Evidence map›Paper›PMID 39767248›Full record

ArticleDiagnostics (Basel, Switzerland)2024

The Role of Metabolic Syndrome in Psoriasis Treatment Response: A One-Year Comparative Analysis of PASI Progression.

Maria-Lorena Mustață, Mihaela Ionescu, Lucrețiu Radu, Carmen-Daniela Neagoe, Roxana-Viorela Ahrițculesei, Radu-Cristian Cîmpeanu, Daniela Matei, Anca-Maria Amzolini, Maria-Cristina Predoi, Simona-Laura Ianoși

Abstract read
In one paragraph

Article in Diagnostics (Basel, Switzerland), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
–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 synthesis or guideline pooled it.

  1. Pooled it
  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.

Maria-Lorena MustațăDoctoral School, University of Medicine and Pharmacy of Craiova, 200349 Craiova, Romania.ORCID 0009-0008-6701-0760
Mihaela IonescuDepartment of Medical Informatics and Biostatistics, University of Medicine and Pharmacy of Craiova, 200349 Craiova, Romania.
Lucrețiu RaduDepartment of Hygiene, University of Medicine and Pharmacy of Craiova, 200349 Craiova, Romania.
Carmen-Daniela NeagoeDepartment of Internal Medicine, Faculty of Medicine, University of Medicine and Pharmacy of Craiova, 200349 Craiova, Romania.ORCID 0000-0001-7150-5987
Roxana-Viorela AhrițculeseiDoctoral School, University of Medicine and Pharmacy of Craiova, 200349 Craiova, Romania.
Radu-Cristian CîmpeanuDoctoral School, University of Medicine and Pharmacy of Craiova, 200349 Craiova, Romania.
Daniela MateiDepartment of Physical and Rehabilitation Medicine, University of Medicine and Pharmacy of Craiova, 200349 Craiova, Romania.
Anca-Maria AmzoliniDepartment of Internal Medicine, Medical Semiology, University of Medicine and Pharmacy of Craiova, 200349 Craiova, Romania.
Maria-Cristina PredoiDepartment of Morphology, Faculty of Medicine, University of Medicine and Pharmacy of Craiova, 200349 Craiova, Romania.
Simona-Laura IanoșiDepartment of Dermatology, Faculty of Medicine, University of Medicine and Pharmacy of Craiova, 200349 Craiova, Romania.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND/

objectivesPsoriasis is a chronic dermatological condition with systemic implications, especially with metabolic syndrome (MS). This study evaluated the vicious cycle where obesity and MS exacerbate systemic inflammation that complicates the efficacy of psoriasis therapies by examining the PASI score over a one-year period. Patients were classified into two subgroups: those with psoriasis alone (PSO) and those with both psoriasis and metabolic syndrome (PSO-MS).

methodsA total of 150 patients, half of whom also concomitantly presented with metabolic syndrome, received biologic therapies comprising anti-IL-17, anti-IL-23, and anti-TNF-a, or methotrexate, with PASI scores assessed at baseline and at 3, 6, and 12 months.

resultsAll treatments showed significant reductions in PASI; however, patients with PSO showed more marked reductions in PASI score than those in the PSO-MS group. Anti-IL-17 treatments produced the greatest sustained long-term improvements, whereas anti-IL-23 produced prompt early improvements. Increases in BMI and leptin concentrations were associated with a modest rate of reduction in PASI score, underlining the impact of obesity and metabolic dysfunction on treatment efficacy.

conclusionsThis study highlights the importance of managing comorbidities such as MS in the treatment of psoriasis, as the interplay between systemic inflammation and metabolic health further complicates therapeutic outcomes.

Indexed as

biologic therapiesleptinmetabolic syndromeobesityPASI scorepsoriasissystemic inflammation

Identifiers

PMID39767248
PMCPMC11675552

What Socratic holds

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Registered trials

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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 Socratic graph.