Evidence map›Paper›PMID 30402270›Full record

ArticleRMD open2018

Systemic sclerosis: state of the art on clinical practice guidelines.

Vanessa Smith, Carlo Alberto Scirè, Rosaria Talarico, Paolo Airo, Tobias Alexander, Yannick Allanore, Cosimo Bruni, Veronica Codullo, Virgil Dalm, Jeska De Vries-Bouwstra and 30 more

Open access · goldAbstract read
In one paragraph

Article in RMD open, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 85 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
85citing papers in PubMed, 2 pooled it
10.8field-weighted citation impact, top 1% 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

85 citing papers in PubMed, 2 syntheses or guidelines pooled it, 138 citations in OpenAlex.

  1. Pooled it
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  8. Re: ID f1459919-55b0-4cf8-8c61-369db603bc92 echocardiography in collagen diseases.The international journal of cardiovascular imaging · 2025
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25 more citing papers are in PubMed but not listed here.

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

40 authors at 20 institutions in 7 countries.

Vanessa SmithDepartment of Rheumatology, Ghent University Hospital, Ghent, Belgium.
Carlo Alberto ScirèSection of Rheumatology, Department of Medical Sciences, University of Ferrara, Ferrara, Italy.ORCID 0000-0001-7451-0271
Rosaria TalaricoRheumatology Unit, Department of Clinical and Experimental Medicine, University of Pisa, Pisa, Italy.
Paolo AiroRheumatology and Clinical Immunology Unit, Azienda Ospedaliera Spedali Civili di Brescia, Brescia, Italy.
Tobias AlexanderDepartment of Rheumatology and Clinical Immunology Unit, Charité University Hospital Berlin, Berlin, Germany.ORCID 0000-0003-1193-0097
Yannick AllanoreService de Médicine Interne, Université Paris Descartes, Paris, France.
Cosimo BruniDepartment of Clinical and Experimental Medicine, University of Florence, Florence, Italy.
Veronica CodulloDepartment of Rheumatology, University of Pavia, Pavia, Italy.
Virgil DalmDepartment of Internal Medicine and Department of Immunology, Erasmus Medical Center, Rotterdam, The Netherlands.
Jeska De Vries-BouwstraDepartment of Rheumatology, Leiden University Medical Center, Leiden, The Netherlands.
Alessandra Della RossaRheumatology Unit, Department of Clinical and Experimental Medicine, University of Pisa, Pisa, Italy.
Oliver DistlerDepartment of Rheumatology, University Hospital Zurich, Zurich, Switzerland.
Ilaria GalettiFederation of European Scleroderma Associations (FESCA), Brussels, Belgium.
David LaunayDépartement de Médecine Interne et Immunologie Clinique, Université de Lille, Lille, France.
Gemma LepriDepartment of Clinical and Experimental Medicine, University of Florence, Florence, Italy.
Alexis MathianDepartment of Internal Medicine, Hospital Pitié-Salpêtrière, Paris, France.
Luc MouthonService de Médicine Interne, Université Paris Descartes, Paris, France.
Barbara RuaroResearch Laboratory and Academic Division of Clinical Rheumatology, Department of Internal Medicine, IRCCS San Martino Polyclinic Hospital, University of Genoa, Genoa, Italy.
Alberto SulliResearch Laboratory and Academic Division of Clinical Rheumatology, Department of Internal Medicine, IRCCS San Martino Polyclinic Hospital, University of Genoa, Genoa, Italy.
Angela TincaniRheumatology and Clinical Immunology Unit, Azienda Ospedaliera Spedali Civili di Brescia, Brescia, Italy.
Els VandecasteeleDepartment of Internal Medicine, Ghent University, Ghent, Belgium.
Amber VanhaeckeDepartment of Rheumatology, Ghent University Hospital, Ghent, Belgium.
Marie VanthuyneDepartment of Rheumatology, Université Catholique de Louvain, Louvain-la-Neuve, Belgium.
Frank Van den HoogenDepartment of Rheumatology, Radboud University Medical Center Nijmegen, Nijmegen, The Netherlands.
Ronald Van VollenhovenClinical Immunology & Rheumatology, Amsterdam Rheumatology & Immunology Center, Academic Medical Center/University of Amsterdam, Amsterdam, The Netherlands.
Alexandre E VoskuylDepartment of Rheumatology, Amsterdam UMC, Amsterdam, The Netherlands.
Elisabetta ZanattaDivision of Rheumatology, Department of Medicine, University of Padova, Padova, Italy.
Stefano BombardieriRheumatology Unit, Department of Clinical & Experimental Medicine, University of Pisa, Pisa, Italy.
Gerd BurmesterDepartment of Rheumatology and Clinical Immunology, Charité University Hospital Berlin, Berlin, Germany.
Fonseca João EuricoDepartment of Rheumatology, Hospital de Santa Maria, Centro Hospitalar Lisboa Norte, Lisbon, Portugal.
Charissa FrankFlemish Patient Organization of Hereditary Collagen Disorders in Belgium, Koersel, Belgium.
Eric HachullaDépartement de Médecine Interne et Immunologie Clinique, Université de Lille, Lille, France.
Frederic HoussiauDepartment of Rheumatology, Université Catholique de Louvain, Louvain-la-Neuve, Belgium.
Ulf Mueller-LadnerDepartment of Rheumatology and Clinical Immunology, Kerckhoff Klinik, Justus-Liebig University of Giessen, Giessen, Germany.
Matthias SchneiderInstitute for Rheumatology, Hiller Research Unit for Rheumatology, Medical Faculty, Heinrich-Heine University Düsseldorf, Düsseldorf, Germany.
Jacob M van LaarDepartment of Rheumatology and Clinical Immunology, University Medical Center Utrecht, Utrecht, The Netherlands.
Ana VieiraNúcleo Síndrome de Sjögren of Liga Portuguesa Contra as Doenças Reumáticas (LPCDR, Portuguese League Against Rheumatic Diseases), Lisbon, Portugal.
Maurizio CutoloResearch Laboratory and Academic Division of Clinical Rheumatology, Department of Internal Medicine, IRCCS San Martino Polyclinic Hospital, University of Genoa, Genoa, Italy.
Marta MoscaRheumatology Unit, Department of Internal Medicine, University of Pisa, Pisa, Italy.
Marco Matucci-CerinicDepartment of Clinical and Experimental Medicine, University of Florence, Florence, Italy.
University of Pisa · ITAzienda Ospedaliero-Universitaria Careggi · ITGhent University Hospital · BEOspedale Policlinico San Martino · ITAzienda Socio Sanitaria Territoriale degli Spedali Civili di Brescia · ITCharité - Universitätsmedizin Berlin · DECliniques Universitaires Saint-Luc · BEDélégation Paris 5 · FRInserm · FRAmsterdam UMC Location University of Amsterdam · NLAmsterdam University Medical Centers · NLErasmus MC · NLHeinrich Heine University Düsseldorf · DEJustus-Liebig-Universität Gießen · DELeiden University Medical Center · NLPortuguese League Against Epilepsy · PTRadboud University Nijmegen · NLSorbonne Université · FRUniversity Hospital of Zurich · CHUniversity Medical Center Utrecht · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Systemic sclerosis (SSc) is an orphan disease characterised by autoimmunity, fibrosis of the skin and internal organs, and vasculopathy. SSc may be associated with high morbidity and mortality. In this narrative review we summarise the results of a systematic literature research, which was performed as part of the European Reference Network on Rare and Complex Connective Tissue and Musculoskeletal Diseases project, aimed at evaluating existing clinical practice guidelines or recommendations. Only in the domains 'Vascular & Ulcers' (ie, non-pharmacological approach to digital ulcer), 'PAH' (ie, screening and treatment), 'Treatment' and 'Juveniles' (ie, evaluation of juveniles with Raynaud's phenomenon) evidence-based and consensus-based guidelines could be included. Hence there is a preponderance of unmet needs in SSc referring to the diagnosis and (non-)pharmacological treatment of several SSc-specific complications. Patients with SSc experience significant uncertainty concerning SSc-related taxonomy, management (both pharmacological and non-pharmacological) and education. Day-to-day impact of the disease (loss of self-esteem, fatigue, sexual dysfunction, and occupational, nutritional and relational problems) is underestimated and needs evaluation.

Indexed as

clinical practice guidelinesERN ReCONNETEuropean reference networksnailfold videocapillaroscopysystemic sclerosisunmet needs

Identifiers

PMID30402270
PMCPMC6203100
OpenAlexW2897748214

What OpenQuestion holds

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LicenceCC BY-NC
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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.