Evidence map›Paper›PMID 38053461›Full record

ArticleRMD open2023

Increased mortality in patients with RA-associated interstitial lung disease: data from a French administrative healthcare database.

Pierre-Antoine Juge, Lidwine Wemeau, Sebastien Ottaviani, Guillaume Desjeux, Joe Zhuo, Virginie Vannier-Moreau, René-Marc Flipo, Bruno Crestani, Philippe Dieudé

Erratum issuedAbstract read
In one paragraph

Article in RMD open, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 24 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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

24 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Guideline
  2. Pooled it
  3. Lung disease in rheumatoid arthritis.Nature reviews. Rheumatology · 2026
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  11. Dose-dependent protective effects ofFrontiers in pharmacology · 2026
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors.

Pierre-Antoine JugeINSERM UMR 1152, Université Paris Cité, Paris, Île-de-France, France pierreantoine.juge@aphp.fr.ORCID 0000-0002-3766-9600
Lidwine WemeauService de Pneumologie et Immuno-Allergologie, CHRU de Lille, Lille, Hauts-de-France, France.
Sebastien OttavianiINSERM UMR 1152, Université Paris Cité, Paris, Île-de-France, France.
Guillaume DesjeuxReal World Digital Contract Research Company, Sanoïa, Gémenos, France.
Joe ZhuoWorldwide Health Economics and Outcomes Research, Bristol Myers Squibb, Princeton, New Jersey, USA.
Virginie Vannier-MoreauMedical ImmunoScience/Rhumatologie, Bristol Myers Squibb, Rueil-Malmaison, France.
René-Marc FlipoService de Rhumatologie, CHRU de Lille, Lille, Hauts-de-France, France.ORCID 0000-0001-5528-8070
Bruno CrestaniService de pneumologie A, Hôpital Bichat - Claude Bernard, AP-HP, Paris, Ile de France, France.
Philippe DieudéINSERM UMR 1152, Université Paris Cité, Paris, Île-de-France, France.ORCID 0000-0002-4814-0307

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesInterstitial lung disease (ILD) is a severe extra-articular manifestation of rheumatoid arthritis (RA). The objectives of this study were to estimate mortality rate in patients with RA-ILD and identify factors affecting mortality.

methodsData from a French national claims database (Système National des Données de Santé) from 2013 to 2018 were analysed. Adults with an RA diagnosis (International Classification of Diseases (ICD)-10 codes M05, M06.0, M06.8 and M06.9) were included. ILD diagnosis was defined with ICD-10 code J84. Mortality rates were compared between patients with RA with and without ILD, using Cox proportional hazards regression, after matching 1:1 for age, sex, age at RA-ILD onset and RA duration.

resultsAmong 173 132 patients with RA, 4330 (3%) also had ILD (RA-ILD). After matching, RA-ILD was associated with an increased mortality rate (HR 3.4, 95% CI 3.1 to 3.9). The HR for mortality was greater for: patients aged <75 years (HR 4.8, 95% CI 3.9 to 5.9) versus ≥75 years (HR 3.0, 95% CI 2.6 to 3.5); patients with ILD onset occurring before RA onset (HR 8.4, 95% CI 5.5 to 13.0) versus ILD onset occurring after RA onset (HR 2.9, 95% CI 2.6 to 3.3); and men (HR 5.2, 95% CI 4.4 to 6.2) versus women (HR 3.6, 95% CI 3.0 to 4.2).

conclusionIn this nationwide cohort study, RA-ILD was associated with increased mortality rate (vs in patients with RA without ILD), notably for those aged <75 years, those whose ILD preceded RA onset and men.

Indexed as

Arthritis, RheumatoidLung Diseases, InterstitialAdultCohort StudiesFemaleHumansMaleSurvival Ratearthritis, rheumatoidepidemiologyinterstitial lung disease

Identifiers

PMID38053461
PMCPMC10693852

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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.