Evidence map›Paper›PMID 27000045›Full record

ArticleRheumatology international2016

Serum biomarkers for the diagnosis and monitoring of chronic recurrent multifocal osteomyelitis (CRMO).

Sigrun Renate Hofmann, Anne Sophie Kubasch, Ursula Range, Martin Walther Laass, Henner Morbach, Hermann Joseph Girschick, Christian Michael Hedrich

Abstract read
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In one paragraph

Article in Rheumatology international, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 42 papers.

0numbers the graph read from it
0cells of the map it votes in
42citing papers in PubMed
8.4field-weighted citation impact, top 2% 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

42 citing papers in PubMed, 86 citations in OpenAlex.

  1. Article
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  5. Review of Promising Off-Label Use of Deucravacitinib.International journal of molecular sciences · 2025
    Review
  6. Article
  7. Observational
  8. Article
  9. Autoinflammatory Bone Diseases.Balkan medical journal · 2025
    Review
  10. Article
  11. An improved understanding of pediatric chronic nonbacterial osteomyelitis pathophysiology informs current and future treatment.Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research · 2024
    Review
  12. Article
  13. Article
  14. Review
  15. 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

7 authors at 3 institutions in 1 country.

Sigrun Renate HofmannPediatric Rheumatology and Immunology, Faculty of Medicine Carl Gustav Carus, University Children's Hospital Dresden, Technische Universität Dresden, Fetscherstr. 74, 01307, Dresden, Germany.
Anne Sophie KubaschPediatric Rheumatology and Immunology, Faculty of Medicine Carl Gustav Carus, University Children's Hospital Dresden, Technische Universität Dresden, Fetscherstr. 74, 01307, Dresden, Germany.
Ursula RangeFaculty of Medicine Carl Gustav Carus, Institute for Medical Informatics and Biometry, Technische Universität Dresden, Dresden, Germany.
Martin Walther LaassPediatric Rheumatology and Immunology, Faculty of Medicine Carl Gustav Carus, University Children's Hospital Dresden, Technische Universität Dresden, Fetscherstr. 74, 01307, Dresden, Germany.
Henner MorbachUniversity Children's Hospital Würzburg, University of Würzburg, Würzburg, Germany.
Hermann Joseph GirschickUniversity Children's Hospital Würzburg, University of Würzburg, Würzburg, Germany.
Christian Michael HedrichPediatric Rheumatology and Immunology, Faculty of Medicine Carl Gustav Carus, University Children's Hospital Dresden, Technische Universität Dresden, Fetscherstr. 74, 01307, Dresden, Germany. Christian.hedrich@uniklinikum-dresden.de.
TU Dresden · DEUniversitätsklinikum Würzburg · DEUniversity Hospital Carl Gustav Carus · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Chronic recurrent multifocal osteomyelitis (CRMO), the most severe form of chronic nonbacterial osteomyelitis, is an autoinflammatory bone disorder. A timely diagnosis and treatment initiation is complicated by the absence of widely accepted diagnostic criteria and an incomplete pathophysiological understanding. The aim of this study was to determine biomarkers for the diagnosis and follow-up of CRMO. Serum of 56 CRMO patients was collected at the time of diagnosis. As controls, sera from treatment-naïve age-matched patients with Crohn's disease (N = 62) or JIA (N = 28) as well as healthy individuals (N = 62) were collected. Multiplex analysis of 25 inflammation markers was performed. Statistical analysis was performed using Kruskal-Wallis and Mann-Whitney U tests, canonical discriminant analysis, and mixed model variance analysis. Mostly monocyte-derived serum proteins were detectable and differed significantly between groups: IL-1RA, IL-2R, IL-6, IL-12, eotaxin, MCP-1, MIP-1b, RANTES. Multicomponent discriminant analysis allowed for the definition of algorithms differentiating between CRMO, Crohn's disease, and healthy controls. Persistently high levels of MCP-1, IL-12, sIL-2R correlated with incomplete remission in follow-up samples from CRMO patients. Discrimination algorithms allow differentiation between patients with CRMO or Crohn's disease, and healthy individuals. IL-12, MCP-1, and sIL-2R can act as markers for treatment response. Though confirmation of our findings in larger multiethnical cohorts is warranted, they may prove valuable to differentiate between otherwise healthy individuals or Crohn's disease patients with "bone pain" and CRMO patients. The elevation of mainly monocyte-derived pro-inflammatory serum proteins supports the hypothesis of pro-inflammatory monocyte/macrophages driving inflammation in CRMO.

Indexed as

AdolescentAlgorithmsAnalysis of VarianceAnti-Inflammatory Agents, Non-SteroidalArthritis, JuvenileBiomarkersCase-Control StudiesChildCrohn DiseaseCytokinesDiagnosis, DifferentialDiscriminant AnalysisFemaleHumansInflammation MediatorsMaleAnti-Inflammatory Agents, Non-SteroidalBiomarkersCytokinesInflammation MediatorsNaproxenAutoinflammationBiomarkerChemokineChronic nonbacterial osteomyelitisChronic recurrent multifocal osteomyelitisCytokine

Identifiers

PMID27000045
OpenAlexW2306613289

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.