Evidence map›Paper›PMID 31517249›Full record

ArticleBMC rheumatology2019

Which patient reported outcome domains are important to the rheumatologists while assessing patients with rheumatoid arthritis?

Aprajita Jagpal, Ronan O'Beirne, Melanie S Morris, Bernadette Johnson, James Willig, Huifeng Yun, Andrea L Cherrington, Liana Fraenkel, Jeffrey R Curtis, Monika M Safford and 1 more

Abstract read
In one paragraph

Article in BMC 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
–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

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. 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

11 authors.

Aprajita Jagpal1University of Alabama at Birmingham, Birmingham, AL USA.
Ronan O'Beirne1University of Alabama at Birmingham, Birmingham, AL USA.
Melanie S Morris1University of Alabama at Birmingham, Birmingham, AL USA.
Bernadette Johnson1University of Alabama at Birmingham, Birmingham, AL USA.
James Willig1University of Alabama at Birmingham, Birmingham, AL USA.
Huifeng Yun1University of Alabama at Birmingham, Birmingham, AL USA.
Andrea L Cherrington1University of Alabama at Birmingham, Birmingham, AL USA.
Liana Fraenkel2Yale University, New Haven, CT USA.
Jeffrey R Curtis1University of Alabama at Birmingham, Birmingham, AL USA.
Monika M Safford3Division of General Internal Medicine, Weill Cornell Medicine, 420 E 70th St., LH-363, New York, NY 10021 USA.
Iris Navarro-Millán3Division of General Internal Medicine, Weill Cornell Medicine, 420 E 70th St., LH-363, New York, NY 10021 USA.ORCID 0000-0002-9540-6614

Funding

Optimization of hyperlipidemia management among patients with rheumatoid arthritis: A patient-centered intervention developmentK23AR068449 · NIAMS · WEILL MEDICAL COLL OF CORNELL UNIV · PI NAVARRO-MILLÁN, IRIS Y · 2017 to 2022
$1.0M
NIAMS NIH HHS K23 AR068449
6 · The paper itself

Abstract

backgroundPatient-reported outcomes (PROs) aid in rheumatoid arthritis (RA) management, but it is not well understood which measures would be most relevant to the rheumatologists for making treatment decisions.

methodsWe recruited rheumatologists nationally to participate in moderated structured group teleconference discussions using the nominal group technique. Participants in each group generated lists of the elements from patient's history and signs that they use to make treatment recommendations for RA. Each participant then selected the three most important elements from the generated list. The results of each group were then combined and summarized.

resultsTwenty-five rheumatologists participated in 4 groups (group size ranged from 4 to 8) and 150 available ranking votes across all groups. The statements generated across the 4 groups were categorized into 13 topics (including symptoms, physical function, comorbidities, social aspects, physical findings, response to treatment, treatment adherence, pain management, side effects, tests, access to care, contraception, and organ involvement), 10 of which received ranking votes. Symptoms received the highest ranking (46% of votes), followed by physical function (16%), and physical findings (13%). Among the unranked topics, social aspects had the highest number of statements (8 statements).

conclusionRheumatologists highly valued patient-reported RA symptoms and physical function to inform their treatment decisions, even above objective data such as physical findings and test results. These results can guide the selection of validated PRO measures to assess these domains to inform the clinical care of patients with rheumatoid arthritis.

Indexed as

Patient reported outcomesPhysician perspectiveRheumatoid arthritisShared decision

Identifiers

PMID31517249
PMCPMC6727422

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.