Evidence map›Paper›PMID 36840482›Full record

SynthesisImmunity, inflammation and disease2023

Risk of hepatitis B reactivation in HBsAg-/HBcAb+ patients after biologic or JAK inhibitor therapy for rheumatoid arthritis: A meta-analysis.

Xuezhi Hong, Yanhua Xiao, Liyan Xu, Lei Liu, Hailu Mo, Hanyou Mo

Open access · goldAbstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in Immunity, inflammation and disease, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 3 pooled it
4.7field-weighted citation impact, top 4% 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

13 citing papers in PubMed, 3 syntheses or guidelines pooled it, 22 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

6 authors at 2 institutions in 1 country.

Xuezhi HongDepartment of Rheumatology and Immunology, The First Affiliated Hospital of Guilin Medical University, Guilin, People's Republic of China.
Yanhua XiaoDepartment of Rheumatology and Immunology, The First Affiliated Hospital of Guilin Medical University, Guilin, People's Republic of China.ORCID 0000-0002-8965-1111
Liyan XuTianjin hospital, Tianjin, China.
Lei LiuDepartment of Rheumatology and Immunology, The First Affiliated Hospital of Guilin Medical University, Guilin, People's Republic of China.
Hailu MoDepartment of Rheumatology and Immunology, The First Affiliated Hospital of Guilin Medical University, Guilin, People's Republic of China.
Hanyou MoDepartment of Rheumatology and Immunology, The First Affiliated Hospital of Guilin Medical University, Guilin, People's Republic of China.
Guilin Medical University · CNTianjin Hospital · CN

Funding

National Natural Science Foundation of China 81760298Natural Science Foundation of Guangxi Province 2020GXNSFBA297149
6 · The paper itself

Abstract

backgroundThe risk of hepatitis B virus (HBV) reactivation after biologic and targeted synthetic disease-modifying antirheumatic drugs (b/tsDMARDs) therapy in patients with rheumatoid arthritis (RA) combined with HBsAg-/HBcAb+ is still inconsistent.

methodsWe conducted a systematic review of existing databases from 1977 to August 22, 2021. Studies of RA patients combined with HBsAg-/HBcAb +, treated with b/tsDMARDs and the reported number of HBV reactivation were included.

resultsWe included 26 studies of 2252 HBsAg-/HBcAb+ RA patients treated with b/tsDMARDs. The pooled HBV reactivation rate was 2.0% (95% confidence interval [CI]: 0.01-0.04; I

conclusionsThis meta-analysis demonstrates the highest potential risk of HBV reactivation in HBsAg-/HBcAb+ RA patients receiving RTX treatment, especially HBsAb- patients. Our study furthers the understanding of the prophylactic use of anti-HBV drugs in such patients. However, it is relative safety to use the inhibitors of IL-6, TNF-α, and JAK in these patients.

Indexed as

Arthritis, RheumatoidBiological ProductsHepatitis BJanus Kinase InhibitorsHepatitis B AntibodiesHepatitis B Surface AntigensHepatitis B virusHumansInterleukin-6RituximabTumor Necrosis Factor-alphaBiological ProductsHepatitis B AntibodiesHepatitis B Surface AntigensInterleukin-6Janus Kinase InhibitorsRituximabTumor Necrosis Factor-alphabiologic therapyhepatitis B virusreactivationrheumatoid arthritis

Identifiers

PMID36840482
PMCPMC9910170
OpenAlexW4319787599

What OpenQuestion holds

Textmetadata
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.