Evidence map›Paper›PMID 33903963›Full record

ArticleRheumatology international2021

Comparison of efficacy between anti-IL-6 receptor antibody and other biological disease-modifying antirheumatic drugs in the patients with rheumatoid arthritis who have knee joint involvement: the ANSWER cohort, retrospective study.

Yuichi Maeda, Toru Hirano, Kosuke Ebina, Ryota Hara, Motomu Hashimoto, Wataru Yamamoto, Kosaku Murakami, Takuya Kotani, Kenichiro Hata, Yonsu Son and 5 more

Abstract readComparative Study
PubMed Publisher
In one paragraph

Article in Rheumatology international, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.0field-weighted citation impact, top 24% 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

7 citing papers in PubMed, 10 citations in OpenAlex.

  1. Trial
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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 8 institutions in 1 country.

Yuichi MaedaDepartment of Respiratory Medicine and Clinical Immunology, Graduate School of Medicine, Osaka University, Suita, Osaka, 565-0871, Japan. ymaeda@imed3.med.osaka-u.ac.jp.ORCID http://orcid.org/0000-0002-6831-8205
Toru HiranoDepartment of Respiratory Medicine and Clinical Immunology, Graduate School of Medicine, Osaka University, Suita, Osaka, 565-0871, Japan.ORCID http://orcid.org/0000-0001-8467-3154
Kosuke EbinaDepartment of Musculoskeletal Regenerative Medicine, Osaka University Graduate School of Medicine, Osaka, Japan.ORCID http://orcid.org/0000-0002-2426-1024
Ryota HaraThe Center for Rheumatic Diseases, Nara Medical University, Kashihara, Japan.ORCID http://orcid.org/0000-0001-8000-3196
Motomu HashimotoDepartment of Advanced Medicine for Rheumatic Diseases, Kyoto University Graduate School of Medicine, Kyoto, Japan.ORCID http://orcid.org/0000-0002-9241-060X
Wataru YamamotoHealth Information Management, Kurashiki Sweet Hospital, Kurashiki, Japan.ORCID http://orcid.org/0000-0002-0810-4221
Kosaku MurakamiDepartment of Rheumatology and Clinical Immunology, Kyoto University Graduate School of Medicine, Kyoto, Japan.
Takuya KotaniDepartment of Internal Medicine (IV), Osaka Medical College, Takatsuki, Japan.
Kenichiro HataDepartment of Internal Medicine (IV), Osaka Medical College, Takatsuki, Japan.
Yonsu SonFirst Department of Internal Medicine, Kansai Medical University, Hirakata, Japan.ORCID http://orcid.org/0000-0001-7244-7715
Hideki AmuroFirst Department of Internal Medicine, Kansai Medical University, Hirakata, Japan.ORCID http://orcid.org/0000-0002-7299-2884
Akira OnishiDepartment of Rheumatology and Clinical Immunology, Kobe University Graduate School of Medicine, Kobe, Japan.ORCID http://orcid.org/0000-0002-3120-1273
Sadao JinnoDepartment of Rheumatology and Clinical Immunology, Kobe University Graduate School of Medicine, Kobe, Japan.ORCID http://orcid.org/0000-0003-3021-183X
Masaki KatayamaDepartment of Rheumatology, Osaka Red Cross Hospital, Osaka, Japan.ORCID http://orcid.org/0000-0002-0773-7238
Atsushi KumanogohDepartment of Respiratory Medicine and Clinical Immunology, Graduate School of Medicine, Osaka University, Suita, Osaka, 565-0871, Japan.ORCID http://orcid.org/0000-0003-4749-7117
The University of Osaka · JPKansai Medical University · JPKobe University · JPKyoto University · JPOsaka Medical and Pharmaceutical University · JPKurashiki Central Hospital · JPNara Medical University · JPOsaka Red Cross Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveWe aimed to investigate the efficacy of anti-IL-6 receptor antibody (aIL-6) and other biologic disease-modifying antirheumatic drugs (bDMARDs), such as TNF inhibitor and CTLA4-Ig in the treatment of rheumatoid arthritis (RA) in patients with knee joint involvement.

methodsWe retrospectively analyzed 1059 treatment courses of patients with RA who visited our hospitals and were treated with bDMARDs. We categorized them into two groups, with or without knee joint involvement. We investigated the clinical disease activity index (CDAI) at baseline and 12 weeks after the initiation of bDMARDs. We compared the improvement of the markers between aIL-6 and other bDMARDs.

resultsTreatment with aIL-6 significantly increased ΔCDAI (n = 91, 15.4 ± 1.1; mean ± SEM) in patients with knee joint involvement, compared to other bDMARDs (n = 232, 11.0 ± 0.7) at 12 weeks (P = 0.006). Following the multivariate analysis adjusted by the CDAI levels at baseline, age, gender, concomitant use of methotrexate, and the first use of bDMARDs, ΔCDAI levels were significantly higher in aIL-6, compared to other bDMARDs (P = 0.02). However, there was no significant difference in ΔCDAI improvement between aIL-6 (n = 162, 5.9 ± 0.6) and other bDMARDs (n = 573, 6.2 ± 0.4) in patients without swollen knee joints. ΔCDAI levels were equally increased in patients with shoulder and elbow joint involvement.

conclusionaIL-6 was more effective in the patients with RA and knee joint involvement, compared to other bDMARDs.

Indexed as

Knee JointAdultAgedAntirheumatic AgentsArthritis, RheumatoidBiological ProductsFemaleHumansMaleMiddle AgedReceptors, Interleukin-6Retrospective StudiesTreatment OutcomeAntirheumatic AgentsBiological ProductsReceptors, Interleukin-6Antirheumatic agentsInterleukin-6Rheumatoid arthritis

Identifiers

PMID33903963
OpenAlexW3158439396

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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.