Evidence map›Paper›PMID 39480695›Full record

SynthesisTherapeutic advances in respiratory disease

The efficacy and safety of tofacitinib in anti-melanoma differentiation-associated gene 5 antibody positive dermatomyositis associated interstitial lung disease: a systematic review and meta-analysis.

Yanhong Wang, Ruyi Zou, Jie Wei, Cheng Tang, Junjie Wang, Minjie Lin

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in Therapeutic advances in respiratory disease. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
–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

8 citing papers in PubMed.

  1. Review
  2. Review
  3. Review
  4. Article
  5. Review
  6. Article
  7. Review
  8. 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

6 authors.

Yanhong WangDepartment of Pulmonary and Critical Care Medicine, Huai'an Cancer Hospital, Huai'an, China.
Ruyi ZouDepartment of Pulmonary and Critical Care Medicine, Nanjing Drum Tower Hospital, The Affiliated Hospital of Nanjing University Medical School, Nanjing, China.
Jie WeiYizheng Center for Disease Prevention and Control, Yizheng, China.
Cheng TangDepartment of Pulmonary and Critical Care Medicine, The Second Hospital of Zhuzhou, Zhuzhou, China.
Junjie WangSchool of Medicine & Holistic Integrative Medicine, Nanjing University of Chinese Medicine, Nanjing, China.
Minjie LinDepartment of Pulmonary and Critical Care Medicine, The Second Hospital of Nanjing, Nanjing University of Chinese Medicine, No.1 Zhongfu Road, Gulou District, Nanjing 210000, China.ORCID 0000-0003-4529-9475

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe presence of anti-melanoma differentiation-associated gene 5 (MDA5) antibodies in dermatomyositis (DM) is associated with an increased risk of developing rapidly progressive interstitial lung disease (RP-ILD) and a poor prognosis.

objectivesWe aimed to explore whether tofacitinib could improve the prognosis of Anti-MDA5 antibody positive DM-interstitial lung disease (ILD).

designSystematic review and meta-analysis. DATA SOURCES AND

methodsStudies were included if they compared mortality rate and infection events in patients with anti-MDA5 antibody positive DM-associated ILD who were treated with or without tofacitinib.

resultsThe systematic review and meta-analysis included a total of 148 patients from four cohort studies. Fifty-eight patients with anti-MDA5 antibody positive DM-ILD who received combined treatment-containing tofacitinib were enrolled in the experimental group. Additionally, 90 DM-ILD patients who did not receive tofacitinib-based therapy were included in the control group. The pooled risk ratio (RR) for all-cause mortality was 0.61 (95% CI, 0.41-0.91,

conclusionOur findings suggest that tofacitinib may reduce the risk of all-cause mortality in patients with anti-MDA5 antibody-positive DM-ILD without an increased risk of additional infections.

trial registrationPROSPERO: CRD42023445427; https://www.crd.york.ac.uk/prospero/.

Indexed as

DermatomyositisInterferon-Induced Helicase, IFIH1Lung Diseases, InterstitialPiperidinesProtein Kinase InhibitorsPyrimidinesAutoantibodiesHumansRisk FactorsTreatment OutcomeAutoantibodiesIFIH1 protein, humanInterferon-Induced Helicase, IFIH1PiperidinesProtein Kinase InhibitorsPyrimidinestofacitinibanti-melanoma differentiation-associated gene 5interstitial lung diseasetofacitinib dermatomyositis

Identifiers

PMID39480695
PMCPMC11528585

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.