Evidence map›Paper›PMID 30931322›Full record

ArticleBioMed research international2019

Improvement of Disease Management and Cost Effectiveness in Chinese Patients with Ankylosing Spondylitis Using a Smart-Phone Management System: A Prospective Cohort Study.

Xiaojian Ji, Yiwen Wang, Yingpei Ma, Zhengyuan Hu, Siliang Man, Ying Zhang, Kunpeng Li, Jinshui Yang, Jian Zhu, Jianglin Zhang and 1 more

Open access · hybridAbstract read
In one paragraph

Article in BioMed research international, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
4.1field-weighted citation impact, top 6% 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

16 citing papers in PubMed, 39 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Cost-Effectiveness of Telemedicine in Asia: A Scoping Review.Journal of multidisciplinary healthcare · 2021
    Article
  14. Observational
  15. Review
  16. Article
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 1 institution in 1 country.

Xiaojian JiDepartment of Rheumatology, Chinese PLA General Hospital, 28 Fuxing Road, Beijing 100853, China.
Yiwen WangDepartment of Rheumatology, Chinese PLA General Hospital, 28 Fuxing Road, Beijing 100853, China.ORCID 0000-0003-2495-6552
Yingpei MaDepartment of Rheumatology, Chinese PLA General Hospital, 28 Fuxing Road, Beijing 100853, China.ORCID 0000-0003-2464-3185
Zhengyuan HuDepartment of Rheumatology, Chinese PLA General Hospital, 28 Fuxing Road, Beijing 100853, China.ORCID 0000-0001-5854-122X
Siliang ManDepartment of Rheumatology, Chinese PLA General Hospital, 28 Fuxing Road, Beijing 100853, China.ORCID 0000-0003-2109-1063
Ying ZhangDepartment of Rheumatology, Chinese PLA General Hospital, 28 Fuxing Road, Beijing 100853, China.ORCID 0000-0003-1602-5184
Kunpeng LiDepartment of Rheumatology, Chinese PLA General Hospital, 28 Fuxing Road, Beijing 100853, China.ORCID 0000-0003-3822-6198
Jinshui YangDepartment of Rheumatology, Chinese PLA General Hospital, 28 Fuxing Road, Beijing 100853, China.ORCID 0000-0002-9206-9181
Jian ZhuDepartment of Rheumatology, Chinese PLA General Hospital, 28 Fuxing Road, Beijing 100853, China.
Jianglin ZhangDepartment of Rheumatology, Chinese PLA General Hospital, 28 Fuxing Road, Beijing 100853, China.ORCID 0000-0003-1097-6288
Feng HuangDepartment of Rheumatology, Chinese PLA General Hospital, 28 Fuxing Road, Beijing 100853, China.ORCID 0000-0002-2319-873X
Chinese PLA General Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesAnkylosing spondylitis (AS) is a chronic disease that decreases mobility, function, and quality of life. This study introduced the "Smart-phone SpondyloArthritis Management System" (SpAMS), an interactive mobile health (mHealth) tool designed for AS/spondyloarthritis (SpA) disease management and used SpAMS data to evaluate clinical characteristics of Chinese patients with AS.

methodsSpAMS integrates patient's and physician's portals in a smart phone application. The Chinese Ankylosing Spondylitis Prospective Imaging Cohort was launched using SpAMS in April 2016. Patient self-assessments were completed online at baseline and at every subsequent clinic visit. Physician-reported assessments and treatments were recorded by rheumatologists during each visit.

resultsIn total, 1201 patients with AS [mean (SD) age, 30.6 (8.7) years; male, 82.6%] were recruited. Mean (SD) disease duration was 8.4 (6.1) years. Past or current symptoms of acute anterior uveitis (AAU), psoriasis, and inflammatory bowel disease (IBD) were observed in 21.0%, 3.7%, and 9.4% of patients, respectively. AAU and IBD occurred significantly more in patients with symptom duration > 10 years. The most commonly used medications at baseline were nonsteroidal anti-inflammatory drugs (98.2%). Patients using tumour necrosis factor inhibitors accounted for 20.8%, and 66.4% of patients used conventional synthetic disease-modifying antirheumatic drugs. At baseline, 57.2% of patients had inactive disease (ID)/low disease activity (LDA); this rate significantly improved to 79.2% after a mean follow-up of 13.3 (5.9) months. Compared with relapsed patients, new achievers of ID/LDA underwent more online patient assessments (

conclusionsSpAMS is a time- and cost-saving disease management tool that can help patients with AS perform self-management and provide valuable data to clinicians.

Indexed as

Disease ManagementSmartphoneAdultAntirheumatic AgentsChinaCost-Benefit AnalysisFemaleHumansInflammatory Bowel DiseasesMaleMiddle AgedPsoriasisSpondylitis, AnkylosingUveitis, AnteriorAntirheumatic Agents

Identifiers

PMID30931322
PMCPMC6413399
OpenAlexW2916773603

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.