Evidence map›Paper›PMID 42269048›Full record

ArticleProceedings (Baylor University. Medical Center)2026

Comparing the risk of heart failure in patients with inflammatory bowel disease treated with infliximab versus adalimumab: a retrospective cohort study using a national database.

Hamza Almusabeh, Mohamad Alzaher, Megan Vaughan, Daniel Teran, Zachary Kovac, Olanrewaju Adeniran, Katherine Shepherd, Khaled Elfert, Sanya Goswami, Jennifer Hadam-Veverka and 1 more

Abstract readComparative Study
In one paragraph

Article in Proceedings (Baylor University. Medical Center), 2026. 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. On the heartbreak of anti-tumor necrosis factor drugs.Proceedings (Baylor University. Medical Center) · 2026
    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

11 authors.

Hamza AlmusabehDepartment of Medicine, West Virginia University School of Medicine, Morgantown, West Virginia, USA.ORCID 0000-0003-1006-3112
Mohamad AlzaherHarvard Medical School, Boston, Massachusetts, USA.
Megan VaughanDepartment of Medicine, West Virginia University School of Medicine, Morgantown, West Virginia, USA.
Daniel TeranDepartment of Medicine, West Virginia University School of Medicine, Morgantown, West Virginia, USA.ORCID 0009-0005-6430-9394
Zachary KovacDepartment of Medicine, West Virginia University School of Medicine, Morgantown, West Virginia, USA.
Olanrewaju AdeniranDepartment of Medicine, West Virginia University School of Medicine, Morgantown, West Virginia, USA.
Katherine ShepherdDepartment of Medicine, West Virginia University School of Medicine, Morgantown, West Virginia, USA.
Khaled ElfertSection of Gastroenterology and Hepatology, Department of Medicine, West Virginia University School of Medicine, Morgantown, West Virginia, USA.
Sanya GoswamiSection of Gastroenterology and Hepatology, Department of Medicine, West Virginia University School of Medicine, Morgantown, West Virginia, USA.
Jennifer Hadam-VeverkaSection of Gastroenterology and Hepatology, Department of Medicine, West Virginia University School of Medicine, Morgantown, West Virginia, USA.
Kanwarpreet TandonSection of Gastroenterology and Hepatology, Department of Medicine, West Virginia University School of Medicine, Morgantown, West Virginia, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAnti-tumor necrosis factor (TNF) agents are widely used for inflammatory bowel disease and have well-documented heart failure risk, but comparative cardiac safety remains uncertain.

methodsWe conducted a retrospective cohort study using the TriNetX US national database. Adults with Crohn's disease or ulcerative colitis initiating infliximab or adalimumab were included. Patients with prior heart failure were excluded. The primary outcome was heart failure occurring ≥ 6 months after anti-TNF initiation. Propensity score matching was performed to balance baseline covariates.

resultsBefore matching, 25,582 patients received infliximab and 24,301 received adalimumab. After matching, 21,554 remained in each group. Median follow-up was ≈ 3.65 years (infliximab) and ≈ 3.91 years (adalimumab). Heart failure occurred in 466 (2.21%) infliximab patients vs 383 (1.81%) adalimumab patients (risk ratio, 1.22; 95% confidence interval [CI] 1.068-1.395;

conclusionsIn this national database analysis of patients with inflammatory bowel disease, infliximab was associated with a higher observed risk of incident heart failure compared with adalimumab.

Indexed as

AdalimumabHeart FailureInflammatory Bowel DiseasesInfliximabAdultCrohn DiseaseDatabases, FactualFemaleHumansMaleMiddle AgedRetrospective StudiesAdalimumabInfliximabAdalimumabCrohn’s diseaseheart failureinfliximabpropensity score matchingulcerative colitis

Identifiers

PMID42269048
PMCPMC13271345

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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.