Evidence map›Paper›PMID 27042337›Full record

ArticleRMD open2016

Association of the different types of radiographic damage with physical function in patients with rheumatoid arthritis: analysis of the RAPID trials.

Ana Maria Gherghe, Sofia Ramiro, Robert Landewé, Carina Mihai, Désirée van der Heijde

Abstract read
In one paragraph

Article in RMD open, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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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

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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

5 citing papers in PubMed.

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4 · The record

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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

5 authors.

Ana Maria GhergheDepartment of Rheumatology, Leiden University Medical Center, Leiden, The Netherlands; Internal Medicine and Rheumatology Department, Cantacuzino Hospital, Bucharest, Romania.
Sofia RamiroDepartment of Rheumatology , Leiden University Medical Center , Leiden , The Netherlands.
Robert LandewéAmsterdam Rheumatology & Clinical Immunology Center, Amsterdam, The Netherlands; Atrium Medical Center Heerlen, Heerlen, The Netherlands.
Carina MihaiInternal Medicine and Rheumatology Department , Cantacuzino Hospital , Bucharest , Romania.
Désirée van der HeijdeDepartment of Rheumatology , Leiden University Medical Center , Leiden , The Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo evaluate the separate effects of erosions (E) (bone damage), joint space narrowing (JSN) (cartilage loss) and (sub)luxation (SLUX) (soft tissue damage) in four different joint groups on physical disability in rheumatoid arthritis (RA).

methods3-year follow-up data from the Rheumatoid Arthritis PreventIon of structural Damage (RAPID) 1 and 2 trials were used. These randomised controlled trials compared certolizumab plus methotrexate (MTX) versus MTX in patients with RA. Physical function was measured by Health Assessment Questionnaire (HAQ). Radiographic damage was measured by the van der Heijde-modified Sharp score; separate scores for E, JSN and SLUX were available. Generalised estimating equations were performed to assess the relationship between HAQ and E, JSN and SLUX scores, separately and in all joint groups.

resultsIn separate models for each type of damage and after adjusting for age, gender, baseline disease activity and treatment group, E and JSN were more strongly associated with HAQ than with SLUX. In combined models, JSN was the only type of lesion associated with HAQ when all joints were included together. When separate joint groups were analysed, E in the wrist and JSN in the metacarpophalangeal joints (MCPs) were most strongly associated with function.

conclusionsAmong RA-related joint damage, cartilage loss quantified by JSN is an important determinant of physical function. However, when analysing joint groups separately, erosive damage in the wrist and JSN in the MCPs had the most important influence on disability. These data indicate that the comprehensive assessment of joint damage is needed to reliably reflect disease-related damage.

Indexed as

EpidemiologyOutcomes researchRheumatoid Arthritis

Identifiers

PMID27042337
PMCPMC4800803

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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.