Evidence map›Paper›PMID 28655311›Full record

SynthesisBMC medicine2017

Diagnostic delay for giant cell arteritis - a systematic review and meta-analysis.

James A Prior, Hoda Ranjbar, John Belcher, Sarah L Mackie, Toby Helliwell, Jennifer Liddle, Christian D Mallen

Open access · goldAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in BMC medicine, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 53 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
53citing papers in PubMed, 6 pooled it
5.9field-weighted citation impact, top 3% 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

53 citing papers in PubMed, 6 syntheses or guidelines pooled it, 104 citations in OpenAlex.

  1. Pooled it
  2. Diagnostic delay in adult inflammatory bowel disease: A systematic review.Indian journal of gastroenterology : official journal of the Indian Society of Gastroenterology · 2023
    Pooled it
  3. Pooled it
  4. Pooled it
  5. Pooled it
  6. Pooled it
  7. Article
  8. Article
  9. Article
  10. Article
  11. Review
  12. Article
  13. Article
  14. Rurality and Delayed Diagnosis of Giant Cell Arteritis-A Single-Center Experience.Journal of clinical rheumatology : practical reports on rheumatic & musculoskeletal diseases · 2025
    Article
  15. Article
  16. Article
  17. Review
  18. Review
  19. Article
  20. Observational
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.

James A PriorResearch Institute for Primary Care and Health Sciences, Keele University, ST5 5BG, Newcastle, UK. j.a.prior@keele.ac.uk.
Hoda RanjbarResearch Institute for Primary Care and Health Sciences, Keele University, ST5 5BG, Newcastle, UK.
John BelcherResearch Institute for Primary Care and Health Sciences, Keele University, ST5 5BG, Newcastle, UK.
Sarah L MackieLeeds Institute of Rheumatic and Musculoskeletal Medicine, University of Leeds, Leeds, UK.
Toby HelliwellResearch Institute for Primary Care and Health Sciences, Keele University, ST5 5BG, Newcastle, UK.
Jennifer LiddleResearch Institute for Primary Care and Health Sciences, Keele University, ST5 5BG, Newcastle, UK.
Christian D MallenResearch Institute for Primary Care and Health Sciences, Keele University, ST5 5BG, Newcastle, UK.
Keele University · GBNewcastle University · GBNIHR Leeds Musculoskeletal Biomedical Research Unit · GB

Funding

Department of Health NIHR-CS-012-016Department of Health RP_2014-04-026Medical Research Council MR/N011775/1Wellcome Trust
6 · The paper itself

Abstract

backgroundGiant cell arteritis (GCA), if untreated, can lead to blindness and stroke. The study's objectives were to (1) determine a new evidence-based benchmark of the extent of diagnostic delay for GCA and (2) examine the role of GCA-specific characteristics on diagnostic delay.

methodsMedical literature databases were searched from inception to November 2015. Articles were included if reporting a time-period of diagnostic delay between onset of GCA symptoms and diagnosis. Two reviewers assessed the quality of the final articles and extracted data from these. Random-effects meta-analysis was used to pool the mean time-period (95% confidence interval (CI)) between GCA symptom onset and diagnosis, and the delay observed for GCA-specific characteristics. Heterogeneity was assessed by I

resultsOf 4128 articles initially identified, 16 provided data for meta-analysis. Mean diagnostic delay was 9.0 weeks (95% CI, 6.5 to 11.4) between symptom onset and GCA diagnosis (I

conclusionsThe mean delay from symptom onset to GCA diagnosis was 9 weeks, or longer when cranial symptoms were absent. Our research provides an evidence-based benchmark for diagnostic delay of GCA and supports the need for improved public awareness and fast-track diagnostic pathways.

Indexed as

Delayed DiagnosisGiant Cell ArteritisHumansDiagnostic delayGiant cell arteritisMeta-analysisSystematic review

Identifiers

PMID28655311
PMCPMC5488376
OpenAlexW2689491590

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.