Evidence map›Paper›PMID 32180840›Full record

ReviewTherapeutic advances in musculoskeletal disease2020

Biologic therapy and spinal radiographic progression in patients with axial spondyloarthritis: A structured literature review.

Xenofon Baraliakos, Lianne S Gensler, Salvatore D'Angelo, Florenzo Iannone, Ennio G Favalli, Natasha de Peyrecave, Simone E Auteri, Roberto Caporali

Open access · goldAbstract readReview
In one paragraph

Review in Therapeutic advances in musculoskeletal disease, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed
6.7field-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

28 citing papers in PubMed, 55 citations in OpenAlex.

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  18. Algorithm for the referral of patients with inflammatory back pain from primary care in Malaysia.Malaysian family physician : the official journal of the Academy of Family Physicians of Malaysia · 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

8 authors at 6 institutions in 4 countries.

Xenofon BaraliakosRheumazentrum Ruhrgebiet Herne, Ruhr-Universität Bochum, Claudius Straße 45, 44649, Germany.ORCID https://orcid.org/0000-0002-9475-9362
Lianne S GenslerDepartment of Medicine/Rheumatology, University of California San Francisco, San Francisco, CA, USA.
Salvatore D'AngeloRheumatology Institute of Lucania (IReL) and Rheumatology Department of Lucania, San Carlo.
Florenzo IannoneDepartment of Emergency and Organ Transplantation, University of Bari, Bari, Italy.
Ennio G FavalliDepartment of Rheumatology, Gaetano Pini Institute, University of Milan, Milan, Italy.
Natasha de PeyrecaveUCB Pharma, Brussels, Belgium.
Simone E AuteriUCB Pharma, Brussels, Belgium.
Roberto CaporaliDepartment of Clinical Sciences and Community Health, University of Milan, and ASST Pini-CTO Hospital, Milan, Italy.
UCB Pharma (Belgium) · BEUniversity of Milan · ITOspedale Madonna Delle Grazie · ITRheumazentrum Ruhrgebiet · DEUniversity of Bari Aldo Moro · ITUniversity of California, San Francisco · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We aimed to perform a structured literature review of spinal radiographic progression, as assessed by the modified Stoke Ankylosing Spondylitis Spine Score (mSASSS), in patients with ankylosing spondylitis (AS) or nonradiographic axial spondyloarthritis (nr-axSpA) treated with biologic therapy. Searches were limited to English language manuscripts published in the 11 years prior to 9 July 2019. Randomized controlled trials, open-label extensions (OLEs) and observational studies reporting mSASSS progression in patients with AS or nr-axSpA treated with biologics were eligible for inclusion. Bias was assessed using the methodological index for nonrandomized studies (MINORS) tool. Among the 322 studies identified in the literature search, 23 (11 OLEs and 12 cohort studies) met the eligibility criteria and were selected for inclusion. Most studies reported mSASSS progression in patients with AS receiving tumor necrosis factor inhibitor (TNFi) treatment. One study reported mSASSS progression in patients with AS treated with secukinumab, an interleukin-17A inhibitor. The mean (range) MINORS score was 11.3 (7-15) for the 15 noncomparative studies and 15 (12-22) for the 8 comparative studies. Although results of the individual studies were variable, mSASSS progression in patients with AS was generally minimal and slow with long-term TNFi therapy. Moreover, odds ratios for the likelihood of mSASSS progression with/without TNFi favoured TNFi therapy in several of the cohort studies. The rate of mSASSS progression following continuous secukinumab treatment was low and remained stable over 4 years. Of two studies reporting progression in patients with nr-axSpA treated with TNFis, one showed no mSASSS progression; however, the lack of control limited comparative conclusions.

Indexed as

ankylosing spondylitisbiologic therapyinterleukin-17A inhibitorradiographytumor necrosis factor inhibitor

Identifiers

PMID32180840
PMCPMC7057409
OpenAlexW3009040909

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.