Evidence map›Paper›PMID 29728839›Full record

SynthesisEuropean journal of pediatrics2018

Development of minimum standards of care for juvenile localized scleroderma.

Tamás Constantin, Ivan Foeldvari, Clare E Pain, Annamária Pálinkás, Peter Höger, Monika Moll, Dana Nemkova, Lisa Weibel, Melinda Laczkovszki, Philip Clements and 1 more

Abstract readSystematic Review
PubMed Publisher
In one paragraph

Synthesis in European journal of pediatrics, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed
5.8field-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

27 citing papers in PubMed, 61 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Article
  5. CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2025
    Article
  6. Linear morphea: a persistent bruise on the temple of a 9-year-old boy.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2024
    Article
  7. Review
  8. Juvenile Scleroderma.Indian journal of pediatrics · 2024
    Review
  9. [Juvenile localized scleroderma].Dermatologie (Heidelberg, Germany) · 2024
    Review
  10. Article
  11. Article
  12. Morphea: The 2023 update.Frontiers in medicine · 2023
    Review
  13. Article
  14. Article
  15. Article
  16. Article
  17. Treatment in Juvenile Scleroderma.Current rheumatology reports · 2020
    Review
  18. Review
  19. 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

11 authors at 9 institutions in 6 countries.

Tamás ConstantinSemmelweis University, Budapest, Hungary. tamas.constantin@gmail.com.
Ivan FoeldvariHamburger Zentrum für Kinder- und Jugendrheumatologie, Hamburg, Germany.
Clare E PainAlder Hey Children's NHS Foundation Trust, Liverpool, UK.
Annamária PálinkásSemmelweis University, Budapest, Hungary.
Peter HögerDepartment of Paediatric Dermatology, Catholic Children's Hospital Wilhelmstift, Hamburg, Germany.
Monika MollUniversity Childrens Hospital, Tuebingen, Germany.
Dana NemkovaCharles University, Prague, Czech Republic.
Lisa WeibelDepartment of Dermatology, University Children's Hospital Zurich, Zurich, Switzerland.
Melinda LaczkovszkiSemmelweis University, Budapest, Hungary.
Philip ClementsDavid Geffen School of Medicine at UCLA, Division of Rheumatology, Los Angeles, CA, USA.
Kathryn S TorokUniversity of Pittsburgh, Pittsburgh, PA, USA.
Semmelweis University · HUAlder Hey Children's NHS Foundation Trust · GBCharles University · CZKatholisches Kinderkrankenhaus Wilhelmstift · DEKinderkrebs-Zentrum Hamburg · DEUniversity Children's Hospital Tübingen · DEUniversity Children's Hospital Zurich · CHUniversity of California, Los Angeles · USUniversity of Pittsburgh · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Juvenile localized scleroderma (jLS), also known as morphea, is an orphan disease. Pediatric guidelines regarding diagnosis, assessment, and management are lacking.Our objective was to develop minimum standards of care for diagnosis, assessment, and management of jLS. A systematic review was undertaken to establish the pediatric evidence for assessment and monitoring of jLS. An expert panel, including members of the Pediatric Rheumatology European Society (PRES) Scleroderma Working Group, were invited to a consensus meeting where recommendations were developed based on evidence graded by the systematic review and, where evidence was lacking, consensus opinion. A nominal technique was used where 75% consensus was taken as agreement. Recommendations for diagnosis, assessment, and management were developed. Due to a lack of pediatric evidence, these were primarily consensus driven. Careful assessment for extra-cutaneous manifestations including synovitis, brain involvement, and uveitis were key features together with joint assessments between Dermatology and Rheumatology to improve and standardize care.

conclusionManagement of jLS is varied. These recommendations should help provide standardization of assessment and care for those with this rare and potentially debilitating condition. What is Known: • Children with juvenile localized scleroderma (jLS) are managed by a number of specialties including pediatric rheumatologists and dermatologists, sometimes in shared clinics. Studies have shown that management varies considerably and that there are notable differences between specialties [1]. • There is very little published guidance on management of jLS. What is new: • These recommendations aim to standardize diagnosis, assessment, and management through review of pediatric evidence and consensus agreement. • Joint review of patients by both pediatric rheumatologists and dermatologists is recommended.

Indexed as

Standard of CareChildConsensusHumansMass ScreeningPractice Guidelines as TopicQuality of LifeScleroderma, LocalizedDiagnosisGuidelineLocalized sclerodermaTreatment

Identifiers

PMID29728839
OpenAlexW2802375129

What OpenQuestion holds

Textmetadata
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.