Evidence map›Paper›PMID 34996505›Full record

ArticleArthritis research & therapy2022

The association between psoriatic arthritis and venous thromboembolism: a population-based cohort study.

Tal Gazitt, Jacob Pesachov, Idit Lavi, Muna Elias, Amir Haddad, Ilan Feldhamer, Arnon Dov Cohen, Walid Saliba, Devy Zisman

Open access · goldAbstract read
In one paragraph

Article in Arthritis research & therapy, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
1.3field-weighted citation impact, top 22% 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

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 16 citations in OpenAlex.

  1. Pooled it
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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

9 authors at 4 institutions in 2 countries.

Tal GazittRheumatology Unit, Carmel Medical Center, Michal 7 St, 3436212, Haifa, Israel. tgazitt@gmail.com.ORCID 0000-0001-8612-2698
Jacob PesachovThe Ruth and Bruce Rappaport Faculty of Medicine, Technion, Haifa, Israel.
Idit LaviDepartment of Community Medicine and Epidemiology, Carmel Medical Center, Haifa, Israel.
Muna EliasRheumatology Unit, Carmel Medical Center, Michal 7 St, 3436212, Haifa, Israel.
Amir HaddadRheumatology Unit, Carmel Medical Center, Michal 7 St, 3436212, Haifa, Israel.
Ilan FeldhamerCentral Headquarters, Clalit Health Services, Tel Aviv, Israel.
Arnon Dov CohenCentral Headquarters, Clalit Health Services, Tel Aviv, Israel.
Walid Saliba *The Ruth and Bruce Rappaport Faculty of Medicine, Technion, Haifa, Israel.
Devy Zisman *Rheumatology Unit, Carmel Medical Center, Michal 7 St, 3436212, Haifa, Israel.ORCID 0000-0003-0523-2292
Carmel Medical Center · ILBen-Gurion University of the Negev · ILClalit Health Services · ILUniversity of Washington Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAlthough the risk of cardiovascular disease has been discussed extensively in both psoriasis (PsO) and psoriatic arthritis (PsA), very few studies have addressed the occurrence of venous thromboembolic (VTE) events among PsO patients, and even fewer in PsA. Thus, our goal was to assess the association between PsA and VTE events using a large population-based database.

methodsThis retrospective cohort study includes all 5,275 patients with newly diagnosed PsA from the largest health care provider in Israel between January 2003 and December 2018. Identified PsA patients were matched by age, sex, ethnicity, and index date with 21,011 controls without PsA from the same database. Both groups were followed through June 30, 2019 for the occurrence of VTE event. Cox proportional hazard regression models were used to assess the association between PsA and VTE.

resultsPsA cohort consisted of 53.2% females with mean age of 51.7±15.4 Sixty-two patients (1.2%) were diagnosed with VTE in the PsA group and 176 patients (0.8%) in the control group (p=0.023, HR=1.40, 95% CI 1.05-1.87). However, there was no increased risk of VTE among PsA patients on multivariable analysis (p=0.16, HR=1.27, 95% CI 0.91-1.80). Within the PsA group, patients with VTE were more often of older age and with history of VTE.

conclusionsThis study suggests that the increased risk of VTE in PsA patients appears to be related to the underlying comorbidities and not independently associated with PsA. Age and previous history of VTE were the only risk factors associated with increased risk of VTE in patients with PsA. Addressing VTE risk is recommended especially in the era of Janus kinase inhibitors.

Indexed as

Arthritis, PsoriaticPsoriasisVenous ThromboembolismAdultAgedCohort StudiesFemaleHumansMaleMiddle AgedRetrospective StudiesRisk Factorspsoriasispsoriatic arthritisrisk factorsspondyloarthropathyvenous thromboembolism

Identifiers

PMID34996505
PMCPMC8740055
OpenAlexW4206221136

What Socratic 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 Socratic graph.