Evidence map›Paper›PMID 28265847›Full record

SynthesisCurrent rheumatology reports2017

Can Rheumatologists Predict Eventual Need for Orthopaedic Intervention in Patients with Rheumatoid Arthritis? Results of a Systematic Review and Analysis of Two UK Inception Cohorts.

Elena Nikiphorou, Lewis Carpenter, Sam Norton, Stephen Morris, Alex MacGregor, Josh Dixey, Peter Williams, Patrick Kiely, David Andrew Walsh, Adam Young

Abstract readSystematic Review
PubMed Publisher
In one paragraph

Synthesis in Current rheumatology reports, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.9field-weighted citation impact, top 26% 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

3 citing papers in PubMed, 7 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
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 7 institutions in 1 country.

Elena NikiphorouERAS, Department of Rheumatology, St Albans City Hospital, St Albans, UK.
Lewis CarpenterWhittington Hospital NHS Trust, London, UK.
Sam NortonHealth Psychology Section, Institute of Psychiatry, King's College London, London, UK.
Stephen MorrisAcademic Rheumatology Department, King's College London, London, UK.
Alex MacGregorInstitute of Musculoskeletal Science, University College London, London, UK.
Josh DixeyDepartment of Rheumatology, New Cross Hospital, Wolverhampton, UK.
Peter WilliamsDepartment of Rheumatology, Medway Maritime Hospital, Gillingham, UK.
Patrick KielyDepartment of Rheumatology, St Georges Healthcare Trust, London, UK.
David Andrew WalshArthritis UK Pain Centre, University of Nottingham, Nottingham, UK.
Adam YoungERAS, Department of Rheumatology, St Albans City Hospital, St Albans, UK. adam.young@nhs.net.
King's College London · GBUniversity College London · GBMedway Maritime Hospital · GBNew Cross Hospital · GBSouth West London and St George's Mental Health NHS Trust · GBUniversity of Nottingham · GBWhittington Hospital · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purpose of reviewThe structural damage caused by rheumatoid arthritis (RA) can often be mitigated by orthopaedic surgery in late disease. This study evaluates the value of predictive factors for orthopaedic intervention.

methodsA systematic review of literature was undertaken to identify papers describing predictive factors for orthopaedic surgery in RA. Manuscripts were selected if they met inclusion criteria of cohort study design, diagnosis of RA, follow-up duration/disease duration ≥3 years, any orthopaedic surgical interventions recorded, and then summarised for predictive factors. A separate predictive analysis was performed on two consecutive UK Early RA cohorts, linked to national datasets. RECENT

findingsThe literature search identified 15 reports examining predictive factors for orthopaedic intervention, 4 inception, 5 prospective and 6 retrospective. Despite considerable variation, acute phase, x-ray scores, women and genotyping were the most commonly reported prognostic markers. The current predictive analysis included 1602 procedures performed in 711 patients (25-year cumulative incidence 26%). Earlier recruitment year, erosions and lower haemoglobin predicted both intermediate and major surgery (P<0.05). Studies report variations in type of and predictive power of clinical and laboratory parameters for different surgical interventions suggesting specific contributions from different pathological and/or patient-level factors. Our current analysis suggests that attention to non-inflammatory factors in addition to suppression of inflammation is needed to minimise the burden of orthopaedic surgery.

Indexed as

Arthritis, RheumatoidDisease ProgressionHumansObservational Studies as TopicOrthopedic ProceduresPrognosisRisk FactorsOrthopaedic surgeryOutcome measuresPredictorsRheumatoid arthritisTotal joint replacement

Identifiers

PMID28265847
OpenAlexW2593931516

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.