Evidence map›Paper›PMID 38503473›Full record

SynthesisAnnals of the rheumatic diseases2024

Efficacy and safety of pharmacological treatment of psoriatic arthritis: a systematic literature research informing the 2023 update of the EULAR recommendations for the management of psoriatic arthritis.

Andreas Kerschbaumer, Josef S Smolen, Ricardo J O Ferreira, Heidi Bertheussen, Xenofon Baraliakos, Daniel Aletaha, Dennis G McGonagle, Désirée van der Heijde, Iain B McInnes, Bente Appel Esbensen and 4 more

Open access · greenAbstract readSystematic Review
In one paragraph

Synthesis in Annals of the rheumatic diseases, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 41 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
41citing papers in PubMed, 2 pooled it
28.2field-weighted citation impact, top 1% 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

41 citing papers in PubMed, 2 syntheses or guidelines pooled it, 60 citations in OpenAlex.

  1. Pooled it
  2. Guideline
  3. Trial
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  5. Article
  6. Review
  7. Observational
  8. Article
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  11. Severe and disseminated atypical mycobacteriosis of the skin under immunosuppression.Journal der Deutschen Dermatologischen Gesellschaft = Journal of the German Society of Dermatology : JDDG · 2026
    Article
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  13. Review
  14. Article
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  16. Cycling or Swapping in Spondyloarthritis? Current Knowledge.Mediterranean journal of rheumatology · 2026
    Review
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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

14 authors at 10 institutions in 9 countries.

Andreas KerschbaumerDepartment of Medicine 3, Division of Rheumatology, Medical University of Vienna, Vienna, Austria andreas.kerschbaumer@meduniwien.ac.at.ORCID http://orcid.org/0000-0002-6685-8873
Josef S SmolenDepartment of Medicine 3, Division of Rheumatology, Medical University of Vienna, Vienna, Austria.
Ricardo J O FerreiraNursing Research, Innovation and Development Centre of Lisbon (CIDNUR), Higher School of Nursing of Lisbon, Lisboa, Portugal.ORCID http://orcid.org/0000-0002-2517-0247
Heidi BertheussenEULAR Patient Research Partner, Oslo, Norway.
Xenofon BaraliakosRheumazentrum Ruhrgebiet, Ruhr University Bochum, Herne, Germany.ORCID http://orcid.org/0000-0002-9475-9362
Daniel AletahaDepartment of Medicine 3, Division of Rheumatology, Medical University of Vienna, Vienna, Austria.ORCID http://orcid.org/0000-0003-2108-0030
Dennis G McGonagleNIHR Leeds Musculoskeletal Biomedical Research Unit, Leeds, UK.
Désirée van der HeijdeDepartment of Rheumatology, Leiden University Medical Center, Leiden, The Netherlands.ORCID http://orcid.org/0000-0002-5781-158X
Iain B McInnesCollege of Medical Veterinary and Life Sciences, University of Glasgow, Glasgow, UK.
Bente Appel EsbensenCopenhagen Center for Arthritis Research, Center for Rheumatology and Spine Diseases, Rigshospitalet, Glostrup, Denmark.
Kevin L WinthropSchool of Medicine, School of Public Health, Oregon Health & Science University, Portland, Oregon, USA.ORCID http://orcid.org/0000-0002-3892-6947
Wolf-Henning BoehnckeDivision of Dermatology and Venereology, Geneva University Hospitals, Geneva, Switzerland.
Jan W SchoonesWalaeus Library, Leiden University Medical Center, Leiden, The Netherlands.ORCID http://orcid.org/0000-0003-1120-4781
Laure GossecINSERM, Institut Pierre Louis d'Epidémiologie et de Santé Publique, Sorbonne Universite, Paris, France.ORCID http://orcid.org/0000-0002-4528-310X
Leiden University Medical Center · NLMedical University of Vienna · ATGlostrup Hospital · DKInserm · FRNIHR Leeds Musculoskeletal Biomedical Research Unit · GBNursing Research, Innovation and Development Centre of LisbonOregon Health & Science University · USRheumazentrum Ruhrgebiet · DEUniversity Hospital of Geneva · CHUniversity of Glasgow · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo obtain an overview of recent evidence on efficacy and safety of pharmacological treatments in psoriatic arthritis (PsA).

methodsThis systematic literature research (SLR) investigated the efficacy and safety of conventional synthetic (cs), biological (b) and targeted synthetic (ts) disease-modifying antirheumatic drugs (DMARDs) in patients with PsA. A systematic database search using Medline, EMBASE, Cochrane CENTRAL was conducted to identify relevant articles published since the previous update in 2019 until 28 December 2022. Efficacy was assessed in trials while for safety observational data were also considered. Adverse events of special interest were infections (including herpes zoster, influenza and tuberculosis), malignancies, major adverse cardiovascular events, venous thromboembolisms, liver disease, laboratory changes and psychiatric adverse events. No meta-analyses were performed.

resultsFor efficacy, of 3946 articles screened, 38 articles (30 trials) were analysed. The compounds investigated included csDMARDs (leflunomide, methotrexate), bDMARDs inhibiting IL17 (bimekizumab, brodalumab, ixekizumab, izokibep, secukinumab,), IL-23 (guselkumab, risankizumab, tildrakizumab), IL-12/23 (ustekinumab) as well as TNF (adalimumab, certolizumab-pegol, etanercept, infliximab, golimumab) and Janus Kinase inhibitors (JAKi) (brepocitinib, deucravacitinib, tofacitinib, upadacitinib). The compounds investigated were efficacious in improving signs and symptoms of PsA, improving physical functioning and quality of life. For safety, 2055 abstracts were screened, and 24 articles analysed: 15 observational studies and 9 long-term follow-ups of trials, assessing glucocorticoids, TNFi, IL-17i, JAKi, IL-12/23i and PDE4i (apremilast). Safety indicators were generally coherent with the previous SLR in 2019.

conclusionThe results of this SLR informed the task force responsible for the 2023 update of the European Alliance of Associations for Rheumatology recommendations for pharmacological management of PsA.

Indexed as

Antirheumatic AgentsArthritis, PsoriaticBiological ProductsHumansPractice Guidelines as TopicTreatment OutcomeAntirheumatic AgentsBiological ProductsBiological TherapyDMARDs (synthetic)Psoriatic ArthritisTherapeutics

Identifiers

PMID38503473
PMCPMC11103324
OpenAlexW4392947937

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.