Evidence map›Paper›PMID 34692323›Full record

ArticleCureus2021

Risk Factors Associated With Non-Respondence to Methotrexate in Rheumatoid Arthritis Patients.

Aman Siddiqui, Ali Totonchian, Jamila Begum Jabar Ali, Ishtiaq Ahmad, Jai Kumar, Sheena Shiwlani, Daniya Muhammad Haroon, Neeraj Makheja, Amber Rizwan

Open access · diamondAbstract read
In one paragraph

Article in Cureus, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
1.7field-weighted citation impact, top 16% 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

8 citing papers in PubMed, 12 citations in OpenAlex.

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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

9 authors at 6 institutions in 2 countries.

Aman SiddiquiInternal Medicine, Dow University of Health Sciences, Civil Hospital Karachi, Karachi, PAK.
Ali TotonchianInternal Medicine, Dow University of Health Sciences, Dow International Medical College, Karachi, PAK.
Jamila Begum Jabar AliInternal Medicine, California Institute of Behavioral Neurosciences and Psychology, Fairfield, USA.
Ishtiaq AhmadInternal Medicine, Khyber Medical College, Peshawar, PAK.
Jai KumarInternal Medicine, Liaquat University of Medical and Health Sciences, Jamshoro, PAK.
Sheena ShiwlaniInternal Medicine, Isra University Hospital, Hyderabad, PAK.
Daniya Muhammad HaroonInternal Medicine, Bahria University Medical and Dental College, Karachi, PAK.
Neeraj MakhejaInternal Medicine, Ghulam Muhammad Mahar Medical College, Karachi, PAK.
Amber RizwanFamily Medicine, Jinnah Post Graduate Medical Center, Karachi, PAK.
Karachi Medical and Dental College · PKKhyber Medical College · PKCalifornia Institute of Behavioral Neurosciences and Psychology (United States) · USFamily Healthcare · USIsra University · PKJinnah Postgraduate Medical Center · PK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionOral methotrexate (MTX) is the first-line therapy for patients with rheumatoid arthritis (RA). However, not all RA patients respond to MTX. In this study, we will determine the risk factors associated with MTX failure.

methodsThis retrospective study was conducted in tertiary care hospital in Pakistan. Data of 612 patients who were diagnosed with RA from June 2019 to January 2021 were retrieved from the medical record room. After inclusion, patients were divided into two groups; respondent and non-respondent. Their characteristics and demographics were compared.

resultsOut of the total 612 patients, 112 (18.3%) were labelled as non-respondent to MTX. Non-respondents had a higher predominance of females (86.6% vs. 60.2%; p-value: 0.001), participants with body mass index (BMI) >25 kg/m

conclusionFemale gender, higher BMI, smoking, higher disease activity, and diabetes were associated with MTX failure. These easily available parameters can help predict the disease process and outcome of treatment. It is important to screen patients who are at risk of MTX failure, so a contingent treatment plan can be devised, in case patients do not respond to MTX.

Indexed as

autoimmunemethotrexaterarheumatoid arthritisrheumatoid factor

Identifiers

PMID34692323
PMCPMC8527277
OpenAlexW3200739889

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.