Evidence map›Paper›PMID 33599244›Full record

SynthesisRheumatology (Oxford, England)2021

A systematic review and meta-analysis to inform cancer screening guidelines in idiopathic inflammatory myopathies.

Alexander G S Oldroyd, Andrew B Allard, Jeffrey P Callen, Hector Chinoy, Lorinda Chung, David Fiorentino, Michael D George, Patrick Gordon, Kate Kolstad, Drew J B Kurtzman and 9 more

Erratum issuedOpen access · bronzeAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Rheumatology (Oxford, England), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 72 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
72citing papers in PubMed, 2 pooled it
16.1field-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

72 citing papers in PubMed, 2 syntheses or guidelines pooled it, 136 citations in OpenAlex.

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12 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

19 authors at 16 institutions in 4 countries.

Alexander G S OldroydNational Institute for Health Research Manchester Biomedical Research Centre, Manchester University NHS Foundation Trust, Manchester, UK.ORCID 0000-0001-5701-6490
Andrew B AllardRoyal National Hospital for Rheumatic Diseases, Royal United Hospitals Bath NHS Foundation Trust, Bath, UK.
Jeffrey P CallenDivision of Medicine, Department of Medicine, University of Louisville, Louisville, KY, USA.
Hector ChinoyNational Institute for Health Research Manchester Biomedical Research Centre, Manchester University NHS Foundation Trust, Manchester, UK.ORCID 0000-0001-6492-1288
Lorinda ChungDivision of Immunology and Rheumatology, Department of Medicine and Dermatology, Stanford University, Stanford, USA.
David FiorentinoDepartment of Dermatology, School of Medicine, Stanford University, Stanford, CA, USA.
Michael D GeorgeDivision of Rheumatology, Philadelphia, PA, USA.
Patrick GordonDepartment of Rheumatology, King's College Hospital NHS Foundation Trust, London, UK.
Kate KolstadDepartment of Dermatology, School of Medicine, Stanford University, Stanford, CA, USA.
Drew J B KurtzmanDepartment of Dermatology, Wright State University, Dayton, OH, USA.
Pedro M MachadoCentre for Rheumatology and Department of Neuromuscular Diseases, University College London, London, UK.ORCID 0000-0002-8411-7972
Neil J McHughDepartment of Pharmacy and Pharmacology, University of Bath, Bath, UK.ORCID 0000-0003-2765-658X
Anna PostolovaDepartment of Immunology and Rheumatology, Stanford Health Care, Stanford, CA, USA.
Albert Selva-O'CallaghanSystemic Autoimmune Unity, Vall D'Hebron General Hospital, Universitat Autonoma de Barcelona, Barcelona, Spain.
Jens SchmidtDepartment of Neurology, Neuromuscular Centre, Göttingen, Germany.
Sarah TansleyRoyal National Hospital for Rheumatic Diseases, Royal United Hospitals Bath NHS Foundation Trust, Bath, UK.ORCID 0000-0003-4633-9598
Ruth Ann VleugelsHarvard Medical School, Boston, MA, USA.
Victoria P WerthDepartment of Dermatology, University of Pennsylvania, Philadelphia, USA.
Rohit AggarwalDivision of Rheumatology and Clinical Immunology, Department of Medicine, University of Pittsburgh, Pittsburgh, PA, USA.ORCID 0000-0001-7531-8038
Manchester Academic Health Science Centre · GBRoyal National Hospital for Rheumatic Diseases · GBStanford University · USBrigham and Women's Hospital · USKing's College Hospital NHS Foundation Trust · GBPhiladelphia VA Medical Center · USStanford Health Care · USUniversitat Autònoma de Barcelona · ESUniversity College London Hospitals NHS Foundation Trust · GBUniversity of Bath · GBUniversity of Göttingen · DEUniversity of Louisville · USUniversity of Pennsylvania · USUniversity of Pittsburgh · USVA Palo Alto Health Care System · USWright State University · US

Funding

Training Program in Adult and Pediatric RheumatologyT32AR050942 · NIAMS · STANFORD UNIVERSITY · PI LEWIS, DAVID BRAM, ROBINSON, WILLIAM H · 2005 to 2025
$6.6M
NIAMS NIH HHS T32 AR050942Versus Arthritis 21993
6 · The paper itself

Abstract

objectivesTo identify clinical factors associated with cancer risk in the idiopathic inflammatory myopathies (IIMs) and to systematically review the existing evidence related to cancer screening.

methodsA systematic literature search was carried out on Medline, Embase and Scopus. Cancer risk within the IIM population (i.e. not compared with the general population) was expressed as risk ratios (RR) for binary variables and weighted mean differences (WMD) for continuous variables. Evidence relating to cancer screening practices in the IIMs were synthesized via narrative review.

resultsSixty-nine studies were included in the meta-analysis. DM subtype (RR 2.21), older age (WMD 11.19), male sex (RR 1.53), dysphagia (RR 2.09), cutaneous ulceration (RR 2.73) and anti-transcriptional intermediary factor-1 gamma positivity (RR 4.66) were identified as being associated with significantly increased risk of cancer. PM (RR 0.49) and clinically amyopathic DM (RR 0.44) subtypes, Raynaud's phenomenon (RR 0.61), interstitial lung disease (RR 0.49), very high serum creatine kinase (WMD -1189.96) or lactate dehydrogenase (WMD -336.52) levels, and anti-Jo1 (RR 0.45) or anti-EJ (RR 0.17) positivity were identified as being associated with significantly reduced risk of cancer. Nine studies relating to IIM-specific cancer screening were included. CT scanning of the thorax, abdomen and pelvis appeared to be effective in identifying underlying asymptomatic cancers.

conclusionCancer risk factors should be evaluated in patients with IIM for risk stratification. Screening evidence is limited but CT scanning could be useful. Prospective studies and consensus guidelines are needed to establish cancer screening strategies in IIM patients.

Indexed as

Guidelines as TopicAdenosine TriphosphatasesAge FactorsAntibodies, AntinuclearCreatine KinaseDeglutition DisordersDermatomyositisDNA-Binding ProteinsFemaleHumansL-Lactate DehydrogenaseLung Diseases, InterstitialMaleMyositisNeoplasmsPublication BiasAdenosine TriphosphatasesAntibodies, AntinuclearCreatine KinaseDNA-Binding ProteinsJo-1 antibodyL-Lactate DehydrogenaseMORC3 protein, humanTranscription FactorsTRIM33 protein, humanautoantibodiesCT scanningepidemiologymeta-analysismusclemyositisneoplasia

Identifiers

PMID33599244
PMCPMC8213426
OpenAlexW3132343671

What OpenQuestion holds

Textmetadata
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.