Evidence map›Paper›PMID 40206223›Full record

ArticleReumatologia2025

The relationship between dose of methotrexate and incidence of liver fibrosis in patients with rheumatoid arthritis.

Mina AkbariRad, Zahra Rezaieyazdi, Ali Tajik, Banafshe Ataei, Mehrdad Sarabi, Hasan MehradMajd, Hasan Vossoughinia, Abdollah Firoozi

Abstract read
In one paragraph

Article in Reumatologia, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

8 authors.

Mina AkbariRadDepartment of Internal Medicine, Faculty of Medicine, Mashhad University of Medical Sciences, Iran.ORCID https://orcid.org/0000-0002-1071-7983
Zahra RezaieyazdiRheumatic Disease Research Center, Faculty of Medicine, Mashhad University of Medical Sciences, Iran.
Ali TajikStudent Research Committee, Faculty of Medicine, Mashhad University of Medical Sciences, Iran.ORCID https://orcid.org/0000-0001-5976-7319
Banafshe AtaeiDepartment of Internal Medicine, Faculty of Medicine, Mashhad University of Medical Sciences, Iran.
Mehrdad SarabiStudent Research Committee, Faculty of Medicine, Mashhad University of Medical Sciences, Iran.
Hasan MehradMajdClinical Research Unit, Mashhad University of Medical Sciences, Iran.
Hasan VossoughiniaDepartment of Gastroenterology and Hepatology, Faculty of Medicine, Mashhad University of Medical Sciences, Iran.
Abdollah FirooziFaculty of Pharmacy, Mashhad University of Medical Sciences, Iran.ORCID https://orcid.org/0000-0002-3048-5139

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Methotrexate (MTX) is a chemotherapy agent and immune system suppressant that can cause liver fibrosis in long-term usage. This study aimed to investigate the relationship between the dose of MTX and the incidence of liver fibrosis in patients with rheumatoid arthritis (RA). Material and methods: This cohort study was conducted on RA patients with normal liver function who took MTX. Liver FibroScan and laboratory tests, including α Results: In total, 60 RA patients with the mean age of 55.2 ±11.8 years were enrolled. The mean duration of MTX use in patients was 6.9 ±3.8 years, and it was higher in the higher cumulative dose MTX group (> 2 g) than in the lower cumulative dose group (< 2 g; Conclusions: These results suggest that long-term treatment with a higher cumulative dose of MTX is not associated with a higher incidence of liver fibrosis in RA patients.

Indexed as

cumulative doseliver fibrosismethotrexaterheumatoid arthritis

Identifiers

PMID40206223
PMCPMC11977502

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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.