Evidence map›Paper›PMID 38257778›Full record

SynthesisViruses2024

The Risk of Hepatitis B Virus Reactivation in Rheumatoid Arthritis Patients Receiving Tocilizumab: A Systematic Review and Meta-Analysis.

Ping-Hung Ko, Meng Hsuan Kuo, I-Ting Kao, Chen-Yi Wu, Chih-Wei Tseng, Shih-Chieh Shao

Open access · goldAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Viruses, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
1.5field-weighted citation impact, top 18% 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

4 citing papers in PubMed, 1 synthesis or guideline pooled it, 4 citations in OpenAlex.

  1. Hepatitis B Virus Reactivation Risk With IL-17, IL-23/IL-12, or JAK Inhibitors: A Systematic Review and Meta-Analysis.Liver international : official journal of the International Association for the Study of the Liver · 2026
    Pooled it
  2. Article
  3. Review
  4. 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

6 authors at 3 institutions in 1 country.

Ping-Hung KoSchool of Medicine, Tzuchi University, Hualien 970, Taiwan.
Meng Hsuan KuoDepartment of Pharmacy, Dalin Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, Chia-Yi 622, Taiwan.ORCID 0000-0003-3124-3104
I-Ting KaoDepartment of Pharmacy, Dalin Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, Chia-Yi 622, Taiwan.
Chen-Yi WuDepartment of Pharmacy, Dalin Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, Chia-Yi 622, Taiwan.
Chih-Wei TsengSchool of Medicine, Tzuchi University, Hualien 970, Taiwan.ORCID 0000-0002-6951-4646
Shih-Chieh ShaoDepartment of Pharmacy, Keelung Chang Gung Memorial Hospital, Keelung 204, Taiwan.ORCID 0000-0003-4867-6686
Taipei Tzu Chi Hospital · TWTzu Chi University · TWKeelung Chang Gung Memorial Hospital · TW

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTocilizumab has demonstrated optimal efficacy and safety in patients with rheumatoid arthritis (RA) from clinical trials. However, the risk of hepatitis B virus reactivation (HBVr) in these patients remains uncertain because patients with underlying HBV have been excluded in phase III studies.

methodsSystematical reviews were conducted on PubMed, Embase, and the Cochrane Central Register of Controlled Trials up to 21 February 2023. Random-effects meta-analysis was performed to calculate the pooled incidence of HBV reactivation.

resultsWe included 0 clinical trials and 11 observational studies with a total of 25 HBsAg

conclusionsThis systematic review indicated that the risk of HBVr in RA patients with anti-HBs

Indexed as

Antibodies, Monoclonal, HumanizedArthritis, RheumatoidHepatitis AHepatitis B, ChronicAntiviral AgentsHepatitis B AntibodiesHepatitis B Surface AntigensHepatitis B virusHumansSymptom Flare UpAntibodies, Monoclonal, HumanizedAntiviral AgentsHepatitis B AntibodiesHepatitis B Surface AntigenstocilizumabHBV reactivationhepatitis flare-uprheumatoid arthritistocilizumab

Identifiers

PMID38257778
PMCPMC10820547
OpenAlexW4390539733

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.