Evidence map›Paper›PMID 34191046›Full record

ArticleRheumatology international2022

Long-term survival of biological therapy in psoriatic arthritis: 18-year analysis of a cohort in a tertiary hospital.

Lourdes Mateo Soria, Águeda Prior-Español, Mihail Mihaylov Grigorov, Susana Holgado-Pérez, María Aparicio-Espinar, Melania Martinez-Morillo, Alejandro Olivé-Marqués

Abstract read
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In one paragraph

Article in Rheumatology international, 2022. 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
0.3field-weighted citation impact, top 44% 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

3 citing papers in PubMed, 4 citations in OpenAlex.

  1. Trial
  2. Article
  3. Review
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

7 authors at 2 institutions in 1 country.

Lourdes Mateo SoriaRheumatology Department, Hospital Universitari Germans Trias I Pujol, 08916, Badalona, Spain. mateolourdes@gmail.com.ORCID 0000-0002-6394-2949
Águeda Prior-EspañolRheumatology Department, Hospital Universitari Germans Trias I Pujol, 08916, Badalona, Spain.
Mihail Mihaylov GrigorovRheumatology Department, Hospital Mutua de Terrassa, Terrassa, Spain.
Susana Holgado-PérezRheumatology Department, Hospital Universitari Germans Trias I Pujol, 08916, Badalona, Spain.
María Aparicio-EspinarRheumatology Department, Hospital Universitari Germans Trias I Pujol, 08916, Badalona, Spain.
Melania Martinez-MorilloRheumatology Department, Hospital Universitari Germans Trias I Pujol, 08916, Badalona, Spain.
Alejandro Olivé-MarquésRheumatology Department, Hospital Universitari Germans Trias I Pujol, 08916, Badalona, Spain.
Hospital Universitari Germans Trias i Pujol · ESUniversity Hospital Mútua de Terrassa · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

To study retention of biologic disease-modifying anti-rheumatic drugs (bDMARDs) or apremilast and potential predictors of lack of response in patients with psoriatic arthritis (PsA). A single-center retrospective analysis of PsA patients who received  ≥  1 bDMARD or apremilast during 2000-2018. The main endpoint was lack of response (primary or secondary failure). Analyses included retention of DMARDs (Kaplan-Meier curves) and potential predictors of lack of response (bivariate and multivariate logistic regression models). A total of 159 patients with PsA received up to 8 DMARDs: etanercept (34%), adalimumab (30%), infliximab (9%), golimumab (9%), apremilast (7%), ustekinumab (5%), certolizumab (4%), and secukinumab (2%). Therapy was discontinued in 96 cases (60%), mainly owing to secondary failure (37%), followed by primary failure (25%) and adverse effects (24%). Retention was analyzed based on 313 units of analysis. Duration of follow-up was 846.1 treatment-years (maximum 14.8 years, median 2.75 years). A total of 172 DMARDs were discontinued. The probability of continuing the initial treatment was 37% at 5 years, 22% at 10 years, and 12% at 14 years. The longest medium retention time was observed for infliximab (6.2 years) and etanercept (4.5 years). Predictors of lack of response included male sex, number of swollen joints, and, especially, depression (OR  =  35.2). The sensitivity and specificity of the model were 86.4% and 85.7%, respectively, with a coefficient of determination (R

Indexed as

Antirheumatic AgentsArthritis, PsoriaticBiological ProductsAdalimumabBiological TherapyEtanerceptHumansInfliximabRetrospective StudiesTertiary Care CentersTumor Necrosis Factor InhibitorsAdalimumabAntirheumatic AgentsBiological ProductsEtanerceptInfliximabTumor Necrosis Factor InhibitorsAnti-TNF alphaBiologic therapyComorbidityDepressionDrug survivalPsoriatic arthritis

Identifiers

PMID34191046
OpenAlexW3176704252

What OpenQuestion holds

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Read underepoch 390

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.