Evidence map›Paper›PMID 25581612›Full record

Trial reportArthritis care & research2015

Comprehensive appraisal of magnetic resonance imaging findings in sustained rheumatoid arthritis remission: a substudy.

Veena K Ranganath, Kambiz Motamedi, Espen A Haavardsholm, Paul Maranian, David Elashoff, Fiona McQueen, Erin L Duffy, Joan M Bathon, Jeffrey R Curtis, Weiling Chen and 8 more

Open access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Arthritis care & research, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
3.8field-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

12 citing papers in PubMed, 33 citations in OpenAlex.

  1. Article
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  5. Article
  6. WTD Attenuating Rheumatoid ArthritisFrontiers in pharmacology · 2021
    Article
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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

18 authors at 9 institutions in 3 countries.

Veena K RanganathUniversity of California, Los Angeles.
Kambiz MotamediUniversity of California, Los Angeles.
Espen A HaavardsholmDiakonhjemmet Hospital, Oslo, Norway.
Paul MaranianUniversity of California, Los Angeles.
David ElashoffUniversity of California, Los Angeles.
Fiona McQueenUniversity of Auckland, Auckland, New Zealand.
Erin L DuffyUniversity of California, Los Angeles.
Joan M BathonColumbia University, New York, New York.
Jeffrey R CurtisUniversity of Alabama at Birmingham.
Weiling ChenUniversity of California, Los Angeles.
Larry MorelandUniversity of Pittsburgh, Pittsburgh, Pennsylvania.
James LouieUniversity of California, Los Angeles.
Sogol AmjadiTouro University Nevada, Las Vegas.
James O'DellUniversity of Nebraska Medical Center, Omaha.
Stacey S CofieldUniversity of Alabama at Birmingham.
E William St ClairDuke University Medical Center, Durham, North Carolina.
S Louis BridgesUniversity of Alabama at Birmingham.
Harold E PaulusUniversity of California, Los Angeles.
University of California, Los Angeles · USUniversity of Alabama at Birmingham · USColumbia University · USDiakonhjemmet Hospital · NODuke Medical Center · USTouro University Nevada · USUniversity of Auckland · NZUniversity of Nebraska Medical Center · USUniversity of Pittsburgh · US

Funding

UCLA Clinical and Translational Science InstituteUL1TR000124 · NCATS · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI DUBINETT, STEVEN M. · 2012 to 2015
$57.0M
Biomarkers for Early Therapeutic Response in Older RA PatientsK23AR057818 · NIAMS · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI RANGANATH, VEENA K · 2010 to 2014
$607k
CHARACTERIZATION OF HUMAN BONE ACID PHOSPHATASEF32AR007818 · NIAMS · UNIVERSITY OF MISSOURI-COLUMBIA · PI ALLEN, SUSAN H · 1986 to 1988
–
AHRQ HHS R01 HS018517AHRQ HHS R01-HS-8517NCATS NIH HHS UL1 TR000124NCATS NIH HHS UL1-TR-0124NIAMS NIH HHS K23 AR057818NIAMS NIH HHS K23-AR-7818-02
6 · The paper itself

Abstract

objectiveTo evaluate the effect of sustained American College of Rheumatology (ACR)/European League Against Rheumatism (EULAR) Boolean remission on residual joint inflammation assessed by magnetic resonance imaging (MRI) and to secondarily evaluate other clinical definitions of remission, within an early seropositive rheumatoid arthritis (RA) cohort.

methodsA subcohort of 118 RA patients was enrolled from patients who completed the 2-year, double-blind randomized Treatment of Early Aggressive Rheumatoid Arthritis (TEAR) trial. Patients received a single contrast-enhanced 1.5T MRI of their most involved wrist. Two readers scored MRIs for synovitis, osteitis, tenosynovitis, and erosions. Clinical assessments were performed every 3 months during the trial and at time of MRI.

resultsThe subcohort was 92% seropositive with mean age 51 years, duration 4.1 months, and Disease Activity Score in 28 joints using the erythrocyte sedimentation rate 5.8 at TEAR entry. Total MRI inflammatory scores (tenosynovitis + synovitis + osteitis) were lower among patients in clinical remission. Lower MRI scores were correlated with longer duration of Clinical Disease Activity Index (CDAI) remission (ρ = 0.22, P = 0.03). At the time of MRI, 89 patients had no wrist pain/tenderness/swelling; however, all 118 patients had MRI evidence of residual joint inflammation after 2 years. No statistically significant differences in damage or MRI inflammatory scores were observed across treatment groups.

conclusionThis is the first detailed appraisal describing the relationship between clinical remission cut points and MRI inflammatory scores within an RA randomized controlled trial. The most stringent remission criteria (2011 ACR/EULAR and CDAI) best differentiate the total MRI inflammatory scores. These results document that 2 years of triple therapy or tumor necrosis factor plus methotrexate treatment in early RA does not eliminate MRI evidence of joint inflammation.

Indexed as

AdultAntirheumatic AgentsArthritis, RheumatoidCohort StudiesDouble-Blind MethodFemaleHumansMagnetic Resonance ImagingMaleRemission InductionAntirheumatic Agents

Identifiers

PMID25581612
PMCPMC4482777
OpenAlexW1805088037

What OpenQuestion holds

Textmetadata
LicenceTDM
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.