Evidence map›Paper›PMID 33976334›Full record

ArticleScientific reports2021

Increased disease activity in early arthritis patients with anti-carbamylated protein antibodies.

Cristina Regueiro, Laura Nuño, Ana Triguero-Martinez, Ana M Ortiz, Alejandro Villalba, María Dolores Bóveda, Ana Martínez-Feito, Carmen Conde, Alejandro Balsa, Isidoro González-Alvaro and 1 more

Open access · goldAbstract read
In one paragraph

Article in Scientific reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
0.5field-weighted citation impact, top 35% 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

5 citing papers in PubMed, 1 synthesis or guideline pooled it, 5 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Review
  5. 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

11 authors at 4 institutions in 1 country.

Cristina RegueiroExperimental and Observational Rheumatology and Rheumatology Unit, Instituto de Investigacion Sanitaria - Hospital Clínico Universitario de Santiago (IDIS), 15706, Santiago de Compostela, Spain.
Laura NuñoRheumatology Department, Instituto de Investigación Hospital Universitario la Paz (IDIPAZ), 28046, Madrid, Spain.
Ana Triguero-MartinezRheumatology Department, Hospital Universitario de la Princesa, Instituto de Investigación Sanitaria la Princesa (IIS-lP), 28006, Madrid, Spain.
Ana M OrtizRheumatology Department, Hospital Universitario de la Princesa, Instituto de Investigación Sanitaria la Princesa (IIS-lP), 28006, Madrid, Spain.
Alejandro VillalbaRheumatology Department, Instituto de Investigación Hospital Universitario la Paz (IDIPAZ), 28046, Madrid, Spain.
María Dolores BóvedaUnit of Diagnosis and Treatment of Congenital Metabolic Diseases, Department of Paediatrics, Instituto de Investigación Sanitaria - Hospital Clínico Universitario de Santiago, 15706, Santiago de Compostela, Spain.
Ana Martínez-FeitoImmuno-Rheumatology Department, Instituto de Investigación Hospital Universitario La Paz (IDIPAZ), 28046, Madrid, Spain.
Carmen CondeExperimental and Observational Rheumatology and Rheumatology Unit, Instituto de Investigacion Sanitaria - Hospital Clínico Universitario de Santiago (IDIS), 15706, Santiago de Compostela, Spain.
Alejandro BalsaRheumatology Department, Instituto de Investigación Hospital Universitario la Paz (IDIPAZ), 28046, Madrid, Spain.
Isidoro González-AlvaroRheumatology Department, Hospital Universitario de la Princesa, Instituto de Investigación Sanitaria la Princesa (IIS-lP), 28006, Madrid, Spain.
Antonio GonzalezExperimental and Observational Rheumatology and Rheumatology Unit, Instituto de Investigacion Sanitaria - Hospital Clínico Universitario de Santiago (IDIS), 15706, Santiago de Compostela, Spain. agmartinezp@ser.es.
Instituto de Investigación Sanitaria de Santiago · ESHospital Universitario de La Princesa · ESHospital Universitario La Paz · ESHospital La Paz Institute for Health Research · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The initial management of rheumatoid arthritis (RA) has a high impact on disease prognosis. Therefore, we need to select the most appropriate treatment as soon as possible. This goal requires biomarkers of disease severity and prognosis. One such biomarker may be the presence of anti-carbamylated protein antibodies (ACarPA) because it is associated with adverse long term outcomes as radiographic damage and mortality. Here, we have assessed the ACarPA as short-term prognostic biomarkers. The study was conducted in 978 prospective early arthritis (EA) patients that were followed for two years. Our results show the association of ACarPA with increased levels of all the disease activity measures in the first visit after arthritis onset. However, the associations were more significant with the high levels in local measures of inflammation and physician assessment than with the increases in systemic inflammation and patient-reported outcomes. More notably, disease activity was persistently increased in the ACarPA positive patients during the two years of follow-up. These differences were significant even after accounting for the presence of other RA autoantibodies. Therefore, the ACarPA could be considered short-term prognostic biomarkers of increased disease activity in the EA patients.

Indexed as

AdultAntibodiesAnti-Citrullinated Protein AntibodiesArthritisArthritis, RheumatoidAutoantibodiesBiomarkersFemaleHumansMaleMiddle AgedPeptides, CyclicPrognosisProspective StudiesProtein CarbamylationRheumatoid FactorAntibodiesAnti-Citrullinated Protein AntibodiesAutoantibodiesBiomarkersPeptides, CyclicRheumatoid Factor

Identifiers

PMID33976334
PMCPMC8113595
OpenAlexW3160889082

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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.