Evidence map›Paper›PMID 29065925›Full record

ArticleArthritis research & therapy2017

Ultrasound verified inflammation and structural damage in patients with hereditary haemochromatosis-related arthropathy.

Christian Dejaco, Andreas Stadlmayr, Christina Duftner, Viktoria Trimmel, Rusmir Husic, Elisabeth Krones, Shahin Zandieh, Emma Husar-Memmer, Gernot Zollner, Josef Hermann and 6 more

Open access · goldAbstract read
In one paragraph

Article in Arthritis research & therapy, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
0.7field-weighted citation impact, top 27% 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

12 citing papers in PubMed, 1 synthesis or guideline pooled it, 18 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Hemochromatosis osteoarthritis.Frontiers in endocrinology · 2026
    Review
  4. Article
  5. Overview of Ankle Arthropathy in Hereditary Hemochromatosis.Medical sciences (Basel, Switzerland) · 2023
    Review
  6. Article
  7. Article
  8. Article
  9. Article
  10. Review
  11. Article
  12. Article
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

16 authors at 6 institutions in 2 countries.

Christian DejacoDepartment of Rheumatology and Immunology, Medical University Graz, Auenbruggerplatz 15, A-8036, Graz, Austria. christian.dejaco@gmx.net.
Andreas StadlmayrDepartment of Internal Medicine, General Hospital Oberndorf, Teaching Hospital of the Paracelsus Medical University Salzburg, Paracelsusstraße 37, 5110, Oberndorf bei, Salzburg, Austria.
Christina DuftnerDepartment of Internal Medicine VI, Medical University Innsbruck, Anichstraße 35, 6020, Innsbruck, Austria.
Viktoria TrimmelDepartment of Radiology, Medical University Graz, Auenbruggerplatz 9, 8036, Graz, Austria.
Rusmir HusicDepartment of Rheumatology and Immunology, Medical University Graz, Auenbruggerplatz 15, A-8036, Graz, Austria.
Elisabeth KronesDepartment of Gastroenterology and Hepatology, Medical University Graz, Auenbruggerplatz 15, 8036, Graz, Austria.
Shahin ZandiehInstitute of Radiology and Nuclear Medicine, Hanusch Hospital, Heinrich-Collin-Straße 30, 1140, Vienna, Austria.
Emma Husar-MemmerFirst Medical Department, Hanusch Hospital and Ludwig Boltzmann Institute of Osteology at the Hanusch Hospital of WGKK and AUVA Trauma Centre Meidling, Heinrich-Collin-Straße 30, 1140, Vienna, Austria.
Gernot ZollnerDepartment of Gastroenterology and Hepatology, Medical University Graz, Auenbruggerplatz 15, 8036, Graz, Austria.
Josef HermannDepartment of Rheumatology and Immunology, Medical University Graz, Auenbruggerplatz 15, A-8036, Graz, Austria.
Judith GretlerDepartment of Rheumatology and Immunology, Medical University Graz, Auenbruggerplatz 15, A-8036, Graz, Austria.
Angelika LacknerDepartment of Rheumatology and Immunology, Medical University Graz, Auenbruggerplatz 15, A-8036, Graz, Austria.
Anja FicjanDepartment of Rheumatology and Immunology, Medical University Graz, Auenbruggerplatz 15, A-8036, Graz, Austria.
Christian DatzDepartment of Internal Medicine, General Hospital Oberndorf, Teaching Hospital of the Paracelsus Medical University Salzburg, Paracelsusstraße 37, 5110, Oberndorf bei, Salzburg, Austria.
Roland AxmanFirst Medical Department, Hanusch Hospital and Ludwig Boltzmann Institute of Osteology at the Hanusch Hospital of WGKK and AUVA Trauma Centre Meidling, Heinrich-Collin-Straße 30, 1140, Vienna, Austria.
Jochen ZwerinaFirst Medical Department, Hanusch Hospital and Ludwig Boltzmann Institute of Osteology at the Hanusch Hospital of WGKK and AUVA Trauma Centre Meidling, Heinrich-Collin-Straße 30, 1140, Vienna, Austria.
Medical University of Graz · ATHanusch Hospital · ATKrankenhaus Oberndorf · ATInnsbruck Medical University · ATKrankenhaus Bruneck · ITLudwig Boltzmann Institute of Osteology · AT

Funding

Austrian Science Fund FWF KLI 308
6 · The paper itself

Abstract

backgroundChronic arthropathy occurs in approximately two thirds of patients with hereditary haemochromatosis (HH). The aim was to study inflammatory and structural lesions in patients with HH with (HH-A) and without arthropathy (HH-WA) using ultrasonography.

methodsThis was a cross-sectional study of 26 patients with HH-A, 24 with HH-WA and 37 with hand osteoarthritis (HOA). Clinical examination was performed in 68 joints, and we retrieved data on hand function, pain and global disease activity (all using a visual analogue scale (VAS)), morning stiffness and ferritin levels. Standard x-ray and ultrasound were conducted in 36 joints (hands, hips, knees and ankles), and we graded grey scale synovitis (GSS), power Doppler ultrasound (PD), osteophytes, erosions, tenosynovitis and cartilage damage semi-quantitatively in accordance with prior publications.

resultsUltrasound revealed a high proportion of inflammatory changes in HH-A; GSS was found in 96.2% and PD signals in 80.8% of patients (median GSS score 9, PD score 2.5). The frequency of these findings was similar in HOA. Inflammation was also common in HH-WA, yielding GSS in 83.3% and PD signals in 50.0% of patients. Cartilage damage was most prominent in HH-A as compared to HH-WA and HOA (median scores 11.0, 2.5 and 2.0, respectively). The prevalence and extent of erosions and osteophytes were similar in all groups. None of the ultrasound scores was associated with pain or function; GSS, PD, osteophyte and cartilage scores correlated with x-ray-verified structural damage.

conclusionA high prevalence of ultrasound-verified inflammation and cartilage damage was found in HH-A, and to a lesser extent in HH-WA. These findings were associated with x-ray-verified damage but not with clinical scores of pain and function.

Indexed as

AdultAgedCross-Sectional StudiesFemaleHemochromatosisHumansJoint DiseasesJointsMaleMiddle AgedRadiographyReproducibility of ResultsSynovitisUltrasonographyArthritisHaemochromatosisHand osteoarthritisUltrasonography

Identifiers

PMID29065925
PMCPMC5655822
OpenAlexW2765438196

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

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.