Evidence map›Paper›PMID 35604436›Full record

ReviewRheumatology international2022

Treatment of rheumatoid arthritis with conventional, targeted and biological disease-modifying antirheumatic drugs in the setting of liver injury and non-alcoholic fatty liver disease.

Tatjana Zekić, Mirjana Stanić Benić, Mislav Radić

Abstract readReview
PubMed Publisher
In one paragraph

Review in Rheumatology international, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.4field-weighted citation impact, top 19% 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

7 citing papers in PubMed, 9 citations in OpenAlex.

  1. Trial
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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

3 authors at 2 institutions in 1 country.

Tatjana ZekićDepartment of Rheumatology and Clinical Immunology, Clinical Hospital Center Rijeka, Faculty of Medicine Rijeka, University of Rijeka, Rijeka, Croatia. tatjana.zekic@ri.t-com.hr.ORCID 0000-0001-7948-5394
Mirjana Stanić BenićDepartment of Pharmacology, Clinical Hospital Center Rijeka, Rijeka, Croatia.ORCID 0000-0002-4123-9937
Mislav RadićDepartment of Rheumatology, Clinical Immunology and Allergology, Faculty of Medicine Split, University of Split, Clinical Hospital Center Split, Split, Croatia.ORCID 0000-0003-0350-6800
University of Rijeka · HRUniversity of Split · HR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Increased incidence of liver diseases emphasizes greater caution in prescribing antirheumatic drugs due to their hepatotoxicity. A transient elevation of transaminases to autoimmune hepatitis and acute liver failure has been described. For every 10 cases of alanine aminotransferase (ALT) elevation in a clinical trial, it is estimated that one case of more severe liver injury will develop once the investigated drug is widely available. Biologic disease-modifying antirheumatic drugs (bDMARDs) and targeted synthetic (tsDMARDs) are less likely to cause liver damage. However, various manifestations, from a transient elevation of transaminases to autoimmune hepatitis and acute liver failure, have been described. Research on non-alcoholic fatty liver disease (NAFLD) has provided insight into a pre-existing liver disease that may be worsen by medication. Diabetes and obesity could be an additional burden in drug-induced liver injury (DILI). In the intertwining of the inflammatory and metabolic pathways, the most important cytokines are IL-6 and TNF alpha, which are also the cornerstone of biological treatment for rheumatoid arthritis. This narrative review evaluates the complexity and prevention of DILI in RA and treatment options involving biological therapy and tsDMARDs.

Indexed as

Antirheumatic AgentsArthritis, RheumatoidBiological ProductsHepatitis, AutoimmuneLiver Failure, AcuteNon-alcoholic Fatty Liver DiseaseHumansTransaminasesAntirheumatic AgentsBiological ProductsTransaminasesAntirheumatic agentsArthritisInterleukin-6Janus kinase inhibitorsLiverRheumatoidTumor necrosis factor-alpha

Identifiers

PMID35604436
OpenAlexW4281392038

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.