Evidence map›Paper›PMID 27793211›Full record

ReviewArthritis research & therapy2016

Patient global assessment in measuring disease activity in rheumatoid arthritis: a review of the literature.

Elena Nikiphorou, Helga Radner, Katerina Chatzidionysiou, Carole Desthieux, Codruta Zabalan, Yvonne van Eijk-Hustings, William G Dixon, Kimme L Hyrich, Johan Askling, Laure Gossec

Open access · goldAbstract readReview
In one paragraph

Review in Arthritis research & therapy, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 143 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
143citing papers in PubMed, 4 pooled it
19.8field-weighted citation impact, top 1% 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

143 citing papers in PubMed, 4 syntheses or guidelines pooled it, 264 citations in OpenAlex.

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  13. Treatment failure in giant cell arteritis.Annals of the rheumatic diseases · 2021
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83 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

10 authors at 6 institutions in 5 countries.

Elena NikiphorouDepartment of Rheumatology, Whittington Hospital NHS Trust, London, UK. enikiphorou@gmail.com.ORCID 0000-0001-6847-3726
Helga RadnerMedical University Vienna, Vienna, Austria.
Katerina ChatzidionysiouRheumatology Department, Karolinska University Hospital and Department of Medicine, Karolinska Institute, Stockholm, Sweden.
Carole DesthieuxSorbonne Universités, UPMC University Paris 06, Institut Pierre Louis d'Epidémiologie et de Santé Publique, GRC-UPMC 08 (EEMOIS), Paris, France.
Codruta ZabalanRomanian League against Rheumatism, Bucharest, Romania.
Yvonne van Eijk-HustingsDepartment of Patient & Care, Maastricht, The Netherlands.
William G DixonArthritis Research UK Centre for Epidemiology, Manchester Academic Health Science Centre, University of Manchester, Manchester, UK.
Kimme L HyrichNIHR Manchester Musculoskeletal Biomedical Research Unit, Central Manchester NHS Foundation Trust, and Manchester Academic Health Science Centre, Manchester, UK.
Johan AsklingRheumatology Department, Karolinska University Hospital and Department of Medicine, Karolinska Institute, Stockholm, Sweden.
Laure GossecSorbonne Universités, UPMC University Paris 06, Institut Pierre Louis d'Epidémiologie et de Santé Publique, GRC-UPMC 08 (EEMOIS), Paris, France.
Karolinska University Hospital · SEMaastricht University · NLManchester Academic Health Science Centre · GBMaastricht University Medical Centre · NLMedical University of Vienna · ATWhittington Hospital · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Patient-reported outcomes (PROs) reflect the patient's perspective and are used in rheumatoid arthritis (RA) routine clinical practice. Patient global assessment (PGA) is one of the most widely used PROs in RA practice and research and is included in several composite scores such as the 28-joint Disease Activity Score (DAS28). PGA is often assessed by a single question with a 0-10 or 0-100 response. The content can vary and relates either to global health (e.g., how is your health overall) or to disease activity (e.g., how active is your arthritis). The wordings used as anchors, i.e., for the score of 0, 10, or 100 according to the scale used, and the timing (i.e., this day or this week) also vary. The different possible ways of measuring PGA translate into variations in its interpretation and reporting and may impact on measures of disease activity and consequently achievement of treat-to-target goals. Furthermore, although PGA is associated with objective measures of disease activity, it is also associated with other aspects of health, such as psychological distress or comorbidities, which leads to situations of discordance between objective RA assessments and PGA. Focusing on the role of PGA, its use and interpretation in RA, this review explores its validity and correlations with other disease measures and its overall value for research and routine clinical practice.

Indexed as

Arthritis, RheumatoidPsychometricsSelf ReportDisability EvaluationHumansReproducibility of ResultsSeverity of Illness IndexTreatment OutcomeDiscordancePatient global assessmentRheumatoid arthritis

Identifiers

PMID27793211
PMCPMC5086038
OpenAlexW2540497002

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.