received anakinra.

methodsOf 1451 gout patients seen between January 2003 and January 2015 in a Veterans Affairs (VA) rheumatology group practice, under stringent managed care principles, 13 (100% male), who received anakinra at least once for flares, were compared with 1:4 age- and sex-matched gout controls. Each patient's first rheumatology encounter was studied by factor analysis for variables associated with later anakinra.

resultsAt baseline, patients that received anakinra had higher urate burden (palpable tophi [10/13] vs controls [16/52],

conclusionsAt baseline rheumatology gout encounter, higher urate, palpable tophi, statin prescription, and East Asian descent were associated with later anakinra use for flares. Mortality was more closely associated to the presence of comorbidities at baseline rheumatology visit than to anakinra prescription.

Indexed as

arthritiscytokinesGouthyperuricemiamortality

Identifiers

PMID31839715
PMCPMC6902385
OpenAlexW2994463397

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.