Evidence map›Paper›PMID 30937142›Full record

ArticleThe World Allergy Organization journal2019

State of care for patients with systemic autoinflammatory diseases - Results of a tertiary care survey.

Mati Chuamanochan, Karsten Weller, Eugen Feist, Tilmann Kallinich, Marcus Maurer, Jasmin Kümmerle-Deschner, Karoline Krause

Abstract read
In one paragraph

Article in The World Allergy Organization journal, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 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

13 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Review
  5. [Autoinflammatory syndromes].Zeitschrift fur Rheumatologie · 2023
    Review
  6. [Autoinflammatory syndromes].Innere Medizin (Heidelberg, Germany) · 2023
    Article
  7. Article
  8. Review
  9. Article
  10. Review
  11. Review
  12. Article
  13. 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

7 authors.

Mati ChuamanochanDepartment of Dermatology and Allergy, Charité - Universitätsmedizin Berlin, Germany.
Karsten WellerDepartment of Dermatology and Allergy, Charité - Universitätsmedizin Berlin, Germany.
Eugen FeistAutoinflammation Reference Center Charité, Charité (ARC) - Universitätsmedizin Berlin, Germany.
Tilmann KallinichAutoinflammation Reference Center Charité, Charité (ARC) - Universitätsmedizin Berlin, Germany.
Marcus MaurerDepartment of Dermatology and Allergy, Charité - Universitätsmedizin Berlin, Germany.
Jasmin Kümmerle-DeschnerDivision of Pediatric Rheumatology, Department of Pediatrics and Autoinflammation Reference Center Tübingen, University Hospital, Tübingen, Germany.
Karoline KrauseDepartment of Dermatology and Allergy, Charité - Universitätsmedizin Berlin, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSystemic autoinflammatory diseases (SAIDs) are rare debilitating disorders of which there is limited awareness and a significant delay in diagnosis. There is no uniform approach in the diagnosis and treatment of these disorders and the real life state of SAID patient care is poorly characterized. The aim of this study was to obtain data on the epidemiology, state of care and the perception of physicians who are involved in the care of SAID patients.

methodsWe performed a questionnaire-based survey and contacted 134 university departments of dermatology, pediatrics, rheumatology and other SAID departments of tertiary care in German-speaking countries.

resultsA total of 37 departments participated in the survey. The majority of departments managed both adult and pediatric patients with a variety of monogenic and polygenic/acquired SAIDs. For monogenic SAIDs such as cryopyrin-associated periodic syndromes (CAPS) and familial Mediterranean fever (FMF), the diagnostic and treatment strategies were similar among the departments. The diagnostic work-up included inflammatory markers and genetic testing, the first line treatment interleukin-1 (IL-1) blockers for CAPS and colchicine for FMF. For polygenic/acquired SAIDs, we observed a significant heterogeneity in diagnostic and therapeutic approaches. As a major unmet need, diagnostic delay was identified with a median time to diagnosis of 2 (range 1-5) years. The overall state of care for SAID patients was rated to be excellent or good by only 12% of departments, and to be poor or non-sufficient by 40% of departments.

conclusionThis study demonstrates a high need to improve the state of care and to harmonize diagnostic and treatment strategies for SAID patients.

Indexed as

AOSD, Adult-onset Still's diseaseARC2, Autoinflammation Reference Center CharitéAutoinflammatory diseaseBD, Behçet's diseaseCAPS, Cryopyrin-associated periodic syndromeCBC, Complete blood countCRMO, Chronic recurrent osteomyelitisCRP, C-reactive proteinFMF, Familial Mediterranean feverHIDS, Hyper IgD syndromeIL-1β, Interleukin-1βMKD, Mevalonate kinase deficiencyMWS, Muckle-Wells syndromeNSAIDs, Nonsteroidal anti-inflammatory drugsPAPA, Pyogenic arthritis pyoderma gangrenosum and acne syndromePG, Pyoderma gangrenosumPRAAS, Proteasome-associated autoinflammatory syndromeSAA, Serum amyloid ASAIDs, Systemic autoinflammatory diseasesSchS, Schnitzler's syndromeSJIA, Systemic juvenile idiopathic arthritisState of careSurveyTNF, Tumor necrosis factorTRAPS, TNF-receptor-associated periodic syndrome

Identifiers

PMID30937142
PMCPMC6439415

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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.