Evidence map›Paper›PMID 40712276›Full record

ArticleSeminars in arthritis and rheumatism2025

Weight loss, disease activity, and patient reported outcomes in patients with musculoskeletal and autoimmune diseases taking weight loss medications: a retrospective cohort study.

Thomas R Riley, Kristin Wipfler, Katherine D Wysham, Veena K Ranganath, Michael D George, Kaleb Michaud, Joshua F Baker

Abstract read
In one paragraph

Article in Seminars in arthritis and rheumatism, 2025. 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. Article
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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

7 authors.

Thomas R RileyUniversity of Pennsylvania, Perelman School of Medicine, Philadelphia, PA, USA. Electronic address: Thomas.riley@pennmedicine.upenn.edu.
Kristin WipflerFORWARD, The National Databank for Rheumatic Diseases, Wichita, KS, USA.
Katherine D WyshamUniversity of Washington, Seattle, WA, USA.
Veena K RanganathUniversity of California Los Angeles, Los Angeles, CA, USA.
Michael D GeorgeUniversity of Pennsylvania, Perelman School of Medicine, Philadelphia, PA, USA.
Kaleb MichaudFORWARD, The National Databank for Rheumatic Diseases, Wichita, KS, USA; University of Nebraska Medical Center, Omaha, NE, USA.
Joshua F BakerUniversity of Pennsylvania, Perelman School of Medicine, Philadelphia, PA, USA; Corporal Michael J. Crescenz VA Medical Center, Philadelphia, PA, USA.

Funding

Clinical Pharmacoepidemiology Training ProgramT32GM075766 · NIGMS · UNIVERSITY OF PENNSYLVANIA · PI Sean Hennessy, Charles Edward Leonard · 2006 to 2026
$8.4M
CSRD VA IK2 CX002351NIGMS NIH HHS T32 GM075766RRD VA I01 RX003644RRD VA I01 RX004770
6 · The paper itself

Abstract

introductionGiven potential impacts of adiposity on pain and inflammation, we evaluated if weight loss was associated with improvements in disease activity and patient reported outcomes (PROs) in people with rheumatic and musculoskeletal disease (RMD) using weight loss therapies.

methodsParticipants with RMDs enrolled in the FORWARD Databank and reporting weight loss medication use were included in this retrospective cohort study. Linear models using generalized estimating equations assessed the association with ≥5 % weight loss and changes in PROs and disease activity over a 6-month period, clustering by participant and adjusting for the prior 6-month PRO, BMI, diabetes status, age, and sex. Testing for effect modification was performed to assess whether the effect of weight loss varied across BMI categories and across condition.

resultsWe identified 3868 users of weight loss medications with 24,484 discrete observations. Weight loss ≥5 % was reported in 10.5 % (2603) of observations and was associated with improvements in patient activity scale II (PAS-II), patient global assessment, pain, fatigue, polysymptomatic distress, and SF-36 physical component score (PAS-II adjusted: B -0.12, 95 % CI -0.17, -0.067, p < 0.001). Those who lost ≥5 % of weight were more likely to have improvements in PAS-II and PROs if they were obese, independent of diagnosis.

conclusionAmong participants with RMDs that reported weight loss medication use, ≥5 % weight loss was associated with statistically significant improvements in patient-reported disease activity and quality of life PROs. The use of weight loss medications could be considered in trials aimed at improving symptoms of RMDs.

Indexed as

Anti-Obesity AgentsAutoimmune DiseasesMusculoskeletal DiseasesPatient Reported Outcome MeasuresRheumatic DiseasesWeight LossAdultAgedFemaleHumansMaleMiddle AgedRetrospective StudiesAnti-Obesity AgentsCohort studyDisease activityPatient-reported outcomesWeight loss

Identifiers

PMID40712276
PMCPMC12331154

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.