Evidence map›Paper›PMID 32740758›Full record

ReviewCurrent rheumatology reports2020

The Impact of Obesity on Disease Activity and Treatment Response in Rheumatoid Arthritis.

Dilli Poudel, Michael D George, Joshua F Baker

Open access · greenAbstract readReview
In one paragraph

Review in Current rheumatology reports, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed, 1 pooled it
3.5field-weighted citation impact, top 6% of its field
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

31 citing papers in PubMed, 1 synthesis or guideline pooled it, 59 citations in OpenAlex.

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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

3 authors at 2 institutions in 1 country.

Dilli PoudelDivision of Rheumatology, University of Pennsylvania, Philadelphia, PA, USA.ORCID 0000-0003-2350-719X
Michael D GeorgeDivision of Rheumatology, University of Pennsylvania, Philadelphia, PA, USA.ORCID 0000-0002-0398-2308
Joshua F BakerDivision of Rheumatology, University of Pennsylvania, Philadelphia, PA, USA. Joshua.Baker@pennmedicine.upenn.edu.ORCID 0000-0003-0799-7563
University of Pennsylvania · USHospital of the University of Pennsylvania · US

Funding

Risk and impact of infection resulting from treatment with chronic glucocorticoids in patients with rheumatoid arthritisK23AR073931 · NIAMS · UNIVERSITY OF PENNSYLVANIA · PI GEORGE, MICHAEL D. · 2018 to 2022
$873k
Adipokines as Biomarkers of Cachexia and High-Risk Rheumatoid ArthritisI01CX001703 · VA · PHILADELPHIA VA MEDICAL CENTER · PI BAKER, JOSHUA F. · 2019 to 2023
–
CSRD VA I01 CX001703NIAMS NIH HHS K23 AR073931
6 · The paper itself

Abstract

purpose of the reviewA growing number of studies have suggested that disease outcomes and response to therapy may be different in patients with rheumatoid arthritis (RA) who are obese. The goal of this review is to examine the most recent literature, with a focus on the impact of obesity on the assessment of disease activity and treatment outcomes in RA. RECENT

findingsObesity is common in patients with RA and can have a substantial impact on patient symptoms and outcomes. Obesity is associated with higher rates of chronic pain and opiate use, elevated inflammatory markers, and less reliable physical exam findings, making assessment of disease activity and treatment response more challenging. Despite seemingly worse clinical disease activity, evidence has accumulated demonstrating that obese patients with RA have less inflammation by imaging and lower rates of radiographic progression over time. Whether obesity influences the effectiveness of specific therapies remains controversial. Obesity is very common and is associated with more severe symptoms and higher rates of disability among RA patients. While clinical disease activity is frequently observed to be higher in obese patients with RA, it remains unclear whether poorer treatment response rates in this setting are related to reduced efficacy of therapies or are an artifact of biases in the accurate assessment of the disease.

Indexed as

Arthritis, RheumatoidObesityBiomarkersHumansTreatment OutcomeBiomarkersAdiposityBody mass indexObesityRheumatoid arthritis

Identifiers

PMID32740758
PMCPMC8025781
OpenAlexW3046251350

What Socratic holds

Textmetadata
LicenceTDM
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 Socratic graph.