Evidence map›Paper›PMID 36605209›Full record

ArticleFrontiers in immunology2022

Cancer risks in rheumatoid arthritis patients who received immunosuppressive therapies: Will immunosuppressants work?

Yuzhuo Zhang, Jiangpeng Lin, Zhixuan You, Hengjia Tu, Peng He, Jiarong Li, Rui Gao, Ziyu Liu, Zhiyuan Xi, Zekun Li and 6 more

Open access · goldAbstract read
In one paragraph

Article in Frontiers in immunology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
3.1field-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

12 citing papers in PubMed, 1 synthesis or guideline pooled it, 21 citations in OpenAlex.

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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

16 authors at 8 institutions in 1 country.

Yuzhuo ZhangGuangzhou Medical University, Guangzhou, Guangdong, China.
Jiangpeng LinGuangzhou Medical University, Guangzhou, Guangdong, China.
Zhixuan YouGuangzhou Medical University, Guangzhou, Guangdong, China.
Hengjia TuGuangzhou Medical University, Guangzhou, Guangdong, China.
Peng HeGuangzhou Medical University, Guangzhou, Guangdong, China.
Jiarong LiDepartment of Medical Imaging, Changzhi Medical College, Changzhi, Shanxi, China.
Rui GaoGuangzhou Medical University, Guangzhou, Guangdong, China.
Ziyu LiuGuangzhou Medical University, Guangzhou, Guangdong, China.
Zhiyuan XiCollege of Clinical Medicine, Jilin University, Changchun, Jilin, China.
Zekun LiGuangzhou Medical University, Guangzhou, Guangdong, China.
Yi LuGuangzhou Medical University, Guangzhou, Guangdong, China.
Qiyuan HuShanxi Medical University, Taiyuan, Shanxi, China.
Chenhui LiSchool of Basic Medical Sciences, Qiqihar Medical University, Qiqihar, Heilongjiang, China.
Fan GeGuangzhou Medical University, Guangzhou, Guangdong, China.
Zhenyu HuoGuangzhou Medical University, Guangzhou, Guangdong, China.
Guibin QiaoDepartment of Thoracic Surgery, Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences, Guangzhou, Guangdong, China.
Guangzhou Medical University · CNChinese Academy of Medical Sciences & Peking Union Medical College · CNChangzhi Medical College · CNGuangdong Academy of Medical Sciences · CNJilin University · CNQiqihar Medical University · CNShanxi Medical University · CNZhejiang University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Exploring the cancer risks of rheumatoid arthritis (RA) patients with disease-modifying anti-rheumatic drugs (DMARDs) can help detect, evaluate, and treat malignancies at an early stage for these patients. Thus, a comprehensive analysis was conducted to determine the cancer risk of RA patients using different types of DMARDs and analyze their relationship with tumor mutational burdens (TMBs) reflecting immunogenicity. Methods: A thorough search of PubMed, EMBASE, Web of Science, and Medline was conducted up to 20 August 2022. Standardized incidence ratios (SIRs) were constructed with a random-effect model to determine risks for different types of malignancies in comparison with the general population. We also analyzed the correlation between SIRs and TMBs using linear regression (LR). Results: From a total of 22 studies, data on 371,311 RA patients receiving different types of DMARDs, 36 kinds of malignancies, and four regions were available. Overall cancer risks were 1.15 (SIR 1.15; 1.09-1.22; Conclusion: We demonstrated a cancer risk spectrum of RA populations using DMARDs. Additionally, TMBs were not associated with elevated cancer risks in RA patients following immunosuppressive therapy, which confirmed that iatrogenic immunosuppression might not increase cancer risks in patients with RA. Interpretation: Changes were similar in cancer risk after different immunosuppressive treatments, and there was a lack of correlation between SIRs and TMBs. These suggest that we should look for causes of increased risks from the RA disease itself, rather than using different types of DMARDs.

Indexed as

Antirheumatic AgentsArthritis, RheumatoidLung NeoplasmsHumansImmunosuppression TherapyImmunosuppressive AgentsRisk FactorsAntirheumatic AgentsImmunosuppressive Agentscancer riskimmunosuppressantimmunosuppression therapyrheumatoid arthritistumor mutational burden

Identifiers

PMID36605209
PMCPMC9807750
OpenAlexW4313432456

What OpenQuestion holds

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LicenceCC BY
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.