Evidence map›Paper›PMID 32040755›Full record

ArticleZeitschrift fur Rheumatologie2020

[Reality of inpatient vasoactive treatment with prostacyclin derivatives in patients with acral circulation disorders due to systemic sclerosis in Germany].

A Juche, E Siegert, U Mueller-Ladner, G Riemekasten, C Günther, I Kötter, J Henes, N Blank, R E Voll, J Ehrchen and 15 more

Open access · hybridAbstract read
In one paragraph

Article in Zeitschrift fur Rheumatologie, 2020. 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
0.4field-weighted citation impact, top 39% 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, 4 citations in OpenAlex.

  1. [Systemic sclerosis].Dermatologie (Heidelberg, Germany) · 2024
    Review
  2. Review
  3. Old and new therapeutic strategies in systemic sclerosis (Review).Experimental and therapeutic medicine · 2022
    Review
  4. Predictive value of immunological markers in systemic sclerosis.Experimental and therapeutic medicine · 2021
    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

25 authors at 20 institutions in 1 country.

A JucheKlinik für Rheumatologie, Immanuel Krankenhaus Berlin-Buch, Berlin, Deutschland.
E SiegertKlinik für Rheumatologie u. klinischer Immunologie, Charité Berlin, Berlin, Deutschland.
U Mueller-LadnerRheumatologie und klinische Immunologie, Kerckhoff-Klinik, Bad Nauheim, Deutschland.
G RiemekastenKlinik für Rheumatologie und Immunologie, Universitätsklinikum Schleswig-Holstein, Lübeck, Deutschland.
C GüntherKlinik und Poliklinik für Dermatologie, Universitätsklinikum Carl Gustav Carus an der Technischen Universität Dresden, Dresden, Deutschland.
I KötterKlinik für Rheumatologie, klinische Immunologie u. Nephrologie, Asklepios Kliniken Hamburg, Hamburg, Deutschland.
J HenesZentrum für interdisziplinäre Rheumatologie, Immunologie und Autoimmunerkrankungen INDIRA und Medizinische Klinik II, Universitätsklinik Tübingen, Tübingen, Deutschland.
N BlankMedizinische Klinik f. Hämatologie, Onkologie u. Rheumatologie, Universitätsklinikum Heidelberg, Heidelberg, Deutschland.
R E VollKlinik für Rheumatologie u. Klinische Immunologie, Medizinische Fakultät, Universität Freiburg, Freiburg, Deutschland.
J EhrchenKlinik für Hautkrankheiten, allg. Dermatologie u. Venerologie, Universitätsklinikum Münster, Münster, Deutschland.
M SchmalzingRheumatologie/Klinische Immunologie, Medizinische Klinik II, Universitätsklinikum Würzburg, Würzburg, Deutschland.
L SusokKlinik für Dermatologie, Allergologie u. Venerologie der Ruhr-Universität Bochum, Krankenhaus St. Josef-Hospital Bochum, Bochum, Deutschland.
T SchmeiserKlinik für Rheumatologie, Immunologie u. Osteologie, St. Josef Wuppertal, Wuppertal, Deutschland.
C SunderkoetterUniversitätsklinik u. Poliklinik für Dermatologie u. Venerologie, Universitätsklinikum Halle (Saale), Halle (Saale), Deutschland.
J DistlerMedizinische Klinik für Rheumatologie u. Immunologie, Universitätsklinikum Erlangen, Erlangen, Deutschland.
M WormKlinik für Dermatologie, Venerologie u. Allergologie, Charité Berlin, Berlin, Deutschland.
A KreuterKlinik für Dermatologie, Venerologie und Allergologie, HELIOS St. Elisabeth Klinik Oberhausen, Universität Witten/Herdecke, Oberhausen, Deutschland.
O N HorváthKlinik für Dermatologie u. Allergologie, Ludwig-Maximilians Universität München, München, Deutschland.
M P SchönKlinik für Dermatologie, Venerologie u. Allergologie, Universitätsmedizin Göttingen, Göttingen, Deutschland.
P KorstenKlinik für Nephrologie u. Rheumatologie, Universitätsmedizin Göttingen, Göttingen, Deutschland.
G ZeidlerKlinik für internistische Rheumatologie, Orthopädie u. Rheumachirurgie, Johanniter-Krankenhaus im Fläming, Treuenbrietzen, Deutschland.
C PfeifferKlinik für Dermatologie u. Allergologie, Universitätsklinikum Ulm, Ulm, Deutschland.
T KriegKlinik und Poliklinik für Dermatologie und Venerologie, Universität zu Köln, Köln, Deutschland.
N HunzelmannKlinik und Poliklinik für Dermatologie und Venerologie, Universität zu Köln, Köln, Deutschland.
P MoinzadehKlinik und Poliklinik für Dermatologie und Venerologie, Universität zu Köln, Köln, Deutschland. pia.moinzadeh@uk-koeln.de.
Charité - Universitätsmedizin Berlin · DEKlinik und Poliklinik für Neurologie · DEUniversitätsmedizin Göttingen · DEAsklepios Kliniken Hamburg · DEHELIOS St. Elisabeth Klinik Oberhausen · DEImmanuel Krankenhaus · DEKerckhoff Klinik · DEKlinik Preetz · DEKlinik und Poliklinik für Psychotherapie und Psychosomatik · DELudwig-Maximilians-Universität München · DESt. Josef-Hospital · DESt. Josef Krankenhaus · DEUniversitätsklinikum Erlangen · DEUniversitätsklinikum Tübingen · DEUniversitätsklinikum Würzburg · DEUniversity Hospital Heidelberg · DEUniversity Hospital in Halle · DEUniversity Hospital Münster · DEUniversity Hospital Schleswig-Holstein · DEUniversity Hospital Ulm · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRaynaud's phenomenon and the frequently ensuing digital ulcerations represent an early and very distressing symptom in patients with systemic sclerosis (scleroderma, SSc) causing significant limitations in the ability to work and quality of life. The use of vasoactive drugs (especially intravenous prostacyclin derivatives) is recommended to reduce the risk of hypoxic tissue damage up to the loss of fingers.

methodsIn order to obtain information about the current state of treatment of patients with prostacyclin derivatives in routine clinical life in Germany, a survey was conducted among the centers affiliated to the German Network for Systemic Scleroderma (DNSS). In addition, a separate patient survey was conducted by the schleroderma self-help group (Sklerodermie Selbsthilfe e. V.), which only covered the symptoms Raynaud's syndrome, digital ulcers and the use of intravenous prostacyclin derivatives.

resultsOf the 433 patients surveyed 56% stated that they had already been treated with prostacyclin derivatives (iloprost/alprostadil) because of their illness and symptoms. A total of 61% received the treatment for severe Raynaud's phenomenon and 39% for digital ulcerations. Most respondents not only experienced an improvement in Raynaud's phenomenon and digital ulcers but also a significant improvement of limitations in everyday life. They also needed significantly less outside help and absenteeism from work was much lower.

conclusionPatients consistently reported a positive effect of treatment with prostacyclin derivatives on Raynaud's phenomenon, acral ulcerations, pain and daily restrictions and felt well and safely cared for during inpatient treatment. These positive effects in the patients' perceptions provide crucial information supporting and confirming the current European and international treatment recommendations.

Indexed as

EpoprostenolRaynaud DiseaseScleroderma, SystemicFingersGermanyHumansInpatientsQuality of LifeSkinEpoprostenolDigital ulcerationIloprostRaynaud’s phenomenonSclerodermaSystemic sclerosis

Identifiers

PMID32040755
PMCPMC7708340
OpenAlexW3006158033

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.