Evidence map›Paper›PMID 24026675›Full record

ArticleAnnals of the rheumatic diseases2014

Validation of the auto-inflammatory diseases activity index (AIDAI) for hereditary recurrent fever syndromes.

Maryam Piram, Isabelle Koné-Paut, Helen J Lachmann, Joost Frenkel, Seza Ozen, Jasmin Kuemmerle-Deschner, Silvia Stojanov, Anna Simon, Martina Finetti, Maria Pia Sormani and 4 more

Open access · hybridAbstract readValidation Study
In one paragraph

Article in Annals of the rheumatic diseases, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 77 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
77citing papers in PubMed, 6 pooled it
3.0field-weighted citation impact, top 8% 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

77 citing papers in PubMed, 6 syntheses or guidelines pooled it, 155 citations in OpenAlex.

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  19. Disease activity score for still's disease.Clinical rheumatology · 2024
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17 more citing papers are in PubMed but not listed here.

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

14 authors at 8 institutions in 8 countries.

Maryam PiramService de Pédiatrie Générale et Rhumatologie pédiatrique, Centre de référence des maladies auto-inflammatoires de l'enfant (CeRéMAI), CHU de Bicêtre, APHP, Université Paris Sud, Le Kremlin Bicêtre, France.
Isabelle Koné-PautService de Pédiatrie Générale et Rhumatologie pédiatrique, Centre de référence des maladies auto-inflammatoires de l'enfant (CeRéMAI), CHU de Bicêtre, APHP, Université Paris Sud, Le Kremlin Bicêtre, France.
Helen J LachmannNational Amyloidosis Centre, Royal Free Campus, University College London Medical School, London, UK.
Joost FrenkelDepartment of Paediatrics, University Medical Center Utrecht, Utrecht, The Netherlands.
Seza OzenPediatric Rheumatology, Hacettepe University Children's Hospital, Ankara, Turkey.
Jasmin Kuemmerle-DeschnerDivision of Pediatric Rheumatology, Universitätsklinik für Kinderheilkunde und Jugendmedizin, Tübingen, Germany.
Silvia StojanovDepartment of Infectious Diseases and Immunology, Children's Hospital, University of Munich, Munich, Germany.
Anna SimonDepartment of General Internal Medicine, N4i Centre for Immunodeficiency and Autoinflammation (NCIA), Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands.
Martina FinettiPediatria II, Reumatologia, Istituto G Gaslini, PRINTO Coordinating Centre, Genova, Italy.
Maria Pia SormaniDipartimento di Scienze della Salute, Università di Genova, Genova, Italy.
Alberto MartiniPediatria II, Reumatologia, Istituto G Gaslini, PRINTO Coordinating Centre, Genova, Italy Dipartimento di Pediatria, Università degli Studi di Genova, Genova, Italy.
Marco GattornoPediatria II, Reumatologia, Istituto G Gaslini, PRINTO Coordinating Centre, Genova, Italy.
Nicolino RupertoPediatria II, Reumatologia, Istituto G Gaslini, PRINTO Coordinating Centre, Genova, Italy.
EUROFEVER, EUROTRAPS and the Paediatric Rheumatology International Trials Organisation (PRINTO) networks
Centre de Référence des Maladies Autoinflammatoires et des Amyloses · FRUniversity of Genoa · ITAmyloidosis Foundation · USChildren's Hospital · TNHacettepe University Hospital · TRRadboud University Nijmegen · NLUniversity Medical Center Utrecht · NLZentrum für Kinderheilkunde · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo validate the Auto-Inflammatory Diseases Activity Index (AIDAI) in the four major hereditary recurrent fever syndromes (HRFs): familial Mediterranean fever (FMF), mevalonate kinase deficiency (MKD), tumour necrosis factor receptor-associated periodic syndrome (TRAPS) and cryopyrin-associated periodic syndromes (CAPS).

methodsIn 2010, an international collaboration established the content of a disease activity tool for HRFs. Patients completed a 1-month prospective diary with 12 yes/no items before a clinical appointment during which their physician assessed their disease activity by a questionnaire. Eight international experts in auto-inflammatory diseases evaluated the patient's disease activity by a blinded web evaluation and a nominal group technique consensus conference, with their consensus judgement considered the gold standard. Sensitivity/specificity/accuracy measures and the ability of the score to discriminate active from inactive patients via the best cut-off score were calculated by a receiver operating characteristic analysis.

resultsConsensus was achieved for 98/106 (92%) cases (39 FMF, 35 CAPS, 14 TRAPS and 10 MKD), with 26 patients declared as having inactive disease and 72 as having active disease. The median total AIDAI score was 14 (range=0-175). An AIDAI cut-off score ≥9 discriminated active from inactive patients, with sensitivity/specificity/accuracy of 89%/92%/90%, respectively, and an area under the curve of 98% (95% CI 96% to 100%).

conclusionsThe AIDAI score is a valid and simple tool for assessing disease activity in FMF/MKD/TRAPS/CAPS. This tool is easy to use in clinical practice and has the potential to be used as the standard efficacy measure in future clinical trials.

Indexed as

AdolescentAdultArea Under CurveChildCohort StudiesCryopyrin-Associated Periodic SyndromesFamilial Mediterranean FeverFemaleFeverHereditary Autoinflammatory DiseasesHumansMaleMevalonate Kinase DeficiencyProspective StudiesReproducibility of ResultsROC CurveDisease ActivityFamilial Mediterranean FeverFever Syndromes

Identifiers

PMID24026675
PMCPMC4251184
OpenAlexW2101548148

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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 OpenQuestion graph.