Evidence map›Paper›PMID 40777007›Full record

SynthesisFrontiers in immunology2025

All-cause and cause-specific mortality in psoriasis patients: a systematic review and meta-analysis.

Yi Yang, Qin Zhang, Anning Huang, Jinpeng Zhao, Jianren Yang, Lulu Wang, Guomei Xu

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in Frontiers in immunology, 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
  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

7 authors.

Yi YangGraduate School of Beijing University of Chinese Medicine, Beijing University of Chinese Medicine, Beijing, China.
Qin ZhangGraduate School of Beijing University of Chinese Medicine, Beijing University of Chinese Medicine, Beijing, China.
Anning HuangGraduate School of Beijing University of Chinese Medicine, Beijing University of Chinese Medicine, Beijing, China.
Jinpeng ZhaoGraduate School of Beijing University of Chinese Medicine, Beijing University of Chinese Medicine, Beijing, China.
Jianren YangGraduate School of Beijing University of Chinese Medicine, Beijing University of Chinese Medicine, Beijing, China.
Lulu WangGraduate School of Beijing University of Chinese Medicine, Beijing University of Chinese Medicine, Beijing, China.
Guomei XuDepartment of Dermatology, Beijing University of Chinese Medicine Third Affiliated Hospital, Beijing, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: The objective of this meta-analysis is to assess the all-cause and cause-specific mortality in patients with psoriasis. Method: In accordance with PRISMA guidelines, a systematic search of PubMed, EMBASE, and the Cochrane Library (from inception to March 2025) was conducted. Eligible studies comprised English-language cohort studies comparing mortality risk (HR/OR/RR) in adults with psoriasis versus healthy/non-psoriasis controls. Two reviewers independently screened studies, extracted data, and assessed study quality using the Newcastle-Ottawa Scale. Hazard ratios (HRs) were synthesized using random-effects models in Stata 14.0. Sensitivity analyses, subgroup analyses, and assessments of publication bias (via funnel plots and Egger's test) were also performed. Result: A total of 20 studies involving 8825989 participants were included. Psoriasis patients demonstrated significantly increased risks of all-cause mortality [HR=1.19, 95% CI (1.11-1.28), P=0.000], cardiovascular mortality [HR = 1.32, 95% CI (1.11-1.58), P = 0.002], infection-related mortality [HR=1.24, 95% CI (1.13-1.36), P=0.000], and suicide mortality [HR=1.50, 95% CI (1.03-2.19), P=0.034]. The risk of mortality due to neoplasms was marginally elevated but not statistically significant [HR=1.05, 95% CI (0.98-1.12), P=0.151]. No significant associations were found for neurological disease mortality [HR=0.96, 95%CI (0.83-1.11), P=0.976] or accident-related mortality [HR=0.91, 95% CI (0.81-1.02), P=0.629]. Sensitivity analysis supports the findings. Subgroup analyses revealed higher all-cause mortality risks in Europe (HR=1.11) and Asia (HR=1.23), as well as an increased risk with greater disease severity (moderate-to-severe: HR=1.44; severe: HR=1.54). No publication bias was detected. Conclusion: Psoriasis is associated with an increased risk of all-cause, cardiovascular, infection-related, and suicide mortality, highlighting the need for enhanced monitoring and targeted interventions to prevent adverse outcomes particularly for individuals with severe psoriasis. Systematic review registration: https://www.crd.york.ac.uk/PROSPERO/view/CRD420251017192, identifier CRD420251017192.

Indexed as

PsoriasisCardiovascular DiseasesCause of DeathHumansRisk Factorscardiovascularhazard ratioinfectionmeta-analysismortalitypsoriasissuicide

Identifiers

PMID40777007
PMCPMC12328333

What Socratic holds

Textmetadata
LicenceCC BY
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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.