Evidence map›Paper›PMID 36439640›Full record

ArticleTherapeutic advances in musculoskeletal disease2022

Higher body mass index is associated with a lower iloprost infusion rate tolerance and higher iloprost-related adverse events in patients with systemic sclerosis.

Riccardo Bixio, Giovanni Adami, Eugenia Bertoldo, Alessandro Giollo, Andrea Morciano, Davide Bertelle, Giovanni Orsolini, Luca Idolazzi, Maurizio Rossini, Ombretta Viapiana

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 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.9field-weighted citation impact, top 26% 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

3 citing papers in PubMed, 6 citations in OpenAlex.

  1. Article
  2. Iloprost for the treatment of frostbite: a scoping review.International journal of circumpolar health · 2023
    Article
  3. 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

10 authors at 2 institutions in 1 country.

Riccardo BixioRheumatology Section, Department of Medicine, University of Verona, Policlinico G.B. Rossi 10, 37134 Verona, Italy.ORCID https://orcid.org/0000-0001-9335-3371
Giovanni AdamiRheumatology Section, Department of Medicine, University of Verona, Verona, Italy.ORCID https://orcid.org/0000-0002-8915-0755
Eugenia BertoldoRheumatology Section, Department of Medicine, University of Verona, Verona, Italy.
Alessandro GiolloDivision of Rheumatology, University of Padova, Padova, Italy.ORCID https://orcid.org/0000-0001-9355-7673
Andrea MorcianoRheumatology Section, Department of Medicine, University of Verona, Verona, Italy.
Davide BertelleRheumatology Section, Department of Medicine, University of Verona, Verona, Italy.ORCID https://orcid.org/0000-0002-5901-7742
Giovanni OrsoliniRheumatology Section, Department of Medicine, University of Verona, Verona, Italy.
Luca IdolazziRheumatology Section, Department of Medicine, University of Verona, Verona, Italy.ORCID https://orcid.org/0000-0002-7254-4686
Maurizio RossiniRheumatology Section, Department of Medicine, University of Verona, Verona, Italy.ORCID https://orcid.org/0000-0001-9692-2293
Ombretta ViapianaRheumatology Section, Department of Medicine, University of Verona, Verona, Italy.
University of Verona · ITUniversity of Padua · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Systemic sclerosis (SSc) is an autoimmune disease characterized by vasospasm and microvascular involvement. Iloprost (ILO), a prostaglandin analogous, is used for the treatment of SSc-related Raynaud's phenomenon and digital ulcers. The suggested dose is 0.5-2 ng/kg/min for 6-8 h, and the maximum dose is decided upon the patient's tolerance. Objectives: This study aims to analyze ILO infusion tolerance and possible predictive factors in patients with SSc. Design: This is a retrospective observational study. Method: We evaluated 113 patients with SSc beginning ILO intravenous (IV) infusion treatment between 2004 and 2021. We assessed the maximum tolerated ILO IV infusion rate, the incidence of adverse events (AEs), and the need for symptomatic therapy during the dose-finding sessions. We collected relevant demographic and medical and employed generalized linear models to assess possible predictors of maximum tolerated ILO infusion rate and AEs and logistic regression to assess predictors of AEs. Results: The median ILO infusion rate at the end of the dose-finding process was 0.88 ng/kg/min [interquartile range (IQR) = 0.37]. We found a significant inverse correlation between ILO infusion rate and body mass index (BMI) at the beginning of treatment. BMI was negatively associated with ILO infusion rate ( Conclusion: This study showed that higher BMI was statistically associated with lower ILO infusion rate tolerance and higher AEs rate, underlying a possible BMI-dependent endothelial dysfunction. Individual ILO regimens still need to be tailored to the patient. Plain Language Summary:

Indexed as

body mass indexiloprostprostanoidssystemic sclerosis

Identifiers

PMID36439640
PMCPMC9685102
OpenAlexW4310460810

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.