Evidence map›Paper›PMID 35029702›Full record

ReviewDer Internist2022

[Treatment of rheumatoid arthritis and spondylarthritis with biologics].

Christoph Fiehn

Abstract readReview
In one paragraph

Review in Der Internist, 2022. 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
–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

8 citing papers in PubMed.

  1. The Application Prospects and Future Outlook ofDrug design, development and therapy · 2026
    Review
  2. Review
  3. The application prospects of sacha inchi (Frontiers in pharmacology · 2024
    Review
  4. Review
  5. Article
  6. Review
  7. Article
  8. 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

1 author.

Christoph FiehnRheumatologie Baden-Baden, Tätigkeitsschwerpunkt Klinische Immunologie und Belegarzteinheit Rheumatologie an den ViDia-Kliniken Karlsruhe, Beethovenstr. 2, 76530, Baden-Baden, Deutschland. c.fiehn@rheuma-badenbaden.de.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Biologics are an integral part of modern strategies for treatment of rheumatoid arthritis (RA) and spondylarthritis (SpA), including psoriatic arthritis (PsA). Biologics are biotechnologically produced proteins that have inhibiting effects on humoral and cellular components of rheumatic inflammation. Substance classes used in rheumatology are tumor necrosis factor (TNF)-alpha, interleukin (IL)-1, IL‑6, IL-12, IL-17 and IL-23 inhibitors effective against cytokines as well as the T lymphocyte activation inhibitor abatacept and the B lymphocyte-depleting rituximab. There are clear recommendations for the use of biologics for RA patients inadequately responding to one or more conventional synthetic disease-modifying antirheumatic drugs and for ankylosing spondylitis (AS) and nonradiographical axial SpA patients with an inadequate response to at least two nonsteroidal antirheumatic drugs. For PsA the recommended use depends on the most prominent manifestations in each case. Treatment with biologics should follow the treat to target principle, with a defined and validated treatment target. Treatment in cases of RA and SpA should target remission or at least a low or minimum disease activity. The safety of treatment with biologics has been intensively investigated. There are very specific contraindications for individual substance classes with a focus on an increased risk of infections. The standard procedure before starting treatment with biologics includes the exclusion of latent tuberculosis and hepatitis B. The TNF-alpha inhibitors have a protective effect with respect to myocardial infarction, stroke and venous thromboembolism.

Indexed as

Antirheumatic AgentsArthritis, PsoriaticArthritis, RheumatoidBiological ProductsSpondylarthritisSpondylitis, AnkylosingHumansTumor Necrosis Factor-alphaAntirheumatic AgentsBiological ProductsTumor Necrosis Factor-alphaAntirheumatic agentsArthritis, psoriaticInterleukin inhibitorsSpondylitis, ankylosingTumor necrosis factor inhibitors

Identifiers

PMID35029702
PMCPMC8759427

What OpenQuestion holds

Textmetadata
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.