Evidence map›Paper›PMID 33330566›Full record

ReviewFrontiers in medicine2020

Osteoporosis in Rheumatoid Arthritis: Dangerous Liaisons.

Irene Llorente, Noelia García-Castañeda, Cristina Valero, Isidoro González-Álvaro, Santos Castañeda

Open access · goldAbstract readReview
In one paragraph

Review in Frontiers in medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 80 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
80citing papers in PubMed, 3 pooled it
14.6field-weighted citation impact, top 1% 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

80 citing papers in PubMed, 3 syntheses or guidelines pooled it, 133 citations in OpenAlex.

  1. Pooled it
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  4. Bone Health in Rheumatoid Arthritis: An Update.Current rheumatology reports · 2026
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  8. Comorbidity patterns and health-related quality of life in a cohort of Australian women cancer survivors.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2026
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20 more citing papers are in PubMed but not listed here.

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

5 authors at 2 institutions in 1 country.

Irene LlorenteRheumatology Division, Hospital Universitario de La Princesa, IIS-IP, Madrid, Spain.
Noelia García-CastañedaRheumatology Division, Hospital Universitario de La Princesa, IIS-IP, Madrid, Spain.
Cristina ValeroRheumatology Division, Hospital Universitario de La Princesa, IIS-IP, Madrid, Spain.
Isidoro González-ÁlvaroRheumatology Division, Hospital Universitario de La Princesa, IIS-IP, Madrid, Spain.
Santos CastañedaRheumatology Division, Hospital Universitario de La Princesa, IIS-IP, Madrid, Spain.
Hospital Universitario de La Princesa · ESUniversidad Autónoma de Madrid · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Osteoporosis has been classically considered a comorbidity of rheumatoid arthritis (RA). However, recent advances in the pathogenesis of osteoporosis in RA have shown a close interplay between cells of the immune system and those involved in bone remodeling, introducing new actors into the classic route in which osteoclast activation is related to the RANK/RANKL/OPG pathway. In fact, the inflammatory state in early stages of RA, mediated by interleukin (IL)-1, IL-6, IL-8 and tumor necrosis factor (TNF)-α has the ability to activate and differentiate osteoclasts not only through their relationship with RANKL, but also through the Wnt/DKK1/sclerostin pathway, leading to bone loss. The role of synovial fibroblasts and activated T lymphocytes in the expression of the RANKL system and its connection to bone destruction is also depicted. In addition, autoantibodies such as rheumatoid factor and anti-citrullinated protein antibodies are other pathogenic mechanisms for the development of bone erosions and systemic osteoporosis in RA, even before the onset of arthritis. The aim of this review is to unravel the relationship between different factors involved in the development of osteoporosis in RA patients, both the classic factors and the most novel, based on the relationship of autoantibodies with bone remodeling. Furthermore, we propose that bone mineral density measured by different techniques may be helpful as a biomarker of severity in early arthritis patients.

Indexed as

bone erosionsinflammationosteoimmunologyosteoporosisRANKL/RANK/OPGrheumatoid arthritisWnt signaling

Identifiers

PMID33330566
PMCPMC7719815
OpenAlexW3109937256

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.