Evidence map›Paper›PMID 31777790›Full record

ArticleACR open rheumatology2019

Characterization of a Subset of Patients With Rheumatoid Arthritis for Whom Current Management Strategies are Inadequate.

Claire M Bradford, Thomas McDonnell, Divya Raj, George A Robinson, Andrew Cole, Shashank Ramakrishnan, Rosa González-Serrano, Jasper Mak, Yusuf Cem Eskiocak, David A Isenberg and 3 more

Abstract read
In one paragraph

Article in ACR open 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. Observational
  3. Article
  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

13 authors.

Claire M BradfordUniversity College London London UK.
Thomas McDonnellUniversity College London London UK.
Divya RajUniversity College London London UK.
George A RobinsonUniversity College London London UK.
Andrew ColeUniversity College London Hospital London UK.
Shashank RamakrishnanUniversity College London Hospital London UK.
Rosa González-SerranoUniversity College London London UK.
Jasper MakUniversity College London London UK.
Yusuf Cem EskiocakUniversity College London London UK.
David A IsenbergUniversity College London and University College London Hospital London UK.
Coziana CiurtinUniversity College London and University College London Hospital London UK.ORCID https://orcid.org/0000-0002-8911-4113
Elizabeth C JuryUniversity College London London UK.ORCID https://orcid.org/0000-0002-2389-3396
Jessica J MansonUniversity College London Hospital London UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveA subset of patients with seropositive rheumatoid arthritis (RA) do not mount a C-reactive protein (CRP) response during flares. We hypothesize that these patients are more likely to experience poor clinical care and less likely to respond to traditional therapy. This study questioned whether this presentation was associated with worse disease outcome and distinct immunological features.

methodsUsing Power Doppler ultrasound, 48 RA patients with active synovitis were recruited; 30 had normal (n)CRP (5 mg/L or less) and 18 had high (h)CRP (more than 5 mg/L) levels. All had equivalent disease burden assessed by other clinical and laboratory parameters.

resultsTime to diagnosis and time to first disease-modifying antirheumatic drug were significantly longer in nCRP compared with hCRP patients (

conclusionPatients with nCRP during flares of RA had an altered immunological profile compared with hCRP patients and experienced diagnostic delays and responded less favorably to conventional treatment.

Indexed as

complementC‐reactive proteinPower dopplerrheumatoid arthritisultrasound

Identifiers

PMID31777790
PMCPMC6857995

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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.