Evidence map›Paper›PMID 29232938›Full record

Observational studyThe Korean journal of internal medicine2019

Factors associated with time to diagnosis from symptom onset in patients with early rheumatoid arthritis.

Soo-Kyoung Cho, Dam Kim, Soyoung Won, Jiyoung Lee, Chan-Bum Choi, Jung-Yoon Choe, Seung-Jae Hong, Jae-Bum Jun, Tae-Hwan Kim, Eunmi Koh and 6 more

Abstract readComparative StudyMulticenter StudyObservational Study
In one paragraph

Observational study in The Korean journal of internal medicine, 2019. 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. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Review
  8. Article
  9. Article
  10. Epidemiology and Risk Factors for Rheumatoid Arthritis Development.Mediterranean journal of rheumatology · 2023
    Review
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Anti-arthritic activity ofIranian journal of basic medical sciences · 2021
    Article
  17. Review
  18. Review
  19. Analysis of Socioeconomic Status in the Patients with Rheumatoid Arthritis.International journal of environmental research and public health · 2018
    Article
  20. 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

16 authors.

Soo-Kyoung ChoDepartment of Rheumatology, Hanyang University Hospital for Rheumatic Diseases, Seoul, Korea.
Dam KimDepartment of Rheumatology, Hanyang University Hospital for Rheumatic Diseases, Seoul, Korea.
Soyoung WonDepartment of Rheumatology, Clinical Research Center for Rheumatoid Arthritis (CRCRA), Seoul, Korea.
Jiyoung LeeDepartment of Rheumatology, Clinical Research Center for Rheumatoid Arthritis (CRCRA), Seoul, Korea.
Chan-Bum ChoiDepartment of Rheumatology, Hanyang University Hospital for Rheumatic Diseases, Seoul, Korea.
Jung-Yoon ChoeDepartment of Rheumatology, Catholic University of Daegu School of Medicine, Daegu, Korea.
Seung-Jae HongDepartment of Rheumatology, Kyung Hee University Medical Center, Seoul, Korea.
Jae-Bum JunDepartment of Rheumatology, Hanyang University Hospital for Rheumatic Diseases, Seoul, Korea.
Tae-Hwan KimDepartment of Rheumatology, Hanyang University Hospital for Rheumatic Diseases, Seoul, Korea.
Eunmi KohDepartment of Rheumatology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.
Hye-Soon LeeDepartment of Rheumatology, Hanyang University Guri Hospital, Guri, Korea.
Jisoo LeeDepartment of Rheumatology, Ewha Womans University Mokdong Hospital, Seoul, Korea.
Dae-Hyun YooDepartment of Rheumatology, Hanyang University Hospital for Rheumatic Diseases, Seoul, Korea.
Bo Young YoonDepartment of Rheumatology, Inje University Ilsan Paik Hospital, Goyang, Korea.
Sang-Cheol BaeDepartment of Rheumatology, Hanyang University Hospital for Rheumatic Diseases, Seoul, Korea.
Yoon-Kyoung SungDepartment of Rheumatology, Hanyang University Hospital for Rheumatic Diseases, Seoul, Korea.

Funding

Korea Health Industry Development InstituteMinistry of Health and Welfare HI16C0061
6 · The paper itself

Abstract

BACKGROUND/

aimsTo identify the factors associated with time to diagnosis after symptom onset in patients with early rheumatoid arthritis (RA).

methodsEarly RA patients with ≤ 1 year of disease duration in the KORean Observational study Network for Arthritis (KORONA) database were included in this analysis. Patients were further divided into two groups according to the time to diagnosis from symptom onset: the early diagnosis group (time to diagnosis ≤ 1 year) and the late diagnosis group (time to diagnosis > 1 year). Using the multivariable regression model, we identified factors associated with early diagnosis.

resultsAmong 714 early RA patients, 401 patients (56.2%) and 313 patients (43.8%) were included in the early diagnosis and late diagnosis groups, respectively. The mean disease duration was 0.47 years in the early diagnosis group and 0.45 years in the late diagnosis group. In multivariable model analysis, greater age at onset (odds ratio [OR], 1.03; 95% confidence interval [CI], 1.02 to 1.05), high school education or higher (OR, 1.68; 95% CI, 1.14 to 2.47), higher income (OR, 1.48; 95% CI, 1.05 to 2.08), and initial small joint involvement (OR, 1.42; 95% CI, 1.02 to 1.98) were factors associated with early diagnosis. At diagnosis, disease activity scores using 28 joints on diagnosis (3.81 ± 1.44 vs. 3.82 ± 1.42, p = 0.92) and functional disability (0.65 ± 0.61 vs. 0.57 ± 0.62, p = 0.07) did not different between the two groups. However, hand joint erosion on X-ray (37.8% vs. 25.6%, p < 0.01) was more common in the late diagnosis group than the early diagnosis group.

conclusionOlder onset age, higher educational level and income, and initial small joint involvement were positive factors for early diagnosis of RA.

Indexed as

AdultAge FactorsArthritis, RheumatoidDatabases, FactualEarly DiagnosisEducational StatusFemaleHumansIncomeJointsMaleMiddle AgedPredictive Value of TestsRepublic of KoreaRisk FactorsTime FactorsArthritis, rheumatoidEarly diagnosis

Identifiers

PMID29232938
PMCPMC6610196

What OpenQuestion holds

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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.