Evidence map›Paper›PMID 38957361›Full record

ArticleJournal of rheumatic diseases2024

The effectiveness of tumor necrosis factor-α blocker therapy in patients with axial spondyloarthritis who failed conventional treatment: a comparative study focused on improvement in ASAS Health Index.

Ah-Ra Choi, Ki-Jeong Park, Ji-Hyoun Kang, Yu Jeong Lee, Hyun Hee Jang, Moon-Ju Kim, Tae-Jong Kim

Abstract read
In one paragraph

Article in Journal of rheumatic diseases, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing 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

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

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

7 authors.

Ah-Ra ChoiDepartment of Rheumatology, Chonnam National University Medical School and Hospital, Gwangju, Korea.ORCID https://orcid.org/0000-0001-8154-7857
Ki-Jeong ParkDepartment of Rheumatology, Chonnam National University Medical School and Hospital, Gwangju, Korea.ORCID https://orcid.org/0000-0002-9742-0743
Ji-Hyoun KangDepartment of Rheumatology, Chonnam National University Medical School and Hospital, Gwangju, Korea.ORCID https://orcid.org/0000-0003-1113-2001
Yu Jeong LeeDepartment of Rheumatology, Chonnam National University Medical School and Hospital, Gwangju, Korea.ORCID https://orcid.org/0000-0003-1282-4210
Hyun Hee JangDepartment of Rheumatology, Chonnam National University Medical School and Hospital, Gwangju, Korea.ORCID https://orcid.org/0000-0002-4611-3196
Moon-Ju KimDepartment of Rheumatology, Chonnam National University Medical School and Hospital, Gwangju, Korea.ORCID https://orcid.org/0000-0002-8018-6903
Tae-Jong KimDepartment of Rheumatology, Chonnam National University Medical School and Hospital, Gwangju, Korea.ORCID https://orcid.org/0000-0002-2871-1635

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: The purpose of this study is to evaluate the impact of tumor necrosis factor (TNF)-α blocker therapy on the Assessment of SpondyloArthritis international Society Health Index (ASAS-HI) among patients who have failed conventional nonsteroidal anti-inflammatory drugs. Methods: A comparative study was conducted involving axial spondyloarthritis (axSpA) patients treated with either TNF-α blocker or conventional therapy. Patient data, including demographics, disease characteristics, and ASAS-HI scores, were collected before and after treatment. Statistical analysis was performed to compare changes in ASAS-HI scores between the TNF-α blocker and the conventional therapy group. Results: The study population consisted of patients with axSpA, with a mean age of 38.3 years in conventional treatment group and 29.3 years in TNF-α blocker group. Most variables, including C-reactive protein levels, other comorbidities, and disease assessment scores showed no significant difference between groups. Longitudinal analysis within each treatment group from Week 0 to 12 showed no significant change in the conventional treatment group, whereas the TNF-α blocker group experienced a significant reduction in ASAS-HI scores, demonstrating the effectiveness of the treatment. The TNF-α blocker group exhibited a significantly greater improvement in ASAS-HI scores compared to the conventional therapy group. The Bath Ankylosing Spondylitis Functional Index and the Bath Ankylosing Spondylitis Disease Activity Index demonstrated strong positive correlations with ASAS-HI scores, indicating higher disease activity and functional limitation are associated with worse health outcomes in patients. Conclusion: The research demonstrates that ASAS-HI scores significantly improve with TNF-α blocker therapy in axSpA patients, underscoring ASAS-HI's effectiveness as a tool for evaluating drug responses.

Indexed as

Assessment of SpondyloArthritis international Society Health IndexAxial spondyloarthritisTumor necrosis factor-α blocker

Identifiers

PMID38957361
PMCPMC11215249

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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.