Evidence map›Paper›PMID 39252490›Full record

ArticleThe Korean journal of internal medicine2024

Effect of abatacept versus conventional synthetic disease modifying anti-rheumatic drugs on rheumatoid arthritis-associated interstitial lung disease.

Kyung-Ann Lee, Bo Young Kim, Sung Soo Kim, Yun Hong Cheon, Sang-Il Lee, Sang-Hyon Kim, Jae Hyun Jung, Geun-Tae Kim, Jin-Wuk Hur, Myeung-Su Lee and 4 more

Abstract readMulticenter StudyComparative Study
In one paragraph

Article in The Korean journal of internal medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

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

  1. Pooled it
  2. Article
  3. 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

14 authors.

Kyung-Ann LeeDivision of Rheumatology, Department of Internal Medicine, Soonchunhyang University Seoul Hospital, Seoul, Korea.
Bo Young KimDivision of Rheumatology, Department of Internal Medicine, Gangneung Asan Hospital, University of Ulsan College of Medicine, Gangneung, Korea.
Sung Soo KimDivision of Rheumatology, Department of Internal Medicine, Gangneung Asan Hospital, University of Ulsan College of Medicine, Gangneung, Korea.
Yun Hong CheonDivision of Rheumatology, Department of Internal Medicine, Gyeongsang National University Hospital, Gyeongsang National University School of Medicine, Jinju, Korea.
Sang-Il LeeDivision of Rheumatology, Department of Internal Medicine, Gyeongsang National University Hospital, Gyeongsang National University School of Medicine, Jinju, Korea.
Sang-Hyon KimDivision of Rheumatology, Department of Internal Medicine, Keimyung University Dongsan Medical Center, Daegu, Korea.
Jae Hyun JungDivision of Rheumatology, Department of Internal Medicine, Korea University Ansan Hospital, Ansan, Korea.
Geun-Tae KimDivision of Rheumatology, Department of Internal Medicine, Kosin University Gospel Hospital, Busan, Korea.
Jin-Wuk HurDivision of Rheumatology, Department of Internal Medicine, Nowon Eulji Medical Center, Seoul, Korea.
Myeung-Su LeeDivision of Rheumatology, Department of Internal Medicine, Wonkwang University Hospital, Iksan, Korea.
Yun Sung KimDivision of Rheumatology, Department of Internal Medicine, Chosun University Hospital, Gwangju, Korea.
Seung-Jae HongDivision of Rheumatology, Department of Internal Medicine, Kyung Hee University Medical Center, Seoul, Korea.
Suyeon ParkBiostatistics, Soonchunhyang University Seoul Hospital, Seoul, Korea.
Hyun-Sook KimDivision of Rheumatology, Department of Internal Medicine, Soonchunhyang University Seoul Hospital, Seoul, Korea.

Funding

Bristol Myers Squibb Pharmaceutical CompanyKorea Health Industry Development InstituteMinistry of Health and Welfare HC21C0100Soonchunhyang University
6 · The paper itself

Abstract

BACKGROUND/

aimsTo compare the effects of abatacept and conventional synthetic disease modifying anti-rheumatic drugs (csDMARDs) on the progression and development of rheumatoid arthritis-associated interstitial lung disease (RA-ILD).

methodsThis multi-center retrospective study included RA patients receiving abatacept or csDMARDs who underwent at least two pulmonary function tests and/or chest high-resolution computed tomography (HRCT). We compared the following outcomes between the groups: progression of RA-ILD, development of new ILD in RA patients without ILD at baseline, 28-joint Disease Activity Score with the erythrocyte sedimentation rate (DAS28-ESR), and safety. Longitudinal changes were compared between the groups by using a generalized estimating equation.

resultsThe study included 123 patients who were treated with abatacept (n = 59) or csDMARDs (n = 64). Nineteen (32.2%) and 38 (59.4%) patients treated with abatacept and csDMARDs, respectively, presented with RA-ILD at baseline. Newly developed ILD occurred in one patient receiving triple csDMARDs for 32 months. Among patients with RA-ILD at baseline, ILD progressed in 21.1% of cases treated with abatacept and 34.2% of cases treated with csDMARDs during a median 21-month follow-up. Longitudinal changes in forced vital capacity and diffusing capacity for carbon monoxide were comparable between the two groups. However, the abatacept group showed a more significant decrease in DAS28-ESR and glucocorticoid doses than csDMARDs group during the follow-up. The safety of both regimens was comparable.

conclusionAbatacept and csDMARDs showed comparable effects on the development and stabilization of RA-ILD. Nevertheless, compared to csDMARDs, abatacept demonstrated a significant improvement in disease activity and led to reduced glucocorticoid use.

Indexed as

AbataceptAntirheumatic AgentsArthritis, RheumatoidLung Diseases, InterstitialAdultAgedDisease ProgressionFemaleHumansLungMaleMiddle AgedRepublic of KoreaRetrospective StudiesRisk FactorsTime FactorsAbataceptAntirheumatic AgentsAbataceptAntirheumatic agentsArthritis, rheumatoidDisease progressionLung diseases, interstitial

Identifiers

PMID39252490
PMCPMC11384256

What OpenQuestion holds

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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.