Evidence map›Paper›PMID 38727756›Full record

Observational studyClinical and experimental medicine2024

Safety of Janus kinase inhibitors compared to biological DMARDs in patients with rheumatoid arthritis and renal impairment: the ANSWER cohort study.

Yoichi Nakayama, Akira Onishi, Wataru Yamamoto, Ayaka Yoshikawa, Hideyuki Shiba, Naofumi Yoshida, Yonsu Son, Iku Shirasugi, Toshihisa Maeda, Masao Katsushima and 11 more

Abstract readMulticenter StudyObservational StudyComparative Study
In one paragraph

Observational study in Clinical and experimental medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 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

6 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Review
  5. Article
  6. Article
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

21 authors.

Yoichi NakayamaDepartment of Rheumatology and Clinical Immunology, Graduate School of Medicine, Kyoto University, Kyoto, Japan. y_nakayama8@kuhp.kyoto-u.ac.jp.
Akira OnishiDepartment of Advanced Medicine for Rheumatic Diseases, Graduate School of Medicine, Kyoto University, Kyoto, Japan.
Wataru YamamotoDepartment of Health Information Management, Kurashiki Sweet Hospital, Okayama, Japan.
Ayaka YoshikawaDepartment of Internal Medicine (IV), Osaka Medical and Pharmaceutical University, Osaka, Japan.
Hideyuki ShibaDepartment of Internal Medicine (IV), Osaka Medical and Pharmaceutical University, Osaka, Japan.
Naofumi YoshidaFirst Department of Internal Medicine, Kansai Medical University, Osaka, Japan.
Yonsu SonFirst Department of Internal Medicine, Kansai Medical University, Osaka, Japan.
Iku ShirasugiDepartment of Rheumatology and Clinical Immunology, Graduate School of Medicine, Kobe University, Kobe, Japan.
Toshihisa MaedaRheumatic Disease Center, Orthopaedic Surgery, Matsubara Mayflower Hospital, Kato, Hyogo, Japan.
Masao KatsushimaDepartment of Clinical Immunology, Graduate School of Medicine, Osaka Metropolitan University, Osaka, Japan.
Motomu HashimotoDepartment of Clinical Immunology, Graduate School of Medicine, Osaka Metropolitan University, Osaka, Japan.
Yuki EtaniDepartment of Musculoskeletal Regenerative Medicine, Graduate School of Medicine, Osaka University, Osaka, Japan.
Tetsu ItamiDepartment of Hematology and Rheumatology, Faculty of Medicine, Kindai University, Osaka, Japan.
Yuji NozakiDepartment of Hematology and Rheumatology, Faculty of Medicine, Kindai University, Osaka, Japan.
Hideo OnizawaDepartment of Advanced Medicine for Rheumatic Diseases, Graduate School of Medicine, Kyoto University, Kyoto, Japan.
Takayuki FujiiDepartment of Advanced Medicine for Rheumatic Diseases, Graduate School of Medicine, Kyoto University, Kyoto, Japan.
Kosaku MurakamiCenter for Cancer Immunotherapy and Immunobiology, Graduate School of Medicine, Kyoto University, Kyoto, Japan.
Koichi MurataDepartment of Advanced Medicine for Rheumatic Diseases, Graduate School of Medicine, Kyoto University, Kyoto, Japan.
Masao TanakaDepartment of Advanced Medicine for Rheumatic Diseases, Graduate School of Medicine, Kyoto University, Kyoto, Japan.
Shuichi MatsudaDepartment of Advanced Medicine for Rheumatic Diseases, Graduate School of Medicine, Kyoto University, Kyoto, Japan.
Akio MorinobuDepartment of Rheumatology and Clinical Immunology, Graduate School of Medicine, Kyoto University, Kyoto, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Data on the safety of Janus kinase inhibitors (JAKis) in patients with renal impairment are lacking. This study aimed to investigate the safety of JAKis compared to biological (b) DMARDs in patients with rheumatoid arthritis (RA) and renal impairment. We used a multi-centre observational registry of patients with RA in Japan (the ANSWER cohort). We assessed the drug retention rates of b/targeted synthetic DMARDs with different modes of action (tumour necrosis factor inhibitors (TNFis), immunoglobulins fused with cytotoxic T-lymphocyte antigen (CTLA-4-Ig), interleukin-6 receptor inhibitors (IL-6Ris), and JAKis) in patients with RA stratified by pre-treatment estimated glomerular filtration rate (eGFR) levels. The time to discontinuation of bDMARDs or JAKis was analysed using a multivariate Cox proportional hazards model This study included 3775 patients, who were classified into three groups (the normal group (eGFR ≥ 60 mL/min/1.73 m

Indexed as

Antirheumatic AgentsArthritis, RheumatoidJanus Kinase InhibitorsAdultAgedBiological ProductsCohort StudiesFemaleGlomerular Filtration RateHumansJapanMaleMiddle AgedRenal InsufficiencyAntirheumatic AgentsBiological ProductsJanus Kinase InhibitorsANSWER cohortCKDdrug retentioneGFRJanus KinaseRheumatoid Arthritis

Identifiers

PMID38727756
PMCPMC11087367

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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.