Evidence map›Paper›PMID 29618136›Full record

ArticleRheumatology (Oxford, England)2018

The role of ultrasound-defined tenosynovitis and synovitis in the prediction of rheumatoid arthritis development.

Ilfita Sahbudin, Luke Pickup, Peter Nightingale, Gina Allen, Zaeem Cader, Ruchir Singh, Paola de Pablo, Christopher D Buckley, Karim Raza, Andrew Filer

Open access · hybridAbstract read
In one paragraph

Article in Rheumatology (Oxford, England), 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 3 pooled it
6.3field-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

25 citing papers in PubMed, 3 syntheses or guidelines pooled it, 54 citations in OpenAlex.

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  9. [Research progress of ultrasound in diagnosis and treatment of shoulder joint diseases].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2024
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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

10 authors at 5 institutions in 1 country.

Ilfita SahbudinInstitute of Inflammation and Ageing, University of Birmingham, Birmingham, UK.
Luke PickupInstitute of Inflammation and Ageing, University of Birmingham, Birmingham, UK.
Peter NightingaleRheumatology Department, Wolfson Computer Laboratory, University Hospital Birmingham NHS Foundation Trust, Birmingham, UK.
Gina AllenGreen Templeton College, University of Oxford, Oxford, UK.
Zaeem CaderDivision of Gastroenterology and Hepatology, Addenbrooke's Hospital, University of Cambridge, Cambridge, UK.
Ruchir SinghInstitute of Inflammation and Ageing, University of Birmingham, Birmingham, UK.
Paola de PabloInstitute of Inflammation and Ageing, University of Birmingham, Birmingham, UK.
Christopher D BuckleyInstitute of Inflammation and Ageing, University of Birmingham, Birmingham, UK.
Karim RazaInstitute of Inflammation and Ageing, University of Birmingham, Birmingham, UK.
Andrew FilerInstitute of Inflammation and Ageing, University of Birmingham, Birmingham, UK.
University of Birmingham · GBUniversity Hospitals Birmingham NHS Foundation Trust · GBAddenbrooke's Hospital · GBSandwell & West Birmingham Hospitals NHS Trust · GBUniversity of Oxford · GB

Funding

Department of Health PDF-2014-07-055Medical Research Council MR/P021220/1
6 · The paper itself

Abstract

objectivesTenosynovitis (TS) is common in early arthritis. However, the value of US-defined TS in predicting RA development is unclear. We assessed the predictive utility of US-defined TS alongside US-defined synovitis and clinical and serological variables in a prospective cohort of early arthritis patients.

methodsOne hundred and seven patients with clinically apparent synovitis of one or more joint and symptom duration ⩽3 months underwent baseline clinical, laboratory and US assessment of 19 bilateral joint sites and 16 bilateral tendon compartments. Diagnostic outcome was determined after 18 months, applying the 2010 ACR/EULAR classification criteria for RA. The predictive values of US-defined TS for persistent RA were compared with those of US-defined synovitis, clinical and serological variables.

resultsA total of 4066 US joint sites and 3424 US tendon compartments were included in the analysis. Forty-six patients developed persistent RA, 17 patients developed non-RA persistent disease and 44 patients had resolving disease at follow-up. US-defined TS in at least one tendon compartment at baseline was common in all groups (RA 85%, non-RA persistent disease 71% and resolving 70%). On multi-variate analysis, US-defined digit flexor TS provided independent predictive data over and above the presence of ACPA and US-defined joint synovitis.

conclusionUS-defined digit flexor TS provided independent predictive data for persistent RA development in patients with early arthritis. The predictive utility of this tendon site should be further assessed in a larger cohort; investigators designing imaging-based predictive algorithms for RA development should include this tendon component as a candidate variable.

Indexed as

rheumatoid arthritissynovitistenosynovitisultrasound

Identifiers

PMID29618136
PMCPMC6037116
OpenAlexW2791550347

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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.