Evidence map›Paper›PMID 32769894›Full record

SynthesisMedicine2020

The efficacy and safety of pioglitazone in psoriasis vulgaris: A meta-analysis of randomized controlled trials.

Pengfei Chen, Xiubing Chen, Lei Lei, Yang Zhang, Jianjun Xiang, Jinxia Zhou, Jun Lv

Open access · goldAbstract readMeta-Analysis
In one paragraph

Synthesis in Medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
0.6field-weighted citation impact, top 33% 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

6 citing papers in PubMed, 11 citations in OpenAlex.

  1. Review
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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 2 institutions in 1 country.

Pengfei ChenDepartment of Gastroenterology, The Central Hospital of Enshi Autonomous Prefecture, Enshi.
Xiubing ChenDepartment of Gastroenterology, The First People's Hospital of Qinzhou, Qinzhou.
Lei LeiDepartment of Gastroenterology, The Central Hospital of Enshi Autonomous Prefecture, Enshi.
Yang ZhangDepartment of Dermatology.
Jianjun XiangDepartment of Medical Section, The Central Hospital of Enshi Autonomous Prefecture, Enshi.
Jinxia ZhouDepartment of Neurology, Puren Hospital, Wuhan University of Science and Technology, Wuhan, China.
Jun LvDepartment of Dermatology.
The Central Hospital of Enshi Tujia and Miao Autonomous Prefecture · CNBeibu Gulf University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Pioglitazone may have potential benefits in the treatment of cutaneous and metabolic derangements of psoriasis, but its role in the treatment of psoriasis remains in debate. We therefore conducted a meta-analysis to evaluate the clinical efficacy and safety of pioglitazone in psoriasis vulgaris (PsV).We performed a comprehensive search in database of PubMed, Web of Science, Cochrane library, Embase and China National Knowledge Infrastructure (CNKI), and Wan fang database through March 2019 to identify eligible studies. Randomized controlled trials that have evaluated the effect and safety of pioglitazone in PsV were included. Treatment success was defined as ≥75% reduction in psoriasis area and severity index (PASI) score after treatment. Weighted mean differences (WMD), relative risks (RRs) and the corresponding 95% confidence intervals (CIs) were pooled to compare the clinical efficacy and safety between different groups.Six randomized controlled trials (n = 270) were included. Meta-analysis showed that pioglitazone was associated with a remarkable reduction in PASI score in patients with PsV (weight mean difference: 2.68, 95% CI 1.41-3.94, P < .001). The treatment success rate in the pioglitazone group was higher than in the control group (RR 3.60, 95 CI 1.61-8.01, P < .001). Compared with control group, pioglitazone was not related to a pronounced increase in total adverse events (RR 1.180, 95 CI 0.85-1.63, P = .33). Moreover, the risk of common adverse events in the 2 groups were similar, such as elevated liver enzyme, fatigue, nausea, weight gain.This meta-analysis suggested pioglitazone is an effective and safe drug in the treatment of patients with PsV.

Indexed as

AdolescentAdultAgedFemaleHumansMaleMiddle AgedPioglitazonePsoriasisRandomized Controlled Trials as TopicSeverity of Illness IndexTreatment OutcomeYoung AdultPioglitazone

Identifiers

PMID32769894
PMCPMC7593001
OpenAlexW3047589933

What OpenQuestion holds

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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.