Evidence map›Paper›PMID 35898567›Full record

ArticleTherapeutic advances in musculoskeletal disease2022

Tocilizumab in visual involvement of giant cell arteritis: a multicenter study of 471 patients.

Javier Loricera, Santos Castañeda, Clara Moriano, Javier Narváez, Vicente Aldasoro, Olga Maiz, Rafael Melero, Ignacio Villa, Paloma Vela, Susana Romero-Yuste and 14 more

Open access · goldAbstract read
In one paragraph

Article in Therapeutic advances in musculoskeletal disease, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
3.0field-weighted citation impact, top 7% 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

5 citing papers in PubMed, 25 citations in OpenAlex.

  1. Review
  2. Observational
  3. Article
  4. Observational
  5. Article
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

24 authors at 18 institutions in 2 countries.

Javier LoriceraRheumatology Division, Hospital Universitario Marqués de Valdecilla, Instituto de Investigación Valdecilla (IDIVAL), Santander, Spain.ORCID https://orcid.org/0000-0003-4754-0277
Santos CastañedaDepartment of Rheumatology, Hospital Universitario de La Princesa, IIS-Princesa, Catedra UAM-Roche, EPID-Future, UAM, Madrid, Spain.
Clara MorianoDepartment of Rheumatology, Complejo Asistencial Universitario de León, León, Spain.
Javier NarváezDepartment of Rheumatology, Hospital de Bellvitge, Barcelona, Spain.ORCID https://orcid.org/0000-0002-1614-8064
Vicente AldasoroDepartment of Rheumatology, Complejo Hospitalario de Navarra, Pamplona, Spain.
Olga MaizDepartment of Rheumatology, Hospital Universitario de Donostia, San Sebastián, Spain.
Rafael MeleroDepartment of Rheumatology, Complexo Hospitalario Universitario de Vigo, Vigo, Spain.
Ignacio VillaDepartment of Rheumatology, Hospital Sierrallana, Torrelavega, Spain.
Paloma VelaDepartment of Rheumatology, Hospital General Universitario de Alicante, Alicante, Spain.
Susana Romero-YusteDepartment of Rheumatology, Complejo Hospitalario Universitario de Pontevedra, Pontevedra, Spain.
José L CallejasUnit of Systemic Autoimmune Diseases, Hospital San Cecilio, Granada, Spain.
Eugenio de MiguelDepartment of Rheumatology, Hospital La Paz, Madrid, Spain.
Eva Galíndez-AgirregoikoaDepartment of Rheumatology, Hospital de Basurto, Bilbao, Spain.
Francisca SiveraDepartment of Rheumatology, Hospital Universitario de Elda, Alicante, Spain.ORCID https://orcid.org/0000-0002-3414-1667
Jesús C Fernández-LópezDepartment of Rheumatology, Hospital Universitario Juan Canalejo, A Coruña, Spain.
Carles GalisteoDepartment of Rheumatology, Hospital Parc Taulí, Barcelona, Spain.
Iván Ferraz-AmaroDepartment of Rheumatology, Complejo Hospitalario Universitario de Canarias, Tenerife, Spain.ORCID https://orcid.org/0000-0003-0197-5267
Julio Sánchez-MartínDepartment of Rheumatology, Hospital Universitario 12 de Octubre, Madrid, Spain.
Lara Sánchez-BilbaoRheumatology Division, Hospital Universitario Marqués de Valdecilla, Instituto de Investigación Valdecilla (IDIVAL), Santander, Spain.
Mónica Calderón-GoerckeRheumatology Division, Hospital Universitario Marqués de Valdecilla, Instituto de Investigación Valdecilla (IDIVAL), Santander, Spain.
Alfonso CasadoDepartment of Ophthalmology, Hospital Universitario Marqués de Valdecilla, Instituto de Investigación Valdecilla (IDIVAL), Santander, Spain.
José L HernándezInternal Medicine Division, Hospital Universitario Marqués de Valdecilla, Avda. Valdecilla s/n, ES-39008 Santander, Spain.
Miguel A González-GayRheumatology Division, Hospital Universitario Marqués de Valdecilla, Instituto de Investigación Valdecilla (IDIVAL), Avda. Valdecilla s/n, ES-39008 Santander, Spain.ORCID https://orcid.org/0000-0002-7924-7406
Ricardo BlancoRheumatology Division, Hospital Universitario Marqués de Valdecilla, Instituto de Investigación Valdecilla (IDIVAL), Avda. Valdecilla s/n, ES-39008 Santander, Spain.ORCID https://orcid.org/0000-0003-2344-2285
Instituto de Investigación Marqués de Valdecilla · ESBellvitge University Hospital · ESComplejo Asistencial Universitario de Palencia · ESComplejo Hospitalario de Navarra · ESComplejo Hospitalario de Pontevedra · ESCorporació Sanitària Parc Taulí · ESHospital de Basurto · ESHospital General de Elda · ESHospital General Universitario de Alicante Doctor Balmis · ESHospital Sierrallana · ESHospital Universitario 12 De Octubre · ESHospital Universitario de Canarias · ESHospital Universitario de La Princesa · ESHospital Universitario La Paz · ESInstituto de Investigación Biosanitaria de Granada · ESUniversidad de Cantabria · ESUniversity Hospital Complex Of Vigo · ESUniversity of the Witwatersrand · ZA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Visual involvement is the most feared complication of giant cell arteritis (GCA). Information on the efficacy of tocilizumab (TCZ) for this complication is scarce and controversial. Objective: We assessed a wide series of GCA treated with TCZ, to evaluate its role in the prevention of new visual complications and its efficacy when this manifestation was already present before the initiation of TCZ. Design: This is an observational multicenter study of patients with GCA treated with TCZ. Methods: Patients were divided into two subgroups according to the presence or absence of visual involvement before TCZ onset. Visual manifestations were classified into the following categories: transient visual loss (TVL), permanent visual loss (PVL), diplopia, and blurred vision. Results: Four hundred seventy-one GCA patients (mean age, 74 ± 9 years) were treated with TCZ. Visual manifestations were observed in 122 cases (26%), of which 81 were present at TCZ onset: PVL ( Conclusion: TCZ may have a protective effect against the development of visual complications or new episodes of TVL in GCA. However, once PVL was established, only a few patients improved.

Indexed as

giant cell arteritislarge-vessel vasculitistocilizumabvisual involvement

Identifiers

PMID35898567
PMCPMC9310329
OpenAlexW4286712126

What OpenQuestion holds

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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.