Evidence map›Paper›PMID 29516409›Full record

ArticleAdvances in therapy2018

Multidisciplinary Management of Spondyloarthritis-Related Immune-Mediated Inflammatory Disease.

Fernando Rizzello, Ignazio Olivieri, Alessandro Armuzzi, Fabio Ayala, Vincenzo Bettoli, Luca Bianchi, Luca Cimino, Antonio Costanzo, Antonio Cristaudo, Salvatore D'Angelo and 15 more

Open access · hybridAbstract read
In one paragraph

Article in Advances in therapy, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 1 pooled it
1.6field-weighted citation impact, top 18% 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

21 citing papers in PubMed, 1 synthesis or guideline pooled it, 31 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Observational
  4. Review
  5. Models of outpatient care delivery in inflammatory bowel disease: a scoping review.Journal of the Canadian Association of Gastroenterology · 2025
    Article
  6. Article
  7. Article
  8. Article
  9. Observational
  10. Article
  11. Article
  12. The 2023 Impact of Inflammatory Bowel Disease in Canada: Access to and Models of Care.Journal of the Canadian Association of Gastroenterology · 2023
    Review
  13. Article
  14. Article
  15. Article
  16. Article
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  18. Review
  19. Article
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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

25 authors at 18 institutions in 1 country.

Fernando RizzelloIBD Unit, DIMEC, University of Bologna, S Orsola-Malpighi Hospital Bologna, Bologna, Italy.
Ignazio OlivieriIstituto Reumatologico Lucano (IReL), Potenza, Italy.
Alessandro ArmuzziUOC di Medicina Interna e Malattie dell'Apparato Digerente, Presidio Columbus Fondazione Policlinico Gemelli Universita' Cattolica, Rome, Italy.
Fabio AyalaUOC di Dermatologia, Dipartimento di Medicina Clinica e Chirurgia, Università di Napoli Federico II, Naples, Italy.
Vincenzo BettoliDepartment of Clinical and Experimental Dermatology, O.U. of Dermatology, Azienda Ospedaliero-Universitaria di Ferrara, Ferrara, Italy.
Luca BianchiU.O.C. Dermatologia, Fondazione Policlinico Tor Vergata, Tor Vergata University of Rome, Rome, Italy.
Luca CiminoSSD di Immunologia Oculare, AUSL-IRCCS Reggio Emilia, Reggio Emilia, Italy.
Antonio CostanzoUnità Dermatologia Dipartimento di Scienze Biomediche Humanitas University, Rozzano, Milan, Italy.
Antonio CristaudoUO Dermatologia, MST, Ambientale e Tropicale San Gallicano Dermatological Institute-IRCCS, Rome, Italy.
Salvatore D'AngeloIstituto Reumatologico Lucano (IReL), Potenza, Italy. saldangelo@katamail.com.
Marco DapernoGastroenterology Unit, Mauriziano Hospital, Turin, Italy.
Anna Chiara FostiniSection of Dermatology and Venereology, Department of Medicine, University of Verona, Verona, Italy.
Mauro GaleazziDipartimento di Scienze Mediche, Chirurgiche e Neuroscienze, Università degli Studi di Siena, Siena, Italy.
Michele GilioIstituto Reumatologico Lucano (IReL), Potenza, Italy.
Paolo GionchettiIBD Unit, Department of Medical and Surgical Sciences, S. Orsola-Malpighi Hospital, University of Bologna, Bologna, Italy.
Paolo GisondiSection of Dermatology and Venereology, Department of Medicine, University of Verona, Verona, Italy.
Ennio LubranoDipartimento di Medicina e Scienze della Salute "Vincenzo Tiberio", Università degli Studi del Molise, Campobasso, Italy.
Antonio MarchesoniU.O.C. Day Hospital di Reumatologia, ASST Gaetano Pini-CTO, Milan, Italy.
Annamaria OffidaniSOD Clinica di Dermatologia A.O.U. Ospedali Riuniti, Ancona, Italy.
Ambrogio OrlandoUOSD MICI-A.O. Ospedali Riuniti "Villa Sofia-Cervello" Palermo, Palermo, Italy.
Daniela PuglieseUOC di Medicina Interna e Malattie dell'Apparato Digerente, Presidio Columbus Fondazione Policlinico Gemelli Universita' Cattolica, Rome, Italy.
Carlo SalvaraniAzienda USL-IRCCS e Università di Modena e Reggio Emilia, Reggio Emilia, Italy.
Raffaele ScarpaUOC di Reumatologia, Università Federico II, Naples, Italy.
Maurizio VecchiDepartment of Biomedical Science for the Health, University of Milan, Milan, Italy.
Giampiero GirolomoniSection of Dermatology and Venereology, Department of Medicine, University of Verona, Verona, Italy.
University of Verona · ITAgostino Gemelli University Polyclinic · ITOspedale San Carlo · ITUniversity of Bologna · ITUniversity of Naples Federico II · ITA. O. Ordine Mauriziano di Torino · ITArcispedale Sant'Anna · ITAzienda Sanitaria Unità Locale di Reggio Emilia · ITIRCCS Humanitas Research Hospital · ITIstituti di Ricovero e Cura a Carattere Scientifico · ITIstituto Ortopedico Gaetano Pini · ITOspedale Vincenzo Cervello · ITPoliclinico Tor Vergata · ITSan Gallicano Hospital · ITUniversity of Basilicata · ITUniversity of Milan · ITUniversity of Molise · ITUniversity of Siena · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionImmune-mediated inflammatory diseases (IMIDs) are chronic autoimmune conditions that share common pathophysiologic mechanisms. The optimal management of patients with IMIDs remains challenging because the coexistence of different conditions requires the intervention of several specialists. The aim of this study was to develop a series of statements defining overarching principles that guide the implementation of a multidisciplinary approach for the management of spondyloarthritis (SpA)-related IMIDs including SpA, psoriasis, psoriatic arthritis, Crohn's disease, ulcerative colitis and uveitis.

methodsA Delphi consensus-based approach was used to identify a core set of statements. The process included development of initial questions by a steering committee, an exhaustive search of the literature using complementary approaches to identify potential statements and two Delphi voting rounds for finalization of the statements.

resultsConsensus was achieved on the related nature of IMIDs, the existence of a high prevalence of multiple IMIDs in a single patient and the fact that a multidisciplinary approach can result in a more extensive evaluation and comprehensive approach to treatment. The goals of a multidisciplinary team should be to increase diagnosis of concomitant IMIDs, improve the decision-making process, and increase patient satisfaction and adherence. Early referral and diagnosis, early recognition of concomitant IMIDs and optimizing treatment to improve patient quality of life are some of the advantages of using multidisciplinary teams. To be effective, a multidisciplinary team should be equipped with the appropriate tools for diagnosis and follow-up, and at a minimum the multidisciplinary team should include a dermatologist, gastroenterologist and rheumatologist; providing psychologic support via a psychologist and involving an ophthalmologist, general practitioners and nurses in multidisciplinary care is also important.

conclusionThe present Delphi consensus identified a set of overarching principles that may be useful for implementation of a multidisciplinary approach for the management of SpA-related IMIDs.

fundingAristea and Hippocrates.

Indexed as

Autoimmune DiseasesColitis, UlcerativeCrohn DiseaseHumansInterdisciplinary CommunicationPatient Care PlanningPatient Care TeamPrevalencePsoriasisQuality of LifeReferral and ConsultationSpondylarthritisUveitisCrohn’s diseaseImmune-mediated inflammatory diseaseMultidisciplinaryPsoriasisPsoriatic arthritisSpondyloarthritisUlcerative colitisUveitis

Identifiers

PMID29516409
PMCPMC5910456
OpenAlexW2791970669

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.