Evidence map›Paper›PMID 33913026›Full record

SynthesisCurrent rheumatology reports2021

Reactive Arthritis following Bacillus Calmette-Guerin Therapy for Bladder Cancer: a Systematic Literature Review.

Kawther Ben Abdelghani, Lilia Nacef, Saoussen Miladi, Meriem Sellami, Kmar Ouenniche, Leila Souabni, Selma Kassab, Selma Chekili, Alia Fazaa, Ahmed Laatar

Abstract readSystematic Review
PubMed Publisher
In one paragraph

Synthesis in Current rheumatology reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
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

3 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
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

10 authors.

Kawther Ben AbdelghaniRheumatology Department, Mongi Slim Hospital, La Marsa, Tunisia.
Lilia NacefRheumatology Department, Mongi Slim Hospital, La Marsa, Tunisia. naceflylia@gmail.com.
Saoussen MiladiRheumatology Department, Mongi Slim Hospital, La Marsa, Tunisia.
Meriem SellamiRheumatology Department, Mongi Slim Hospital, La Marsa, Tunisia.
Kmar OuennicheRheumatology Department, Mongi Slim Hospital, La Marsa, Tunisia.
Leila SouabniRheumatology Department, Mongi Slim Hospital, La Marsa, Tunisia.
Selma KassabRheumatology Department, Mongi Slim Hospital, La Marsa, Tunisia.
Selma ChekiliRheumatology Department, Mongi Slim Hospital, La Marsa, Tunisia.
Alia FazaaRheumatology Department, Mongi Slim Hospital, La Marsa, Tunisia.
Ahmed LaatarRheumatology Department, Mongi Slim Hospital, La Marsa, Tunisia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purpose of reviewIntravesical BCG therapy (ivBCG) is a treatment for bladder cancer that complements surgery and prevents tumor progression. Reactive arthritis (ReA) is a rare osteoarticular manifestation that can complicate this treatment. An updated systematic literature review has been investigated to identify clinical, biological, and therapeutic data of this pathology. RECENT

findingsA systematic literature was performed on October 2020 to identify papers published from 2000 to 2020. Study eligibility criteria included case reports, case series, cohort studies, systematic reviews, meta-analysis, and letters to the editor, in English and French. Independent extraction of articles was performed by two investigators. Thirteen studies met the search criteria for the systematic review with a good quality assessment. The total number of patients was 107, with an average age of 61.5 [24-80]. The symptoms of ReA appeared after a mean number of 5.71 instillations and 13.9 days. Arthritis was the most common symptom (98.13%) followed by fever (80.76%) and conjunctivitis (64.42%). Human leukocyte antigen (HLAB27) was positive in 28.97% of patients. Therapeutic modalities included non-steroidal anti-inflammatory drugs (NSAIDs) (51.4%), corticosteroids (27.1%), conventional synthetic disease-modifying antirheumatic drugs (3.84%), antitubercular drugs (14.42%), and tocilizumab (0.93%). BCG therapy was discontinued in 29.9% of patients. Remission was achieved in 92.3% of patients and one patient progressed to spondyloarthritis. ReA is a rare complication of BCG therapy. Clinical signs are similar to those of typical ReA and treatment is primarily based on NSAIDs and corticosteroids.

Indexed as

Arthritis, ReactiveBCG VaccineUrinary Bladder NeoplasmsAdministration, IntravesicalHumansProhibitinsRare DiseasesBCG VaccinePHB2 protein, humanProhibitinsBCGBladder cancerImmunotherapyReactive arthritisReiter’s syndrome

Identifiers

What OpenQuestion holds

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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.