Evidence map›Paper›PMID 31297605›Full record

ReviewZeitschrift fur Rheumatologie2019

[Treatment algorithm for rheumatoid arthritis : According to the S2e guidelines 2018].

C Fiehn, K Krüger

Abstract readReview
PubMed Publisher
In one paragraph

Review in Zeitschrift fur Rheumatologie, 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 24% 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, 6 citations in OpenAlex.

  1. Article
  2. Review
  3. Review
  4. 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

2 authors at 1 institution in 1 country.

C FiehnTätigkeitsschwerpunkt Klinische Immunologie und Belegarzteinheit der ViDia-Kliniken Karlsruhe am Medical Center Baden-Baden, Praxis für Rheumatologie, Beethovenstr. 2, 76530, Baden-Baden, Deutschland. c.fiehn@rheuma-badenbaden.de.
K KrügerRheumatologisches Praxiszentrum, München, Deutschland.
Orthopädische Praxis · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Every patient suffering from active rheumatoid arthritis should be treated with disease-modifying antirheumatic drugs (DMARD) but methotrexate initially remains the first choice treatment. Treatment should comply with the treat-to-target principle. The therapeutic aim is remission if attainable or at least a low disease activity. Remission is defined as a simplified disease activity score index (SDAI) of ≤3.3 or as fulfilling the so-called Boolean criteria. A first evaluation of the response is due after 12 weeks. At this time there should be a measurable response defined as an improvement of at least 50% of the composite score, e.g. the DAS28. If no improvement has been achieved, treatment should be continued with either a second DMARD strategy conventionally with synthetic DMARDs (csDMARDs) or an alternative with biological (bDMARD) or targeted synthetic (tsDMARDs) DMARD, depending on whether there are risk factors for a severe disease progression. A change within bDMARDs and tsDMARDs as well as therapeutic de-escalation are both possible measures in the further course of treatment.

Indexed as

Antirheumatic AgentsArthritis, RheumatoidAlgorithmsBiological ProductsDrug Therapy, CombinationHumansMethotrexatePractice Guidelines as TopicRemission InductionSeverity of Illness IndexTreatment OutcomeAntirheumatic AgentsBiological ProductsMethotrexateDisease-modifying antirheumatic drugsMethotrexateOutcomeRemissionTreat to target

Identifiers

PMID31297605
OpenAlexW2958088171

What OpenQuestion holds

Textmetadata
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.