Evidence map›Paper›PMID 30259249›Full record

ArticleClinical rheumatology2019

Increasing incidence and shifting profile of idiopathic inflammatory rheumatic diseases in adults during this millennium.

Paula Muilu, Vappu Rantalaiho, Hannu Kautiainen, Lauri Juhani Virta, Johan Gunnar Eriksson, Kari Puolakka

Abstract read
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In one paragraph

Article in Clinical rheumatology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
2.4field-weighted citation impact, top 11% 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

18 citing papers in PubMed, 36 citations in OpenAlex.

  1. Article
  2. Review
  3. The apprehension of seronegative rheumatoid arthritis.Nature reviews. Rheumatology · 2025
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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

6 authors at 5 institutions in 1 country.

Paula MuiluDepartment of Medicine, Tampere University Hospital, PL 2000, 33521, Tampere, Finland. paula.muilu@pshp.fi.ORCID http://orcid.org/0000-0003-2375-705X
Vappu RantalaihoCentre for Rheumatic Diseases, Tampere University Hospital, Arvo Ylponkatu 6, 33520, Tampere, Finland.
Hannu KautiainenDepartment of General Practice and Primary Health Care, University of Helsinki, PL 20, 00014, Helsinki, Finland.
Lauri Juhani VirtaResearch Department, Social Insurance Institution of Finland, PL 450, 00056, Turku, Finland.
Johan Gunnar ErikssonDepartment of General Practice and Primary Health Care, University of Helsinki, PL 20, 00014, Helsinki, Finland.
Kari PuolakkaDepartment of Medicine, South Karelia Central Hospital, Valto Kakelankatu 3, 53130, Lappeenranta, Finland.
University of Helsinki · FISocial Insurance Institution · FISouth Karelia Central Hospital · FITampere University · FITampere University Hospital · FI

Funding

Competitive State Research Financing of the Expert Responsibility Area of Tampere University Hospital 9U050Suomen Kulttuurirahasto 00170718
6 · The paper itself

Abstract

To explore the trends in the incidence of idiopathic inflammatory rheumatic diseases (IIRDs) after the turn of the millennium. From a nationwide register maintained by the Social Insurance Institution of Finland, we collected all adult patients with IIRDs granted a new special reimbursement for anti-rheumatic drugs between 2000 and 2014. Temporal trends in the incidences of various IIRDs were estimated in three 5-year intervals. A total of 58,405 adult patients were identified. Between 2000-2004 and 2010-2014, the age-adjusted incidence rate of IIRDs increased from 114 to 116/100000 [incidence rate ratio (IRR) 1.03 (95% CI 1.01 to 1.06)] in women and from 67 to 69/100,000 [IRR 1.10 (95% CI 1.06-1.14)] in men. The incidence of seropositive rheumatoid arthritis (RA) remained stable while that of seronegative RA decreased. For other diagnoses, the incidences either increased (unspecified arthritis, psoriatic arthritis, spondyloarthritis), remained stable (reactive arthritis), or decreased (SLE and the group of diseases with the ICD-10 code M35). The gender difference in spondyloarthritis leveled as the incidence in women increased at a higher rate than in men. Mean age at IIRD diagnosis decreased among women. The total age-adjusted incidence of IIRDs has gradually increased, due to the increase in unspecified arthritis, psoriatic arthritis, and spondyloarthritis. This, in addition to the ascending number of individuals at risk in the population, translates into a growing burden to the health care system.

Indexed as

AdolescentAdultAgedAged, 80 and overAge DistributionAntirheumatic AgentsFemaleFinlandHumansIncidenceInsurance, Health, ReimbursementMaleMiddle AgedRheumatic DiseasesSex DistributionYoung AdultAntirheumatic AgentsAnkylosing spondylitisEpidemiologyPsoriatic arthritisRheumatoid arthritisSpondyloarthritisUnspecified arthritis

Identifiers

PMID30259249
OpenAlexW2894193101

What OpenQuestion holds

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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.