Evidence map›Paper›PMID 39507842›Full record

ArticleArchives of rheumatology2024

Comparison of creatine kinase elevation caused by Janus kinase inhibitors and interleukin-6 inhibitors in patients with rheumatoid arthritis: A propensity score-matched study.

Masahiro Tada, Tadashi Okano, Kenji Mamaoto, Yutaro Yamada, Kazuki Orita, Koji Mandai, Shohei Anno, Takahiro Iida, Kentaro Inui, Tatsuya Koike

Abstract read
In one paragraph

Article in Archives of rheumatology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

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

  1. Pooled it
  2. Article
  3. Article
  4. 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

10 authors.

Masahiro TadaDepartment of Orthopaedic Surgery, Osaka City General Hospital, Osaka, Japan.ORCID 0000-0003-3161-3929
Tadashi OkanoDepartment of Orthopaedic Surgery, Osaka Metropolitan University Medical School, Osaka, Japan.ORCID 0000-0002-8849-9824
Kenji MamaotoDepartment of Orthopaedic Surgery, Osaka Metropolitan University Medical School, Osaka, Japan.ORCID 0000-0002-7541-3745
Yutaro YamadaDepartment of Orthopaedic Surgery, Osaka Metropolitan University Medical School, Osaka, Japan.ORCID 0000-0002-7895-7684
Kazuki OritaDepartment of Orthopaedic Surgery, Yodogawa Christian Hospital, Osaka, Japan.ORCID 0000-0002-2557-6183
Koji MandaiDepartment of Orthopaedic Surgery, Osaka Saiseikai Nakatsu Hospital, Osaka, Japan.ORCID 0000-0001-7599-7835
Shohei AnnoDepartment of Orthopaedic Surgery, Yodogawa Christian Hospital, Osaka, Japan.ORCID 0000-0002-7439-0721
Takahiro IidaDepartment of Orthopaedic Surgery, Koryokai Hospital, Osaka, Japan.ORCID 0009-0004-0374-9399
Kentaro InuiDepartment of Orthopaedic Surgery, Osaka Saiseikai Nakatsu Hospital, Osaka, Japan.ORCID 0000-0002-8747-7279
Tatsuya KoikeShirahama Foundation For Health and Welfare, Search Institute For Bone and Arthritis Disease (sinbad), Wakayama, Japan.ORCID 0000-0002-1522-8740

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objectives: This study aimed to examine whether creatine kinase (CK) elevation occurs with interleukin (IL)-6 inhibitors, as in Janus kinase (JAK) inhibitors, which are reported to increase CK levels in rheumatoid arthritis. Patients and methods: A multicenter database of JAK inhibitor and IL-6 inhibitor treatment was retrospectively searched between January 2016 to December 2022; 142 cases (117 females, 25 males, mean age: 63.8±13.0 years; range, 20 to 85 years), with 71 cases in each group, were extracted by propensity score matching using age, sex, body mass index, and CK at 0 weeks. The outlier rate was compared. Patients' background characteristics related to elevated CK levels at 24 weeks were investigated by univariate and multivariate analyses. Results: Creatine kinase levels at 4 and 12 weeks were significantly higher with JAK inhibitors than with IL-6 inhibitors (four weeks, 72 Conclusion: Mild CK elevations with JAK inhibitors are not a particular clinical problem. CK elevation might be specific to JAK inhibitors.

Indexed as

Creatine kinaseIl-6 inhibitorJAK inhibitormulticenter observational studyrheumatoid arthritis.

Identifiers

PMID39507842
PMCPMC11537686

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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.