Evidence map›Paper›PMID 32506054›Full record

Observational studyRMD open2020

Body mass index and treatment survival in patients with RA starting treatment with TNFα-inhibitors: long-term follow-up in the real-life METEOR registry.

Sytske Anne Bergstra, Cornelia F Allaart, David Vega-Morales, Marieke De Buck, Elizabeth Murphy, Karen Salomon Escoto, Tom W J Huizinga

Open access · goldAbstract readMulticenter StudyObservational Study
In one paragraph

Observational study in RMD open, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
0.7field-weighted citation impact, top 28% 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

7 citing papers in PubMed, 10 citations in OpenAlex.

  1. Trial
  2. Review
  3. Article
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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

7 authors at 5 institutions in 4 countries.

Sytske Anne BergstraRheumatology, Leiden University Medical Center, Leiden, Netherlands s.a.bergstra@lumc.nl.ORCID 0000-0002-7136-5248
Cornelia F AllaartRheumatology, Leiden University Medical Center, Leiden, Netherlands.
David Vega-MoralesUniversidad Autonoma de Nuevo Leon, Monterrey, Mexico.
Marieke De BuckRheumatology, Haaglanden Medical Center, The Hague, Netherlands.
Elizabeth MurphyUniversity Hospital Wishaw, Wishaw, UK.
Karen Salomon EscotoRheumatology, University of Massachusetts Medical School, UMass Memorial Medical Center, Worcester, Massachusetts, USA.
Tom W J HuizingaRheumatology, Leiden University Medical Center, Leiden, Netherlands.ORCID 0000-0001-7033-7520
Leiden University Medical Center · NLMedisch Centrum Haaglanden · NLUniversidad Autónoma de Nuevo León · MXUniversity of Massachusetts Chan Medical School · USWishaw General Hospital · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo study whether there is an association between body mass index (BMI) category and survival of various tumour necrosis factor inhibitors (TNFi) in rheumatoid arthritis (RA) patients in a real-life longitudinal international registry.

methodsData from 5230 patients with RA starting treatment with any TNFi were selected from the METEOR registry. Patients were divided into six BMI categories: 3.7% underweight, BMI<18.5 kg/m

resultsPatients in obesity class II (HR 1.28, 95% CI 1.06 to 1.54) and III (HR 1.67, 95% CI 1.29 to 2.18) and underweight patients (HR 1.30, 95% CI 1.07 to 1.58) showed statistically significantly shorter TNFi survival than normal weight patients. The effect in underweight patients was strongest for infliximab (HR 1.82, 95% CI 1.20 to 2.76), the effect in overweight patients was strongest for infliximab (category II (HR 1.49, 95% CI 0.98 to 2.26); category III (HR 1.46, 95% CI 0.79 to 2.71)) and etanercept (category II (HR 1.27 95% CI 0.98 to 1.65); category III (HR 1.79, 95% CI 1.25 to 2.55)). No significant effect modification from reported pain was found.

conclusionBoth underweight and overweight patients discontinued TNFi treatment earlier than normal weight patients, without evidence of reported pain as the main determinant. It remains uncertain what determines TNFi survival in individual patients.

Indexed as

Body Mass IndexAdalimumabAdultAgedAntirheumatic AgentsArthritis, RheumatoidDrug Therapy, CombinationEtanerceptFemaleFollow-Up StudiesHumansInfliximabInternationalityKaplan-Meier EstimateMaleMiddle AgedAdalimumabAntirheumatic AgentsEtanerceptInfliximabTumor Necrosis Factor InhibitorsArthritisAutoimmune diseasesDisease activityDMARDs (biologic)DMARDs (synthetic)Rheumatoid arthritis

Identifiers

PMID32506054
PMCPMC7299513
OpenAlexW3033402936

What OpenQuestion holds

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LicenceCC BY-NC
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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.