Evidence map›Paper›PMID 35029907›Full record

ReviewMedicine2022

Consensus recommendations on managing the selected comorbidities including cardiovascular disease, osteoporosis, and interstitial lung disease in rheumatoid arthritis.

Kuang-Hui Yu, Hsin-Hua Chen, Tien-Tsai Cheng, Yeong-Jian Jan, Meng-Yu Weng, Yeong-Jang Lin, Hung-An Chen, Jui-Tseng Cheng, Kuang-Yung Huang, Ko-Jen Li and 5 more

Open access · goldAbstract readReviewConsensus Statement
In one paragraph

Review in Medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed
6.3field-weighted citation impact, top 3% 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

23 citing papers in PubMed, 37 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. Article
  5. Article
  6. Observational
  7. Article
  8. Management strategies in rheumatoid arthritis.Nature reviews. Rheumatology · 2024
    Review
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Review
  16. Review
  17. Article
  18. Review
  19. Article
  20. 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

15 authors at 11 institutions in 1 country.

Kuang-Hui YuDivision of Rheumatology, Allergy, and Immunology, Chang Gung University and Memorial Hospital, Taoyuan, Taiwan.
Hsin-Hua ChenDepartment of Medical Research, Taichung Veterans General Hospital, Taiwan.
Tien-Tsai ChengDivision of Rheumatology, Allergy, and Immunology, Chang Gung University and Kaohsiung Chang Gung Memorial Hospital, Kaohsiung, Taiwan.
Yeong-Jian JanDivision of Rheumatology, Allergy, and Immunology, Chang Gung University and Keelung Chang Gung Memorial Hospital, Keelung, Taiwan.
Meng-Yu WengDivision of Allergy, Immunology, and Rheumatology, Department of Internal Medicine, National Cheng Kung University Medical College and Hospital.
Yeong-Jang LinDivision of Allergy, Immunology and Rheumatology, Department of Internal Medicine, Chi Mei Medical Center, Tainan, Taiwan.
Hung-An ChenDivision of Allergy, Immunology and Rheumatology, Department of Internal Medicine, Chi Mei Medical Center, Tainan, Taiwan.
Jui-Tseng ChengDivision of Allergy, Immunology and Rheumatology, Kaohsiung Veterans General Hospital, Taiwan.
Kuang-Yung HuangDivision of Immunology, Allergy and Rheumatology, Buddhist Tzu Chi Medical Foundation, Dalin Tzu Chi Hospital, Chiayi, Taiwan.
Ko-Jen LiDivision of Rheumatology and Immunology, Department of Internal Medicine, National Taiwan University Hospital.
Yu-Jih SuDepartment of Medical Research, Taichung Veterans General Hospital, Taiwan.
Pui-Ying LeongDivision of Allergy, Immunology and Rheumatology, Chung Shan Medical University Hospital, Taichung, Taiwan.
Wen-Chan TsaiDivision of Rheumatology and Immunology, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan.
Joung-Liang LanRheumatology and Immunology Center, China Medical University Hospital, Taichung, Taiwan.
Der-Yuan ChenInstitute of Medicine, Chung Shan Medical University Hospital, Taichung, Taiwan.ORCID 0000-0001-7736-2235
Chang Gung University · TWChina Medical University · TWNational Yang Ming Chiao Tung University · TWChi Mei Medical Center · TWChung Shan Medical University Hospital · TWKaohsiung Medical University · TWKaohsiung Veterans General Hospital · TWNational Cheng Kung University Hospital · TWNational Taiwan University Hospital · TWTaichung Veterans General Hospital · TWTzu Chi University · TW

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRheumatoid arthritis (RA)-related comorbidities, including cardiovascular disease (CVD), osteoporosis (OP), and interstitial lung disease (ILD), are sub-optimally managed. RA-related comorbidities affect disease control and lead to impairment in quality of life. We aimed to develop consensus recommendations for managing RA-related comorbidities.

methodsThe consensus statements were formulated based on emerging evidence during a face-to-face meeting of Taiwan rheumatology experts and modified through three-round Delphi exercises. The quality of evidence and strength of recommendation of each statement were graded after a literature review, followed by voting for agreement. Through a review of English-language literature, we focused on the existing evidence of management of RA-related comorbidities.

resultsBased on experts' consensus, eleven recommendations were developed. CVD risk should be assessed in patients at RA diagnosis, once every 5 years, and at changes in DMARDs therapy. Considering the detrimental effects of nonsteroidal anti-inflammatory drugs (NSAIDs) and corticosteroids on CVD risks, we recommend using the lowest possible dose of corticosteroids and prescribing NSAIDs cautiously. The OP/fragility fracture risk assessment includes dual-energy X-ray absorptiometry and fracture risk assessment (FRAX) in RA. The FRAX-based approach with intervention threshold is a useful strategy for managing OP. RA-ILD assessment includes risk factors, pulmonary function tests, HRCT imaging and a multidisciplinary decision approach to determine RA-ILD severity. A treat-to-target strategy would limit RA-related comorbidities.

conclusionsThese consensus statements emphasize that adequate control of disease activity and the risk factors are needed for managing RA-related comorbidities, and may provide useful recommendations for rheumatologists on managing RA-related comorbidities.

Indexed as

Cardiovascular DiseasesLung Diseases, InterstitialOsteoporosisAdrenal Cortex HormonesAnti-Inflammatory Agents, Non-SteroidalArthritis, RheumatoidHumansQuality of LifeAdrenal Cortex HormonesAnti-Inflammatory Agents, Non-Steroidal

Identifiers

PMID35029907
PMCPMC8735742
OpenAlexW4205164852

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.