Evidence map›Paper›PMID 36059312›Full record

ReviewCureus2022

Is Tocilizumab Effective and Safe in Polymyalgia Rheumatica and Giant-Cell Arteritis With Polymyalgia Rheumatica?

Michelle Farinango, Akhil Ansary, Amulya Dakka, Zahra Nazir, Humaira Shamim, Marie Jean, Muaaz Umair, Pratyusha Muddaloor, Yeny Chavarria, Safeera Khan

Abstract readReview
In one paragraph

Review in Cureus, 2022. 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

10 authors.

Michelle FarinangoInternal Medicine, California Institute of Behavioral Neurosciences & Psychology, Fairfield, USA.
Akhil AnsaryInternal Medicine, California Institute of Behavioral Neurosciences & Psychology, Fairfield, USA.
Amulya DakkaInternal Medicine, California Institute of Behavioral Neurosciences & Psychology, Fairfield, USA.
Zahra NazirInternal Medicine, California Institute of Behavioral Neurosciences & Psychology, Fairfield, USA.
Humaira ShamimInternal Medicine, California Institute of Behavioral Neurosciences & Psychology, Fairfield, USA.
Marie JeanInternal Medicine, California Institute of Behavioral Neurosciences & Psychology, Fairfield, USA.
Muaaz UmairInternal Medicine, California Institute of Behavioral Neurosciences & Psychology, Fairfield, USA.
Pratyusha MuddaloorInternal Medicine, California Institute of Behavioral Neurosciences & Psychology, Fairfield, USA.
Yeny ChavarriaInternal Medicine, California Institute of Behavioral Neurosciences & Psychology, Fairfield, USA.
Safeera KhanInternal Medicine, California Institute of Behavioral Neurosciences & Psychology, Fairfield, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Polymyalgia rheumatica (PMR) and giant-cell arteritis (GCA) with symptoms of PMR share some pathophysiologic features. Interleukin 6 (IL-6) levels are elevated in both groups. We investigated the effect of tocilizumab (TCZ), an IL-6 inhibitor, in both populations and whether there were any differences regarding effectiveness and safety between them. We conducted a systematic review following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines by searching the following databases: PubMed, PMC, Medline, Scopus, Cochrane Library, and ClincalTrials.gov. We found eight articles including one systematic review, one randomized controlled trial (RCT), one posthoc analysis of an RCT, and five observational studies. A total of 668 patients were included in this study. After a comprehensive analysis, we can only infer that there is insufficient evidence to suggest TCZ as monotherapy. Nevertheless, using TCZ in combination with glucocorticoid can be an effective therapeutic option.

Indexed as

efficacygiant-cell arteritis with polymyalgia rheumaticail-6 inhibitorpolymyalgia rheumaticasafetytocilizumab

Identifiers

PMID36059312
PMCPMC9435397

What Socratic 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 Socratic graph.