Evidence map›Paper›PMID 38202055›Full record

ReviewJournal of clinical medicine2023

Initial Treatment with Biological Therapy in Rheumatoid Arthritis.

Jesús Tornero Molina, Blanca Hernández-Cruz, Héctor Corominas

Open access · goldAbstract readReview
In one paragraph

Review in Journal of clinical medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.7field-weighted citation impact, top 14% 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

6 citing papers in PubMed, 7 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

3 authors at 3 institutions in 1 country.

Jesús Tornero MolinaDepartamento de Reumatología, Hospital de Guadalajara, 19002 Guadalajara, Spain.
Blanca Hernández-CruzDepartamento de Reumatología, Hospital Universitario Virgen Macarena, 41009 Sevilla, Spain.ORCID 0000-0001-6423-3610
Héctor CorominasDepartamento de Reumatología, Hospital Universitari de Sant Pau & Hospital Dos de Maig, 08025 Barcelona, Spain.ORCID 0000-0002-7738-6787
Hospital Universitario Virgen Macarena · ESUniversidad de Alcalá · ESUniversitat Autònoma de Barcelona · ES

Funding

Fresenius Kabi Spain n/a
6 · The paper itself

Abstract

backgroundWe aimed to analyse the effectiveness, efficiency, and safety of initial treatment with biological therapies in rheumatoid arthritis (RA).

methodsQualitative study. A group of RA experts was selected. A scoping review in Medline was conducted to analyse the evidence of initial RA treatment with biological therapies. Randomised clinical trials were selected. Two reviewers analysed the articles and compiled the data, whose quality was assessed using the Jadad scale. The experts discussed the review's findings and generated a series of general principles: Results: Seventeen studies were included. Most of the included patients were middle-aged women with early RA (1-7 months) and multiple poor prognostic factors. Initial treatment with TNF-alpha inhibitors combined with methotrexate (MTX) and an IL6R inhibitor (either in mono or combination therapy) is effective (activity, function, radiographic damage, quality of life), safe, and superior to MTX monotherapy in the short and medium term. In the long term, patients who received initial treatment with biologicals presented better results than those whose initial therapy was with MTX.

conclusionsInitial treatment of RA with biological therapies is effective, efficient, and safe in the short, medium, and long term, particularly for patients with poor prognostic factors.

Indexed as

biologic therapyexperts’ opinioninitial treatmentnarrative reviewrheumatoid arthritis

Identifiers

PMID38202055
PMCPMC10779475
OpenAlexW4390051355

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.