Evidence map›Paper›PMID 30545399›Full record

Observational studyArthritis research & therapy2018

Vitamin D deficiency is associated with higher disease activity and the risk for uveitis in juvenile idiopathic arthritis - data from a German inception cohort.

Claudia Sengler, Julian Zink, Jens Klotsche, Martina Niewerth, Ina Liedmann, Gerd Horneff, Christoph Kessel, Gerd Ganser, Angelika Thon, Johannes-Peter Haas and 6 more

Open access · goldAbstract readMulticenter StudyObservational Study
In one paragraph

Observational study in Arthritis research & therapy, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 2 pooled it
3.3field-weighted citation impact, top 7% 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

22 citing papers in PubMed, 2 syntheses or guidelines pooled it, 127 citations in OpenAlex.

  1. Pooled it
  2. Vitamin D and Ocular Diseases: A Systematic Review.International journal of molecular sciences · 2022
    Pooled it
  3. Article
  4. Article
  5. Review
  6. Article
  7. Review
  8. Review
  9. Article
  10. Review
  11. Article
  12. Review
  13. Article
  14. Article
  15. Juvenile Idiopathic Arthritis Associated Uveitis.Children (Basel, Switzerland) · 2021
    Review
  16. Article
  17. Possible role of vitamin D in Covid-19 infection in pediatric population.Journal of endocrinological investigation · 2021
    Review
  18. Review
  19. Review
  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

16 authors at 7 institutions in 1 country.

Claudia SenglerGerman Rheumatism Research Center, a Leibniz Institute, Charitéplatz 1, 10117, Berlin, Germany. sengler@drfz.de.ORCID 0000-0002-6703-0269
Julian ZinkGerman Rheumatism Research Center, a Leibniz Institute, Charitéplatz 1, 10117, Berlin, Germany.
Jens KlotscheGerman Rheumatism Research Center, a Leibniz Institute, Charitéplatz 1, 10117, Berlin, Germany.
Martina NiewerthGerman Rheumatism Research Center, a Leibniz Institute, Charitéplatz 1, 10117, Berlin, Germany.
Ina LiedmannGerman Rheumatism Research Center, a Leibniz Institute, Charitéplatz 1, 10117, Berlin, Germany.
Gerd HorneffCenter for General Pediatrics and Neonatology, Asklepios Klinik Sankt Augustin, Sankt Augustin, Germany.
Christoph KesselDepartment of Pediatric Rheumatology and Immunology, University of Münster, Münster, Germany.
Gerd GanserClinic of Pediatric Rheumatology, St. Josef-Stift Hospital, Sendenhorst, Germany.
Angelika ThonDepartment of Pediatric Pneumology, Allergology and Neonatology, Children's Hospital, Medical School, Hanover, Germany.
Johannes-Peter HaasGerman Center for Pediatric and Adolescent Rheumatology, Garmisch-Partenkirchen, Germany.
Anton HospachOlgahospital Kinderklinik, Stuttgart, Germany.
Frank Weller-HeinemannProf.-Hess-Kinderklinik, Bremen, Germany.
Arnd HeiligenhausDepartment of Ophthalmology and Ophtha-Lab at St. Franziskus Hospital, Muenster, Germany.
Dirk FoellDepartment of Pediatric Rheumatology and Immunology, University of Münster, Münster, Germany.
Angela ZinkGerman Rheumatism Research Center, a Leibniz Institute, Charitéplatz 1, 10117, Berlin, Germany.
Kirsten MindenGerman Rheumatism Research Center, a Leibniz Institute, Charitéplatz 1, 10117, Berlin, Germany.
German Rheumatism Research Centre · DEUniversity of Münster · DEAsklepios Klinik Sankt Augustin · DEGerman Center for Pediatric and Adolescent Rheumatology · DEOlgahospital · DEProf. Hess Kinderklinik · DESt. Franziskus Hospital · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe objective was to evaluate the 25(OH) vitamin D (25(OH)D) status of patients with juvenile idiopathic arthritis (JIA) and determine whether the 25(OH)D level is associated with disease activity and the course of JIA.

methodsPatients ≤ 16 years of age with recently diagnosed JIA (< 12 months) were enrolled in the inception cohort of patients with newly diagnosed JIA (ICON), an ongoing prospective observational, controlled multicenter study started in 2010. Clinical and laboratory parameters were ascertained quarterly during the first year and half-yearly thereafter. Of the 954 enrolled patients, 360 patients with two blood samples taken during the first 2 years after inclusion and with follow up of 3 years were selected. The serum 25(OH)D levels were determined and compared with those of subjects from the general population after matching for age, sex, migration status and the month of blood-drawing.

resultsNearly half of the patients had a deficient 25(OH)D level (< 20 ng/ml) in the first serum sample and a quarter had a deficient level in both samples. Disease activity and the risk of developing JIA-associated uveitis were inversely correlated with the 25(OH)D level (β = - 0.20, 95% CI - 0.37; 0.03, hazard ratio 0.95, 95% CI 0.91; 0.99, respectively).

conclusionIn this study, 25(OH)D deficiency was common and associated with higher disease activity and risk of developing JIA-associated uveitis. Further studies are needed to substantiate these results and determine whether correcting 25(OH)D deficiency is beneficial in JIA.

Indexed as

AdolescentArthritis, JuvenileChildChild, PreschoolFemaleHumansMaleProspective StudiesReference ValuesRisk AssessmentRisk FactorsUveitisVitamin DVitamin D DeficiencyVitamin DDisease activityJuvenile idiopathic arthritisUveitisVitamin D

Identifiers

PMID30545399
PMCPMC6293517
OpenAlexW2905215862

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.