Evidence map›Paper›PMID 27829394›Full record

ArticleBMC musculoskeletal disorders2016

The Scottish Early Rheumatoid Arthritis (SERA) Study: an inception cohort and biobank.

James Dale, Caron Paterson, Ann Tierney, Stuart H Ralston, David M Reid, Neil Basu, John Harvie, Neil D McKay, Sarah Saunders, Hilary Wilson and 9 more

Abstract read
In one paragraph

Article in BMC musculoskeletal disorders, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

13 citing papers in PubMed, 1 synthesis or guideline pooled it.

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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

19 authors.

James DaleInstitute of Infection, Immunity and Inflammation, College of Medical, Veterinary and Life Sciences, University of Glasgow, Glasgow, UK. Jamesdale1@nhs.net.ORCID 0000-0003-4769-8234
Caron PatersonInstitute of Infection, Immunity and Inflammation, College of Medical, Veterinary and Life Sciences, University of Glasgow, Glasgow, UK.
Ann TierneyCentre for Rheumatic Diseases, Glasgow Royal Infirmary, Glasgow, UK.
Stuart H RalstonInstitute of Genetics and Molecular Medicine, University of Edinburgh, Edinburgh, UK.
David M ReidSchool of Medicine and Dentistry, University of Aberdeen, Aberdeen, UK.
Neil BasuSchool of Medicine and Dentistry, University of Aberdeen, Aberdeen, UK.
John HarvieRaigmore Hospital, Inverness, UK.
Neil D McKayWestern General Hospital, Edinburgh, UK.
Sarah SaundersCentre for Rheumatic Diseases, Glasgow Royal Infirmary, Glasgow, UK.
Hilary WilsonStobhill Hospital, Glasgow, UK.
Robin MunroWishaw General Hospital, Wishaw, UK.
Ruth RichmondBorders General Hospital, Melrose, UK.
Derek BaxterUniversity Hospital Ayr, Ayr, UK.
Michael McMahonDumfries and Galloway Royal Infirmary, Dumfries, UK.
John McLarenWhyteman's Brae Hospital, Kirkcaldy, UK.
Vinod KumarNinewell's Hospital, Dundee, UK.
Stefan SiebertInstitute of Infection, Immunity and Inflammation, College of Medical, Veterinary and Life Sciences, University of Glasgow, Glasgow, UK.
Iain McInnesInstitute of Infection, Immunity and Inflammation, College of Medical, Veterinary and Life Sciences, University of Glasgow, Glasgow, UK.
Duncan PorterGartnavel General Hospital, Glasgow, UK.

Funding

Chief Scientist Office
6 · The paper itself

Abstract

backgroundThe Scottish Early Rheumatoid Arthritis (SERA) study is an inception cohort of rheumatoid (RA) and undifferentiated arthritis (UA) patients that aims to provide a contemporary description of phenotype and outcome and facilitate discovery of phenotypic and prognostic biomarkers

methodsDemographic and clinical outcome data are collected from newly diagnosed RA/UA patients every 6 months from around Scotland. Health service utilization data is acquired from Information Services Division, NHS National Services Scotland. Plain radiographs of hands and feet are collected at baseline and 12 months. Additional samples of whole blood, plasma, serum and filtered urine are collected at baseline, 6 and 12 months

resultsResults are available for 1073 patients; at baseline, 76 % were classified as RA and 24 % as UA. Median time from onset to first review was 163 days (IQR97-323). Methotrexate was first-line DMARD for 75 % patients. Disease activity, functional ability and health-related quality of life improved significantly between baseline and 24 months, however the proportion in any employment fell (51 to 38 %, p = 0.0005). 24 % patients reported symptoms of anxiety and/or depression at baseline. 35/391 (9 %) patients exhibited rapid radiographic progression after 12 months. The SERA Biobank has accrued 60,612 samples

conclusionsIn routine care, newly diagnosed RA/UA patients experience significant improvements in disease activity, functional ability and health-related quality of life but have high rates of psychiatric symptoms and declining employment rates. The co-existence of a multi-domain description of phenotype and a comprehensive biobank will facilitate multi-platform translational research to identify predictive markers of phenotype and prognosis.

Indexed as

Biological Specimen BanksAgedAntirheumatic AgentsArthritis, RheumatoidBiomarkersCohort StudiesDisease ProgressionFemaleFootHandHumansMaleMethotrexateMiddle AgedPatient Acceptance of Health CarePrecision MedicineAntirheumatic AgentsBiomarkersMethotrexate

Identifiers

PMID27829394
PMCPMC5103386

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Registered trials

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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.