Evidence map›Paper›PMID 39542002›Full record

ReviewThe Lancet. Rheumatology2024

Cognitive impairment in individuals with rheumatic diseases: the role of systemic inflammation, immunomodulatory medications, and comorbidities.

Elena Myasoedova, Sebastian E Sattui, Jiha Lee, John T O'Brien, Una E Makris

Abstract readReview
In one paragraph

Review in The Lancet. Rheumatology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing 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

19 citing papers in PubMed.

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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

5 authors.

Elena MyasoedovaDivision of Rheumatology, Department of Internal Medicine, Mayo Clinic, Rochester, MN, USA; Division of Epidemiology, Department of Quantitative Health Sciences, Mayo Clinic, Rochester, MN, USA. Electronic address: myasoedova.elena@mayo.edu.
Sebastian E SattuiDivision of Rheumatology and Clinical Immunology, University of Pittsburgh, Pittsburgh, PA, USA.
Jiha LeeDivision of Rheumatology, Department of Internal Medicine, University of Michigan, Ann Arbor, MI, USA.
John T O'BrienDepartment of Psychiatry, School of Clinical Medicine, University of Cambridge, Cambridge, UK; Cambridgeshire and Peterborough NHS Foundation Trust, Cambridge, UK.
Una E MakrisDivision of Rheumatic Diseases, Department of Medicine, UT Southwestern Medical Center, Dallas, TX, USA; Rheumatology Section, Veterans Affairs North Texas Health Care System, Dallas, TX, USA.

Funding

Pilot CoreP30AG022845 · NIA · WEILL MEDICAL COLL OF CORNELL UNIV · PI Manney Carrington Reid · 2003 to 2026
$15.2M
Role of Systemic Inflammation in Cognitive Decline: Rheumatoid Arthritis as a PrototypeR01AG068192 · NIA · MAYO CLINIC ROCHESTER · PI Elena Myasoedova · 2020 to 2026
$4.4M
Temporal associations between systemic inflammation, cardiovascular risk profile and development of Alzheimer’s disease and related dementias in patients with rheumatoid arthritisK24AG078179 · NIA · MAYO CLINIC ROCHESTER · PI Elena Myasoedova · 2022 to 2026
$951k
Understanding disease modifying antirheumatic drug use in older adults with late-onset rheumatoid arthritisK23AG082727 · NIA · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI JIHA LEE · 2023 to 2026
$778k
Evaluation of treatment patterns and prescription medication use among older adults with late-onset rheumatoid arthritisR03AG067975 · NIA · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI LEE, JIHA · 2020 to 2021
$308k
HSRD VA I01 HX003350NIA NIH HHS K23 AG082727NIA NIH HHS K24 AG078179NIA NIH HHS P30 AG022845NIA NIH HHS R01 AG068192NIA NIH HHS R03 AG067975
6 · The paper itself

Abstract

Inflammation is an important risk factor, a potential therapeutic target for cognitive decline and dementia, and an inherent feature of autoimmune and immune-mediated rheumatic diseases. The risk of cognitive impairment and dementia is increased in individuals with immune-mediated rheumatic diseases, particularly in those with cardiovascular risk factors and cardiovascular disease. Immunomodulatory medications have been associated with a reduced risk of dementia, but whether this effect is mediated through their anti-inflammatory immunomodulating properties or other mechanisms, such as cardiovascular risk reduction, is unclear. A better understanding of the role of chronic inflammation as a modifiable risk factor for cognitive performance in rheumatic diseases will help inform opportunities for the management of cognitive impairment in people with rheumatic diseases and other chronic inflammatory diseases. In this Series paper, we discuss the epidemiology, risk factors, and current evidence on the role of immunomodulatory medications in cognitive impairment and dementia in people with rheumatic diseases.

Indexed as

Cognitive DysfunctionInflammationRheumatic DiseasesComorbidityDementiaHumansImmunomodulating AgentsRisk FactorsImmunomodulating Agents

Identifiers

PMID39542002
PMCPMC11827066

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.