Evidence map›Paper›PMID 40684237›Full record

SynthesisArthritis research & therapy2025

Meta-analysis identifies the major impact of patient classification on the ACPA association with rheumatoid arthritis-associated interstitial lung disease (RA-ILD).

Bartosz Kaczmarczyk, Carmen Conde, Antonio Gonzalez, MARILD network

Abstract readMeta-Analysis
In one paragraph

Synthesis in Arthritis research & therapy, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

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

1 citing paper in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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

4 authors.

Bartosz KaczmarczykExperimental and Observational Rheumatology and Rheumatology Unit, Instituto Investigacion Sanitaria-Hospital Clinico Universitario de Santiago, Travesia Choupana, sn, Santiago de Compostela, 15706-A Coruña, Spain.
Carmen CondeExperimental and Observational Rheumatology and Rheumatology Unit, Instituto Investigacion Sanitaria-Hospital Clinico Universitario de Santiago, Travesia Choupana, sn, Santiago de Compostela, 15706-A Coruña, Spain.
Antonio GonzalezExperimental and Observational Rheumatology and Rheumatology Unit, Instituto Investigacion Sanitaria-Hospital Clinico Universitario de Santiago, Travesia Choupana, sn, Santiago de Compostela, 15706-A Coruña, Spain. agmartinezp@ser.es.
MARILD network

Funding

Instituto de Salud Carlos III PI23/000841
6 · The paper itself

Abstract

backgroundWe need screening for RA patients at high risk of RA-ILD to prevent the associated decrease in life quality and survival. The proposed screenings disagree regarding the anti-citrullinated protein antibodies (ACPA) because of their inconsistent association across recent studies. Therefore, we hypothesized that meta-analysis of the published reports should reveal clues explaining the heterogeneity of results, helping us progress in RA-ILD early detection.

objectivesWe aimed to discover the factors accounting for the variability of the ACPA association in the published reports.

methodsWe searched the Web of Science and PubMed databases for studies reporting ACPA in RA-ILD and RA-control groups. The identified studies were analyzed using meta-analysis and meta-regression to identify moderators of the ACPA association.

resultsWe found 513 unique records, containing 31 eligible data sets. The meta-analysis preceding the search for moderators showed a remarkable heterogeneity (p

conclusionsOur results validate the ACPA association with RA-ILD, reinforce the importance of study design, and suggest the need to consider if studies relying on chest CT for classification could be more fruitful in the search for RA-ILD biomarkers.

Indexed as

Anti-Citrullinated Protein AntibodiesArthritis, RheumatoidLung Diseases, InterstitialHumansAnti-Citrullinated Protein AntibodiesAnti-citrullinated protein antibodiesHeterogeneityMeta-analysisPatient classificationRheumatoid arthritis-associated interstitial lung diseaseStudy design

Identifiers

PMID40684237
PMCPMC12275375

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.