Evidence map›Paper›PMID 30415942›Full record

SynthesisSeminars in arthritis and rheumatism2019

Update of screening and diagnostic modalities for connective tissue disease-associated pulmonary arterial hypertension.

Amber Young, Vivek Nagaraja, Mark Basilious, Mirette Habib, Whitney Townsend, Heather Gladue, David Badesch, J Simon R Gibbs, Deepa Gopalan, Alessandra Manes and 6 more

Abstract readSystematic Review
In one paragraph

Synthesis in Seminars in arthritis and rheumatism, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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

30 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Review
  4. Article
  5. Article
  6. [Lung involvement in connective tissue diseases].Zeitschrift fur Rheumatologie · 2025
    Review
  7. Review
  8. Article
  9. Article
  10. Review
  11. Recent developments in connective tissue disease associated pulmonary arterial hypertension.International journal of cardiology. Congenital heart disease · 2024
    Review
  12. Article
  13. Article
  14. Article
  15. Review
  16. Article
  17. Clinical characteristics and risk factors for primary SjögrenZhong nan da xue xue bao. Yi xue ban = Journal of Central South University. Medical sciences · 2023
    Article
  18. Article
  19. Article
  20. WASOG statement on the diagnosis and management of sarcoidosis-associated pulmonary hypertension.European respiratory review : an official journal of the European Respiratory Society · 2022
    Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

16 authors.

Amber YoungDivision of Rheumatology, Scleroderma Program, Department of Internal Medicine, University of Michigan, Ann Arbor, MI, USA.
Vivek NagarajaDivision of Rheumatology, Scleroderma Program, Department of Internal Medicine, University of Michigan, Ann Arbor, MI, USA.
Mark BasiliousUniversity of Michigan Undergraduate Program, Ann Arbor, MI, USA.
Mirette HabibUniversity of Michigan Undergraduate Program, Ann Arbor, MI, USA.
Whitney TownsendTaubman Health Sciences Library, University of Michigan Library, Ann Arbor, MI, USA.
Heather GladueArthritis & Osteoporosis Consultants of the Carolinas, Charlotte, NC, USA.
David BadeschDivision of Pulmonary Sciences & Critical Care Medicine, University of Colorado, Denver, CO, USA.
J Simon R GibbsNational Heart and Lung Institute, Imperial College London, London, UK.
Deepa GopalanDepartment of Radiology, Imperial College London, London, UK.
Alessandra ManesDepartment of Investigational, Diagnostic and Specialty Medicine, University of Bologna, Bologna, Italy.
Ronald OudizLA Biomedical Research Institute at Harbor-University of California Los Angeles, Torrance, CA, USA.
Toru SatohDivision of Cardiology, Department of Medicine, Kyorin University School of Medicine, Tokyo, Japan.
Adam TorbickiMedical Centre for Postgraduate Education, CMKP European Health Centre, Otwock, Poland.
Fernando TorresUniversity of Texas Southwestern Medical Center, Dallas, TX, USA.
Vallerie McLaughlinDivision of Cardiology, University of Michigan, Ann Arbor, MI, USA.
Dinesh KhannaDivision of Rheumatology, Scleroderma Program, Department of Internal Medicine, University of Michigan, Ann Arbor, MI, USA. Electronic address: khannad@med.umich.edu.

Funding

TRAINING OF ARTHRITIS RESEARCH SCIENTISTST32AR007080 · NIAMS · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI Jason Knight · 1986 to 2026
$6.3M
Outcomes Research in Rheumatic DiseasesK24AR063120 · NIAMS · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI KHANNA, DINESH · 2012 to 2022
$1.6M
Systemic Sclerosis-Associated Interstitial Lung Disease Response IndexR01AR070470 · NIAMS · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI KHANNA, DINESH · 2017 to 2019
$642k
NIAMS NIH HHS K24 AR063120NIAMS NIH HHS R01 AR070470NIAMS NIH HHS T32 AR007080
6 · The paper itself

Abstract

objectivePulmonary arterial hypertension (PAH) has high morbidity and mortality in connective tissue diseases (CTDs), especially systemic sclerosis (SSc). In this systematic review, we provide an update on screening measures for early detection of PAH in CTD.

methodsManuscripts published between July 2012 and October 2017, which incorporated screening measures to identify patients with PAH by right heart catheterization, were identified. Risk of bias was assessed using the QUADAS-2 tool.

resultsThe systematic review resulted in 1514 unique citations and 22 manuscripts were included for final review; the majority of manuscripts had a lower risk of bias based on the QUADAS-2 tool. There were 16 SSc cohort studies and 6 case-control studies (SSc 4, SLE 2). Four SSc cohort studies evaluated transthoracic echocardiography (TTE) only. Eight SSc cohort studies evaluated composite measures including ASIG, DETECT, and a combination of tricuspid regurgitation velocity (TRV) and PFT variables. DETECT and ASIG had greater sensitivity and negative predictive value (NPV) compared to the 2009 ESC/ERS guidelines in different cohorts. The addition of PFT variables, such as DLCO or FVC/ DLCO ratio, to TRV, resulted in greater sensitivity and NPV compared to TRV alone.

conclusionCurrent screening for PAH in CTDs is centered on SSc. Data continues to support the use of TTE and provides additional evidence for use of composite measures.

Indexed as

Case-Control StudiesConnective Tissue DiseasesEchocardiographyExercise TestHumansMass ScreeningPulmonary Arterial HypertensionRespiratory Function TestsConnective tissue diseasePulmonary arterial hypertensionScreening

Identifiers

PMID30415942
PMCPMC7155785

What OpenQuestion holds

Textmetadata
LicenceTDM
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.