Evidence map›Paper›PMID 24305643›Full record

Observational studyChest2014

Functional impact of a spectrum of interstitial lung abnormalities in rheumatoid arthritis.

Tracy J Doyle, Paul F Dellaripa, Kerri Batra, Michelle L Frits, Christine K Iannaccone, Hiroto Hatabu, Mizuki Nishino, Michael E Weinblatt, Dana P Ascherman, George R Washko and 4 more

Open access · bronzeAbstract readObservational Study
In one paragraph

Observational study in Chest, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 62 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
62citing papers in PubMed, 2 pooled it
3.6field-weighted citation impact, top 7% 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

62 citing papers in PubMed, 2 syntheses or guidelines pooled it, 98 citations in OpenAlex.

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2 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 4 institutions in 1 country.

Tracy J DoylePulmonary and Critical Care Division, Brigham and Women's Hospital, Harvard Medical School, Boston, MA.
Paul F DellaripaDivision of Rheumatology, Immunology and Allergy, Brigham and Women's Hospital, Boston, MA.
Kerri BatraDivision of Rheumatology, Rhode Island Hospital, Providence RI.
Michelle L FritsDivision of Rheumatology, Immunology and Allergy, Brigham and Women's Hospital, Boston, MA.
Christine K IannacconeDivision of Rheumatology, Immunology and Allergy, Brigham and Women's Hospital, Boston, MA.
Hiroto HatabuCenter for Pulmonary Functional Imaging, Brigham and Women's Hospital, Boston, MA; Department of Radiology, Brigham and Women's Hospital, Boston, MA.
Mizuki NishinoCenter for Pulmonary Functional Imaging, Brigham and Women's Hospital, Boston, MA; Department of Radiology, Brigham and Women's Hospital, Boston, MA.
Michael E WeinblattDivision of Rheumatology, Immunology and Allergy, Brigham and Women's Hospital, Boston, MA.
Dana P AschermanDivision of Rheumatology, University of Miami Miller School of Medicine, Miami FL.
George R WashkoPulmonary and Critical Care Division, Brigham and Women's Hospital, Harvard Medical School, Boston, MA.
Gary M HunninghakePulmonary and Critical Care Division, Brigham and Women's Hospital, Harvard Medical School, Boston, MA; Channing Laboratory, Brigham and Women's Hospital, Boston, MA.
Augustine M K ChoiPulmonary and Critical Care Division, Brigham and Women's Hospital, Harvard Medical School, Boston, MA.
Nancy A ShadickDivision of Rheumatology, Immunology and Allergy, Brigham and Women's Hospital, Boston, MA.
Ivan O RosasPulmonary and Critical Care Division, Brigham and Women's Hospital, Harvard Medical School, Boston, MA; Lovelace Respiratory Research Institute, Albuquerque, NM. Electronic address: irosas@rics.bwh.harvard.edu.
Brigham and Women's Hospital · USHarvard University · USRhode Island Hospital · USUniversity of Miami · US

Funding

Interstitial Lung Abnormalities: Defining the Phenotype, Causes, and Consequences.R01HL111024 · NHLBI · BRIGHAM AND WOMEN'S HOSPITAL · PI HUNNINGHAKE, GARY MATTHEW · 2013 to 2022
$6.4M
Harvard Clinical and Translational Science Center (KL2)KL2TR000168 · NCATS · HARVARD MEDICAL SCHOOL · PI NADLER, LEE MARSHALL · 2012 to 2013
$965k
CT Volume Measurement of Lung Cancer treated with Erlotinib: Genomic CorrelationK23CA157631 · NCI · BRIGHAM AND WOMEN'S HOSPITAL · PI NISHINO, MIZUKI · 2011 to 2015
$902k
Syndecan-2 and Clinical Progression of Idiopathic Pulmonary FibrosisK23HL087030 · NHLBI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI ROSAS, IVAN O. · 2008 to 2012
$759k
Fine-mapping Association Analysis of Total IgE on Chr. 20p12 in Costa RicansK08HL092222 · NHLBI · BRIGHAM AND WOMEN'S HOSPITAL · PI HUNNINGHAKE, GARY MATTHEW · 2008 to 2012
$689k
NCATS NIH HHS KL2 TR000168NCI NIH HHS K23 CA157631NHLBI NIH HHS K08 HL092222NHLBI NIH HHS K23 HL087030NHLBI NIH HHS R01 HL111024
6 · The paper itself

Abstract

backgroundApproximately 10% of patients with rheumatoid arthritis (RA) have interstitial lung disease (ILD), and one-third have subclinical ILD on chest CT scan. In this study, we aimed to further characterize functional decrements in a spectrum of RA-associated ILD.

methodsAll subjects were enrolled in the Brigham and Women's Hospital Rheumatoid Arthritis Sequential Study (BRASS). The presence of interstitial lung abnormalities (ILAs) on clinically indicated chest CT scans was determined using a previously validated sequential reading method. Univariate and multivariate analyses were used to assess the association between degree of ILAs and physiologic, functional, and demographic variables of interest.

resultsOf 1,145 BRASS subjects, 91 subjects (8%) were included in this study. Twelve had radiologically severe ILAs, 34 had ILAs, and 38 had no ILAs on CT scan. Subjects with radiologically severe ILAs were older (P = .0037), had increased respiratory symptoms (cough, P = .027; dyspnea, P = .010), and more severe RA disease (rheumatoid factor, P = .018; total swollen joints, P = .046) compared with subjects with no ILAs. Participants also had a trend toward having an increased smoking history (P = .16) and having lower FVC % predicted (77% vs 94%, P = .097) and diffusion capacity of carbon monoxide % predicted (52% vs 77%, P = .068). Similar but attenuated increases in respiratory symptoms, functional decrements, and RA disease severity were observed in subjects with ILAs compared with those with no ILAs.

conclusionsWe have shown that patients with RA have varying degrees of ILAs that are associated with a spectrum of functional and physiologic decrements. Our findings suggest that improved risk stratification and detection of ILAs will provide a therapeutic window that could improve RA-ILD outcomes.

Indexed as

AgedArthritis, RheumatoidFemaleFollow-Up StudiesForced Expiratory VolumeHumansLungLung Diseases, InterstitialMaleMiddle AgedPrognosisProspective StudiesRespiratory Function TestsSeverity of Illness IndexTomography, X-Ray Computed

Identifiers

PMID24305643
PMCPMC4077411
OpenAlexW2076404217

What OpenQuestion holds

Textmetadata
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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 OpenQuestion graph.