Joint Bone SpinePub Date : 2025-02-18DOI: 10.1016/j.jbspin.2025.105854
Sélina Hanna , Tiphaine Dujardin , Philippe Gaudin , Athan Baillet , Xavier Romand
{"title":"bDMARD drug survival in combination therapy with methotrexate in psoriatic arthritis: A systematic literature review and meta-analysis","authors":"Sélina Hanna , Tiphaine Dujardin , Philippe Gaudin , Athan Baillet , Xavier Romand","doi":"10.1016/j.jbspin.2025.105854","DOIUrl":"10.1016/j.jbspin.2025.105854","url":null,"abstract":"<div><h3>Background/purpose</h3><div>Combination therapy with methotrexate (MTX) has shown to improve biologic Disease Modifying Rheumatic Drugs (bDMARD) survival in rheumatoid arthritis, but interest in MTX combination therapy in Psoriatic Arthritis (PsA) remains controversial. We conducted a systematic literature review and meta-analysis to study whether a combination therapy bDMARD and MTX improves bDMARD drug survival in PsA.</div></div><div><h3>Methods</h3><div>We performed a systematic literature review to identify all pertinent articles studying ts/bDMARDs drugs survival [TNF inhibitors (TNFi), IL-17, IL-23, IL-12/23 and JAK inhibitors] and MTX in PsA up until December 2023. Hazard ratio's (HR) were extracted. A random-effect model and inverse-variance method were used. Sensitivity and subgroup analyses were performed to identify sources of heterogeneity and to confirm the robustness of the results.</div></div><div><h3>Results</h3><div>A total of 2299 records were identified, and twenty studies were included, with a total of 30,634 patients with PsA. All studies were observational. Two studies involved bDMARDs other than TNFi. Combination therapy with MTX was found to be associated with a superior bDMARDs drug survival (HR<!--> <!-->=<!--> <!-->0.82 [95% CI: 0.75, 0.89], <em>P</em>-value<!--> <!--><<!--> <!-->0.001, I<sup>2</sup> <!-->=<!--> <!-->45%) and TNFi drug survival (HR<!--> <!-->=<!--> <!-->0.79 [95% CI: 0.73, 0.86], <em>P</em>-value<!--> <!--><<!--> <!-->0.001, I<sup>2</sup> <!-->=<!--> <!-->27%). A meta-analysis for non-TNFi was not possible due to the limited number of publications.</div></div><div><h3>Conclusion</h3><div>This meta-analysis shows the positive association between combination therapy bDMARD with MTX and a better bDMARDs drug survival, especially with TNFi. Further studies are needed to confirm this hypothesis with robust evidence such as randomised controlled trials.</div></div>","PeriodicalId":54902,"journal":{"name":"Joint Bone Spine","volume":"92 3","pages":"Article 105854"},"PeriodicalIF":3.8,"publicationDate":"2025-02-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143469937","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Answer to Dou et al. and to Chen et al.","authors":"Anling Luo, Qin Yang, Zhao Zhang, Yujia Yang, Xuzi Li, Yiting Deng, Li He, Muke Zhou","doi":"10.1016/j.jbspin.2025.105856","DOIUrl":"10.1016/j.jbspin.2025.105856","url":null,"abstract":"","PeriodicalId":54902,"journal":{"name":"Joint Bone Spine","volume":"92 3","pages":"Article 105856"},"PeriodicalIF":3.8,"publicationDate":"2025-02-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143469934","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Joint Bone SpinePub Date : 2025-02-18DOI: 10.1016/j.jbspin.2025.105857
Jinxiang Peng , Jinmei Tan , Haozhu Chen
{"title":"Comment on: “Association between ankylosing spondylitis and neurodegenerative diseases: Systematic review and meta-analysis” by Luo et al. Joint Bone Spine 2024:105793","authors":"Jinxiang Peng , Jinmei Tan , Haozhu Chen","doi":"10.1016/j.jbspin.2025.105857","DOIUrl":"10.1016/j.jbspin.2025.105857","url":null,"abstract":"","PeriodicalId":54902,"journal":{"name":"Joint Bone Spine","volume":"92 3","pages":"Article 105857"},"PeriodicalIF":3.8,"publicationDate":"2025-02-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143469997","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Joint Bone SpinePub Date : 2025-02-18DOI: 10.1016/j.jbspin.2025.105858
Marie-Eva Pickering , Jean-Claude Souberbielle , Anne Boutten , Véronique Breuil , Karine Briot , Roland Chapurlat , Patrice Fardellone , Rose-Marie Javier , Eugénie Koumakis , Bernard Cortet , Groupe de Recherche et d’Information sur les Ostéoporoses (GRIO)
{"title":"Daily or intermittent vitamin D supplementation in patients with or at risk of osteoporosis: Position statement from the GRIO","authors":"Marie-Eva Pickering , Jean-Claude Souberbielle , Anne Boutten , Véronique Breuil , Karine Briot , Roland Chapurlat , Patrice Fardellone , Rose-Marie Javier , Eugénie Koumakis , Bernard Cortet , Groupe de Recherche et d’Information sur les Ostéoporoses (GRIO)","doi":"10.1016/j.jbspin.2025.105858","DOIUrl":"10.1016/j.jbspin.2025.105858","url":null,"abstract":"<div><div>Advantages and disadvantages of intermittent versus daily vitamin D supplementation especially in adults with or at risk of osteoporosis are discussed by the Osteoporosis Research and Information Group (GRIO). The analysis of the literature suggests that intermittent long-term high doses vitamin D supplementation (such as 60,000<!--> <!-->IU/month or more), may increase the risk of falls, fracture and premature death in certain populations, while daily doses of 800–1000<!--> <!-->IU with calcium decrease falls and non-vertebral fractures in the elderly with vitamin D deficiency. In patients with or at risk of osteoporosis we hence recommend measuring the 25(OH)D concentration prior to supplementation and to provide vitamin D supplementation (with optimization of calcium intake if needed) to obtain a concentration between 30 and 60<!--> <!-->ng/mL. We recommend the use of an initial loading dose, especially in those who need a quick repletion of vitamin D store (symptoms of osteomalacia and/or 25(OH)D concentration <<!--> <!-->12<!--> <!-->ng/mL, patients eligible for treatment with potent antiresorptive therapy), followed by a maintenance dose. A daily supplementation should be the rule when possible. When daily forms are however not available or not reimbursed, we recommend, like other experts, to continue using intermittent dosing with the smallest available dose (≤<!--> <!-->50,000<!--> <!-->IU) and the shortest interval between doses as a stopgap until reimbursement or adequate daily pharmaceutical forms (pills or soft capsules of 1000, 2000<!--> <!-->IU) are available.</div></div>","PeriodicalId":54902,"journal":{"name":"Joint Bone Spine","volume":"92 3","pages":"Article 105858"},"PeriodicalIF":3.8,"publicationDate":"2025-02-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143470002","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Joint Bone SpinePub Date : 2025-02-18DOI: 10.1016/j.jbspin.2025.105859
Shulin Dou, Wei Fang, Wei Wang, Hailiang Wang
{"title":"Exploring the link between ankylosing spondylitis and neurodegenerative diseases: Insights from Mendelian randomization. Comment on: “Association between ankylosing spondylitis and neurodegenerative diseases: systematic review and meta-analysis” by Luo et al. Joint Bone Spine 2024:105793","authors":"Shulin Dou, Wei Fang, Wei Wang, Hailiang Wang","doi":"10.1016/j.jbspin.2025.105859","DOIUrl":"10.1016/j.jbspin.2025.105859","url":null,"abstract":"","PeriodicalId":54902,"journal":{"name":"Joint Bone Spine","volume":"92 3","pages":"Article 105859"},"PeriodicalIF":3.8,"publicationDate":"2025-02-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143470017","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Joint Bone SpinePub Date : 2025-02-13DOI: 10.1016/j.jbspin.2025.105855
Robin Arcani , Tatiana Horowitz , Pierre-André Jarrot , Myriam Debelle , Patrick Villani , Aurélie Daumas
{"title":"Bilateral parotitis revealing giant cell arteritis: A case report","authors":"Robin Arcani , Tatiana Horowitz , Pierre-André Jarrot , Myriam Debelle , Patrick Villani , Aurélie Daumas","doi":"10.1016/j.jbspin.2025.105855","DOIUrl":"10.1016/j.jbspin.2025.105855","url":null,"abstract":"<div><div>We report the atypical case of giant cell arteritis (GCA) in an 88-year-old woman, whose primary symptom was parotitis. The patient presented with a three-week history of painful bilateral parotid enlargement and mild undated morning headaches that were relieved with acetaminophen, but she did not have classic GCA symptoms such as jaw claudication or scalp tenderness. Biological tests revealed biological inflammation. Parotid glands did not show any structural abnormalities. A Doppler ultrasound of the temporal arteries showed inflammation, and a positron emission tomography/computed tomography scan confirmed hypermetabolism in multiple arteries, including those supplying the parotid glands. Temporal artery biopsy confirmed GCA. The patient was treated with prednisone, leading to a rapid improvement in symptoms and inflammatory markers. This case highlights a rare presentation of GCA, where parotitis is the main symptom. GCA should be considered in elderly patients with persistent inflammation and parotitis, particularly when other common causes are ruled out.</div></div>","PeriodicalId":54902,"journal":{"name":"Joint Bone Spine","volume":"92 3","pages":"Article 105855"},"PeriodicalIF":3.8,"publicationDate":"2025-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143426831","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Joint Bone SpinePub Date : 2025-01-31DOI: 10.1016/j.jbspin.2025.105847
Daniel Wendling
{"title":"Destructive arthropathy of the shoulder secondary to syringomyelia","authors":"Daniel Wendling","doi":"10.1016/j.jbspin.2025.105847","DOIUrl":"10.1016/j.jbspin.2025.105847","url":null,"abstract":"","PeriodicalId":54902,"journal":{"name":"Joint Bone Spine","volume":"92 3","pages":"Article 105847"},"PeriodicalIF":3.8,"publicationDate":"2025-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143082296","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Joint Bone SpinePub Date : 2025-01-31DOI: 10.1016/j.jbspin.2025.105851
Shuyun Wang, Binglin Lai
{"title":"Proliferative myositis in the shoulder","authors":"Shuyun Wang, Binglin Lai","doi":"10.1016/j.jbspin.2025.105851","DOIUrl":"10.1016/j.jbspin.2025.105851","url":null,"abstract":"","PeriodicalId":54902,"journal":{"name":"Joint Bone Spine","volume":"92 3","pages":"Article 105851"},"PeriodicalIF":3.8,"publicationDate":"2025-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143082299","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}