Evidence map›Paper›PMID 12810423›Full record

Trial reportAnnals of the rheumatic diseases2003

Effectiveness of a measurement feedback system on outcome in rheumatoid arthritis: a controlled clinical trial.

J Fransen, G Stucki, J Twisk, A-M Chamot, J-C Gerster, T Langenegger, M Seitz, B A Michel, mebers of the Swiss Clinical Quality Management in Rheumatoid Arthritis (SCQM)

Open access · bronzeAbstract readClinical TrialControlled Clinical Trial
In one paragraph

Trial report in Annals of the rheumatic diseases, 2003. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
0.8field-weighted citation impact, top 27% of its field
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

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 28 citations in OpenAlex.

  1. Guideline
  2. Trial
  3. Trial
  4. Article
  5. Article
  6. [Activity-score based therapy in rheumatoid arthritis].Zeitschrift fur Rheumatologie · 2006
    Review
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

9 authors at 8 institutions in 3 countries.

J FransenDepartment of Rheumatology and Institute of Physical Medicine, University Hospital Zurich, Switzerland. j.fransen@reuma.azn.nl
G Stucki
J Twisk
A-M Chamot
J-C Gerster
T Langenegger
M Seitz
B A Michel
mebers of the Swiss Clinical Quality Management in Rheumatoid Arthritis (SCQM)
Hôpital de Morges · CHMünchen Klinik · DERadboud University Medical Center · NLSwiss Paraplegic Center · CHUniversity Hospital of Zurich · CHUniversity of Amsterdam · NLUniversity of Bern · CHUniversity of Lausanne · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWith the help of a measurement feedback system, the treatment strategy for individual patients with rheumatoid arthritis (RA) can be adjusted to achieve optimal control of disease activity.

objectiveTo study whether a measurement feedback system is effective in reducing disease activity in patients with RA.

methodsForty eight rheumatologists and 264 patients participated in a controlled clinical trial. A three month control period was followed by a 12 month period, where feedback on disease activity, disability, and damage was provided to the rheumatologist. The primary outcome measure was the rheumatoid arthritis disease activity index (RADAI).

resultsThe feedback system was used for 142/228 (62%) patients. Disease modifying antirheumatic drug changes occurred in 69/169 (41%) patients. In patients with high disease activity and feedback use (n=70), the RADAI decreased in the feedback period by -0.27 points per 30 days (p<0.05), as compared with the control period. Patients for whom the feedback system was used had a better outcome than non-users.

conclusionMuch more training on the use of a feedback system and outcome measures, as well as the inclusion of explicit treatment guidelines will be necessary to increase the clinical use of measurement feedback and, possibly, to reduce disease activity for a larger number of patients with RA.

Indexed as

Knowledge of Results, PsychologicalPatient Care PlanningRheumatologyAcute DiseaseAgedAntibodies, MonoclonalAntirheumatic AgentsArthritis, RheumatoidFemaleHumansInfliximabMaleMethotrexateMiddle AgedPrednisoloneRegression AnalysisAntibodies, MonoclonalAntirheumatic AgentsInfliximabMethotrexatePrednisoloneSulfasalazine

Identifiers

PMID12810423
PMCPMC1754606
OpenAlexW2062949424

What OpenQuestion holds

Textmetadata
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 OpenQuestion graph.