Evidence map›Paper›PMID 31270696›Full record

Observational studyClinical rheumatology2019

Predictors and the optimal duration of sustained remission in rheumatoid arthritis.

Sibel Yilmaz-Oner, Ummugulsum Gazel, Meryem Can, Pamir Atagunduz, Haner Direskeneli, Nevsun Inanc

Abstract readObservational Study
PubMed Publisher
In one paragraph

Observational study in Clinical rheumatology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.9field-weighted citation impact, top 25% 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

4 citing papers in PubMed, 12 citations in OpenAlex.

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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

6 authors at 1 institution in 1 country.

Sibel Yilmaz-OnerMedical Faculty, Department of Rheumatology, Marmara University, Pendik, 34890, Istanbul, Turkey. sibely113@gmail.com.ORCID http://orcid.org/0000-0003-1843-9698
Ummugulsum GazelMedical Faculty, Department of Rheumatology, Marmara University, Pendik, 34890, Istanbul, Turkey.
Meryem CanMedical Faculty, Department of Rheumatology, Marmara University, Pendik, 34890, Istanbul, Turkey.
Pamir AtagunduzMedical Faculty, Department of Rheumatology, Marmara University, Pendik, 34890, Istanbul, Turkey.
Haner DireskeneliMedical Faculty, Department of Rheumatology, Marmara University, Pendik, 34890, Istanbul, Turkey.
Nevsun InancMedical Faculty, Department of Rheumatology, Marmara University, Pendik, 34890, Istanbul, Turkey.
Marmara University · TR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo determine predictors and optimal duration of sustained remission (SR) in patients with rheumatoid arthritis (RA).

methodsA total of 428 consecutive patients with RA visiting our clinic routinely between 2012 and 2013 were evaluated. Seventy seven of these patients in DAS28 remission were enrolled and followed up for 62.2 ± 9.9 months. Patients in remission ≥ 6 months (SR) and shorter (non: N-SR) were compared in terms of demographic-clinical data and the psychosocial factors. At enrollment, 1st and 5th years, patients in DAS28, SDAI, and Boolean remission were determined.

resultsSixty three patients were in SR and 14 in N-SR. Lower baseline DAS28 and HAQ scores, anti-CCP were positive predictors of SR. Although the presence of anxiety, depression, fibromyalgia, and fatigue were lower in the SR group, there was no significance. Patients in DAS28 remission (100%) at baseline reduced to 64% at 1st and 42.6% at 5th years. Patients satisfying SDAI and Boolean remission at these three visits were 49%, 44%, and 32.4% vs 41%, 28%, and 20.6%, respectively. If the duration of remission is defined as 6 months, the remission rates of SDAI at inclusion and fifth years' visits were similar but Boolean remission rates differed significantly and if it is accepted as ≥ 12 months, both the SDAI and Boolean remission rates were not different.

conclusionLow DAS28 and HAQ scores at baseline, anti-CCP were positive predictors of SR. Instead of 6 months, remission duration for ≥ 12 months would probably help us to predict SR independently from the chosen criteria; Boolean or SDAI.

Indexed as

Antirheumatic AgentsArthritis, RheumatoidFemaleHumansMaleMiddle AgedRemission InductionTime FactorsTreatment OutcomeAntirheumatic AgentsACR/EULAR definition of remissionDisease activity scorePredictorsRheumatoid arthritisSDAISustained remission

Identifiers

PMID31270696
OpenAlexW2954259575

What OpenQuestion holds

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Registered trials

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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.