Evidence map›Paper›PMID 40833778›Full record

Observational studyRheumatology (Oxford, England)2025

Achieving inactive disease state in men and women with axial spondyloarthritis: results from a multi-country prospective observational study.

Denis Poddubnyy, Joachim Sieper, Servet Akar, Santiago Muñoz-Fernández, Hildrun Haibel, Mikhail Protopopov, Elisabeth Altmaier, Fabiana Ganz, Robert D Inman

Abstract readObservational StudyMulticenter Study
In one paragraph

Observational study in Rheumatology (Oxford, England), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Trial
  2. 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

9 authors.

Denis PoddubnyyDivision of Rheumatology, University of Toronto, Toronto, ON, Canada.ORCID 0000-0002-4537-6015
Joachim SieperDepartment of Gastroenterology, Infectious Diseases and Rheumatology, Charité-Universitätsmedizin Berlin, Berlin, Germany.ORCID 0000-0003-0285-9890
Servet AkarDivision of Rheumatology, Department of Internal Medicine, Izmir Katip Celebi University, Izmir, Turkey.ORCID 0000-0002-3734-1242
Santiago Muñoz-FernándezServicio de Reumatología, Hospital Universitario Infanta Sofía, Universidad Europea, Madrid, Spain.ORCID 0000-0002-2758-2085
Hildrun HaibelDepartment of Gastroenterology, Infectious Diseases and Rheumatology, Charité-Universitätsmedizin Berlin, Berlin, Germany.ORCID 0000-0002-5180-1831
Mikhail ProtopopovDepartment of Gastroenterology, Infectious Diseases and Rheumatology, Charité-Universitätsmedizin Berlin, Berlin, Germany.ORCID 0000-0003-4840-5069
Elisabeth AltmaierGKM Gesellschaft für Therapieforschung mbH, Munich, Germany.
Fabiana GanzGlobal Medical Affairs, AbbVie Inc., Baar, Switzerland.
Robert D InmanDivision of Rheumatology, University of Toronto, Toronto, ON, Canada.ORCID 0000-0002-4750-1422

Funding

AbbVie
6 · The paper itself

Abstract

objectiveTo assess the probability of achieving low disease activity (LDA) and inactive disease (ID) in men vs women with recently diagnosed axial spondyloarthritis (axSpA).

methodsThis 1-year post-hoc analysis of the PROOF study assessed patients with recently diagnosed (≤12 months) axSpA. Patients were classified as having radiographic (r) or non-radiographic (nr) axSpA using central radiograph readings. Demographics, disease characteristics, and treatment were assessed at baseline and annually thereafter. Disease activity at 1 year was assessed by Axial Spondyloarthritis Disease Activity Score (ASDAS).

results1385 patients with baseline and year 1 data were included. Patients were classified as having nr-axSpA (n = 477 [34%]; 47% men) or r-axSpA (n = 908 [66%]; 71% men). Men had higher TNF inhibitor (TNFi) use vs women with nr-axSpA (15% vs 9%; P = 0.0238) and r-axSpA (20% vs 13%; P = 0.0118). At 1 year, TNFi use increased, remaining significantly higher for men with r-axSpA (34.9% vs 28.1%; P = 0.0497) but not nr-axSpA. Significantly more men with nr-axSpA achieved ASDAS LDA (46.0% vs 27.1%; P = 0.0002) and ID (21.7% vs 9.6%; P = 0.0013); no significant difference was observed in r-axSpA. Female sex was associated with significantly lower odds of achieving LDA and ID in nr-axSpA only (odds ratio, men vs women, LDA: 2.23 [95% CI, 1.45, 3.42]; ID: 2.40 [1.39, 4.12]).

conclusionWomen with nr-axSpA, but not r-axSpA, were less likely to achieve LDA and ID after 1 year than men. These data stress the need to carefully evaluate the diagnosis and causes of pain in patients diagnosed with axSpA.

Indexed as

Antirheumatic AgentsAxial SpondyloarthritisSpondylarthritisTumor Necrosis Factor InhibitorsAdultFemaleHumansMaleMiddle AgedProspective StudiesSeverity of Illness IndexSex FactorsAntirheumatic AgentsTumor Necrosis Factor Inhibitorsaxial spondyloarthritisreal-world datasexTNF-blocking antibody

Identifiers

PMID40833778
PMCPMC12671858

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.