Evidence map›Paper›PMID 32539800›Full record

ArticleArthritis research & therapy2020

Influence of age on the occurrence of adverse events in rheumatic patients at the onset of biological treatment: data from the BIOBADASER III register.

Paloma Vela, Carlos Sanchez-Piedra, Carolina Perez-Garcia, María C Castro-Villegas, Mercedes Freire, Lourdes Mateo, Cesar Díaz-Torné, Cristina Bohorquez, Juan M Blanco-Madrigal, Inmaculada Ros-Vilamajo and 5 more

Open access · goldAbstract read
In one paragraph

Article in Arthritis research & therapy, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
2.1field-weighted citation impact, top 12% 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

12 citing papers in PubMed, 22 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

15 authors at 11 institutions in 1 country.

Paloma VelaRheumatology, Hospital General Universitario Alicante, Alicante, Spain.
Carlos Sanchez-PiedraUnidad de Investigación SER, Madrid, Spain.
Carolina Perez-GarciaRheumatology, Hospital del Mar, Barcelona, Spain.
María C Castro-VillegasRheumatology, Hospital Reina Sofía, Córdoba, Spain.
Mercedes FreireRheumatology, Hospital A Coruña, A Coruña, Spain.
Lourdes MateoRheumatology, Hospital Germans Trias i Pujol, Barcelona, Spain.
Cesar Díaz-TornéRheumatology, Hospital Santa Creu i Sant Pau, Barcelona, Spain.
Cristina BohorquezRheumatology, Hospital Príncipe de Asturias, Alcalá de Henares, Spain.
Juan M Blanco-MadrigalRheumatology, Hospital de Basurto, Bilbao, Spain.
Inmaculada Ros-VilamajoRheumatology, Hospital Son Llatzer, Palma de Mallorca, Spain.
Silvia GómezISABIAL, Alicante, Spain.
Rocio CañoISABIAL, Alicante, Spain.
Fernando Sánchez-AlonsoUnidad de Investigación SER, Madrid, Spain.
Federico Díaz-GonzálezUnidad de Investigación SER, Madrid, Spain. federico.diaz.gonzalez@gmail.com.ORCID 0000-0002-4139-9295
Juan J Gómez-ReinoRheumatology, Hospital de Santiago, Santiago, Spain.
Unidad de Investigación en cuidados y servicios de salud (Investén-isciii) · ESHospital de Basurto · ESHospital Del Mar · ESHospital de Sant Pau · ESHospital General Universitario de Alicante Doctor Balmis · ESHospital Son Llatzer · ESHospital Universitari Germans Trias i Pujol · ESHospital Universitario Príncipe de Asturias · ESHospital Universitario Reina Sofía · ESUniversidad de La Laguna · ESUniversidade da Coruña · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo assess whether age, at the beginning of biologic treatment, is associated with the time a first adverse event (AE) appears in patients with rheumatoid arthritis (RA), ankylosing spondylitis (AS), or psoriatic arthritis (PsA).

methodsAll patients in the BIOBADASER registry diagnosed with RA, AS, and PsA, and classified as young (< 25 years old), adult (25-64 years old), elderly (65-75 years old) or very elderly (> 75 years old) at start of biological treatment were included. Factors associated with the appearance of a first AE using adjusted incidence rate ratios (IRR) (Poisson regression) were analyzed. Survival to first AE was studied by Kaplan-Meier analysis and hazard ratios (HR) by Cox regression.

results2483 patients were included: 1126 RA, 680 PsA, and 677 AS. Age group stratification was as follows: 63 young, 2127 adults, 237 elderly, and 56 very elderly. Regression model revealed an increased probability of suffering a first AE at age 65 years or older [IRR elderly: 1.42 (CI95% 1.13-1.77)]. Other characteristics associated with AE were female gender, the use of DMARDs, including methotrexate, the presence of comorbidities, and the time of disease duration. Factors that had the greatest impact on survival over a first AE were age > 75 years [HR 1.50 (1.01-2.24)] and female gender [HR 1.42 (1.22-1.64)].

conclusionAge at the start of treatment and female gender are key factors associated with the appearance of a first AE with biologics. Other factors related to patient status and treatment were also associated with a first AE in rheumatic patients treated with biologics.

Indexed as

Antirheumatic AgentsArthritis, PsoriaticArthritis, RheumatoidBiological ProductsSpondylitis, AnkylosingAdultAgedFemaleHumansMaleMethotrexateMiddle AgedYoung AdultAntirheumatic AgentsBiological ProductsMethotrexateAnkylosing spondylitisBiologicsElderly-onset rheumatoid arthritisPsoriatic arthritisRheumatoid arthritis

Identifiers

PMID32539800
PMCPMC7296933
OpenAlexW3034819411

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Registered trials

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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.