Evidence map›Paper›PMID 33597206›Full record

ReviewRMD open2021

Risk for infections with glucocorticoids and DMARDs in patients with rheumatoid arthritis.

Thomas R Riley, Michael D George

Open access · goldAbstract readReview
In one paragraph

Review in RMD open, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 39 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
39citing papers in PubMed, 3 pooled it
5.8field-weighted citation impact, top 3% 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

39 citing papers in PubMed, 3 syntheses or guidelines pooled it, 64 citations in OpenAlex.

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  15. Observational
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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

2 authors at 1 institution in 1 country.

Thomas R RileyDivision of Rheumatology, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Michael D GeorgeDivision of Rheumatology, University of Pennsylvania, Philadelphia, Pennsylvania, USA Michael.George@Pennmedicine.Upenn.edu.ORCID 0000-0002-0398-2308
University of Pennsylvania · US

Funding

Risk and impact of infection resulting from treatment with chronic glucocorticoids in patients with rheumatoid arthritisK23AR073931 · NIAMS · UNIVERSITY OF PENNSYLVANIA · PI GEORGE, MICHAEL D. · 2018 to 2022
$873k
NIAMS NIH HHS K23 AR073931
6 · The paper itself

Abstract

Immunomodulatory therapy for rheumatoid arthritis (RA) carries risk for infectious complications. Understanding the risks of different therapeutic options is essential for making treatment decisions and appropriately monitoring patients. This review examines data on the risks for serious infections and other key infections of interest for the major classes of agents in use for RA: glucocorticoids, conventional synthetic disease-modifying antirheumatic drugs (DMARDs), biologics and Janus kinase (JAK) inhibitors. Conventional synthetic DMARDs have an excellent safety profile with recent data available supporting the relative safety of methotrexate. Tumour necrosis factor (TNF) inhibitors are associated with an increase in the risk of serious infections. Risk with other biological agents and with JAK inhibitors varies somewhat but overall appears similar to that of TNF inhibitors, with JAK inhibitors also associated with a greater risk of herpes zoster. Glucocorticoids have a dose-dependent effect on serious infection risk-at higher doses risk of infection with glucocorticoids is substantially greater than with other immunomodulatory therapies, and even low-dose therapy carries a risk of infection that appears to be similar to that of biological therapies.

Indexed as

Antirheumatic AgentsArthritis, RheumatoidBiological ProductsGlucocorticoidsHumansMethotrexateAntirheumatic AgentsBiological ProductsGlucocorticoidsMethotrexatearthritisbiological therapyglucocorticoidsrheumatoid

Identifiers

PMID33597206
PMCPMC7893655
OpenAlexW3133467891

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.