Evidence map›Paper›PMID 29230534›Full record

ArticleLung2018

The Burden of Comorbidity and Complexity in Sarcoidosis: Impact of Associated Chronic Diseases.

Pilar Brito-Zerón, Nihan Acar-Denizli, Antoni Sisó-Almirall, Xavier Bosch, Fernanda Hernández, Sergi Vilanova, Mireia Villalta, Belchin Kostov, Marina Paradela, Marcelo Sanchez and 8 more

Abstract read
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In one paragraph

Article in Lung, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed
–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

23 citing papers in PubMed.

  1. Advances in management of sarcoidosis-associated fatigue: A narrative review.Sarcoidosis, vasculitis, and diffuse lung diseases : official journal of WASOG · 2026
    Article
  2. Observational
  3. Article
  4. Article
  5. Article
  6. Article
  7. Is a Vitamin K Epoxide Reductase Complex Subunit 1 (International journal of molecular sciences · 2024
    Article
  8. Article
  9. Article
  10. Safety of corticosteroid therapy in sarcoidosis treatment.Frontiers in drug safety and regulation · 2023
    Review
  11. Comorbidities of sarcoidosis.Annals of medicine · 2022
    Review
  12. Article
  13. Sarcoidosis in Johannesburg, South Africa: A retrospective study.African journal of thoracic and critical care medicine · 2022
    Article
  14. Article
  15. Review
  16. Review
  17. Article
  18. Comprehensive Care for Patients with Sarcoidosis.Journal of clinical medicine · 2020
    Review
  19. Sarcoidosis and increased risk of comorbidities and mortality in sweden.Sarcoidosis, vasculitis, and diffuse lung diseases : official journal of WASOG · 2020
    Article
  20. The incidence, comorbidity and mortality of sarcoidosis in Korea, 2008-2015: a nationwide population-based study.Sarcoidosis, vasculitis, and diffuse lung diseases : official journal of WASOG · 2020
    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

18 authors.

Pilar Brito-ZerónLaboratory of Systemic Autoimmune Diseases "Josep Font", CELLEX, Institut d'Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS), Department of Systemic Autoimmune Diseases, ICMID, Hospital Clinic, C/Villarroel, 170, 08036, Barcelona, Spain.
Nihan Acar-DenizliDepartment of Statistics, Faculty of Science and Letters, Mimar Sinan Fine Arts University, Istanbul, Turkey.
Antoni Sisó-AlmirallPrimary Healthcare Transversal Research Group, IDIBAPS, Primary Care Center Les Corts, CAPSBE, Barcelona, Spain.
Xavier BoschQuick Diagnosis Unit, Department of Internal Medicine, ICMID, Hospital Clinic, Barcelona, Spain.
Fernanda HernándezDepartment of Pneumology, ICR, Hospital Clinic, Barcelona, Spain.
Sergi VilanovaPrimary Healthcare Transversal Research Group, IDIBAPS, Primary Care Center Les Corts, CAPSBE, Barcelona, Spain.
Mireia VillaltaPrimary Healthcare Transversal Research Group, IDIBAPS, Primary Care Center Les Corts, CAPSBE, Barcelona, Spain.
Belchin KostovPrimary Healthcare Transversal Research Group, IDIBAPS, Primary Care Center Les Corts, CAPSBE, Barcelona, Spain.
Marina ParadelaDepartment of Thoracic Surgery, Hospital Clinic, Barcelona, Spain.
Marcelo SanchezDepartment of Radiology, Hospital Clinic, Barcelona, Spain.
José RamírezDepartment of Pathology, Hospital Clinic, Barcelona, Spain.
Africa MuxíDepartment of Nuclear Medicine, Hospital Clínic, Barcelona, Spain.
Antonio BerruezoDepartment of Cardiology, ICCV, Hospital Clínic, Barcelona, Catalonia, Spain.
Celeste Galceran-ChavesDepartment of Child and Adolescent Psychiatry and Psychology, Hospital Clínic, Barcelona, Spain.
Antoni XaubetDepartment of Pneumology, ICR, Hospital Clinic, Barcelona, Spain.
Carles AgustíDepartment of Pneumology, ICR, Hospital Clinic, Barcelona, Spain.
Jacobo SellarésDepartment of Pneumology, ICR, Hospital Clinic, Barcelona, Spain.
Manuel Ramos-CasalsLaboratory of Systemic Autoimmune Diseases "Josep Font", CELLEX, Institut d'Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS), Department of Systemic Autoimmune Diseases, ICMID, Hospital Clinic, C/Villarroel, 170, 08036, Barcelona, Spain. mramos@clinic.ub.es.ORCID 0000-0001-5709-6734

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo evaluate comorbidity, complexity and poor outcomes in patients with sarcoidosis and to compare those scores with a control group.

methods218 consecutive patients were diagnosed with sarcoidosis according to the ATS/ERS/WASOG criteria; extrathoracic involvement was evaluated using the 2014 WASOG organ assessment instrument. Sarcoidosis patients were compared with an age- and gender-matched control group of primary care outpatients without sarcoidosis. Comorbidities were assessed retrospectively using the Charlson Comorbidity Index (CCI); complexity was evaluated according to the classification into Clinical Risk Groups (CRG) and severity levels.

resultsThe cohort included 142 women and 76 men; the mean age was 47.1 years at diagnosis of sarcoidosis and 55.9 years at the last visit. Patients with a CCI > 1 had a higher frequency of calcium/vitamin D abnormalities (p < 0.001), kidney involvement (p = 0.005) and a higher mortality rate (p < 0.001) compared with patients with a CCI ≤ 1. Patients with a CRG ≥ 6 had a higher frequency of extrathoracic involvement (p = 0.039), calcium/vitamin D abnormalities (p = 0.019) and treatment with glucocorticoids (p = 0.032) compared with patients with a CRG < 6. 11% patients died after a mean follow-up of 102.3 months. Country of birth, kidney involvement and extrathoracic disease were significantly associated with death. Patients with sarcoidosis had a higher frequency of liver (p < 0.001), pulmonary (p = 0.002) and autoimmune disease (p = 0.011) and cancer (p = 0.007) compared with the control group.

conclusionWe found higher rates of comorbidity and complexity in patients with sarcoidosis compared with a control group. Liver, pulmonary, autoimmune and neoplastic diseases were the main comorbidities found in patients with sarcoidosis.

Indexed as

AdolescentAdultAgedAged, 80 and overComorbidityFemaleHumansMaleMiddle AgedPrognosisRetrospective StudiesRisk AssessmentRisk FactorsSarcoidosisSpainYoung AdultClinical Risk GroupsComorbidityComplexitySarcoidosis

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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.