Evidence map›Paper›PMID 32107663›Full record

ArticleClinical rheumatology2020

The occurrence of sacroiliitis in HLA-B*35-positive patients with undifferentiated spondyloarthritis. A cross sectional MRI study.

Daniela Šošo, Jure Aljinović, Ivanka Marinović, Sanja Lovrić Kojundžić, Esma Čečuk Jeličić, Daniela Marasović Krstulović

Abstract read
PubMed Publisher
In one paragraph

Article in Clinical rheumatology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
0.5field-weighted citation impact, top 34% 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

6 citing papers in PubMed, 6 citations in OpenAlex.

  1. Article
  2. Article
  3. Case report: HLA-B35-associated optic neuritis.Frontiers in ophthalmology · 2024
    Article
  4. Article
  5. Article
  6. 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

6 authors at 2 institutions in 1 country.

Daniela ŠošoDepartment of Rehabilitation Medicine and Rheumatology, University Hospital Centre Split, Split, Croatia. soso.daniela@gmail.com.ORCID https://orcid.org/0000-0001-6890-4768
Jure AljinovićDepartment of Rehabilitation Medicine and Rheumatology, University Hospital Centre Split, Split, Croatia.ORCID https://orcid.org/0000-0001-9546-3777
Ivanka MarinovićDepartment of Rehabilitation Medicine and Rheumatology, University Hospital Centre Split, Split, Croatia.
Sanja Lovrić KojundžićDepartment of Diagnostic and Interventional Radiology, University Hospital Centre Split, Split, Croatia.
Esma Čečuk JeličićDepartment of Transfusion Medicine, University Hospital Centre Split, Split, Croatia.ORCID https://orcid.org/0000-0002-2744-2963
Daniela Marasović KrstulovićDepartment of Rheumatology and Clinical Immunology, University Hospital Centre Split, Split, Croatia.
University of Split · HRKlinički Bolnički Centar Split · HR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo investigate possible association between sacroiliitis and HLA-B*35 positivity.

methodAfter excluding patients with axial spondyloarthritis and HLA-B*27 positivity, psoriasis inflammatory bowel disease, preceding infections, or juvenile type of spondyloarthritis, 110 patients were recruited with a diagnosis of undifferentiated axial spondyloarthritis. All of them had inflammatory back pain of short duration (3 months to 2 years) and 72 were HLA-B*35 positive. In order to determine if there is a possible association of sacroiliitis and HLA-B*35 positivity, all patients underwent MRI of sacroiliac joints.

resultsA statistically significant association between the detection of bone marrow edema at sacroiliac joints on MRI and HLA-B*35 positivity (χ2 = 6.25; p = 0.022) was found. A logistic regression analysis revealed that the presence of HLA-B*35 allele was associated with a 6 times greater chance of identifying bone marrow edema at sacroiliac joints on MRI (OR 6, 95% CI 1.3-27, p = 0.021). HLA-B*35 positivity was also associated with a 4.7 times greater chance of finding elevated CRP (OR 4.7, 95% CI 1-11.9, p = 0.047) and a 5 times greater chance of finding peripheral joint synovitis (OR 5, 95% CI 1.75-14.3, p = 0.003). HLA-B*35-positive patients had high disease activity (mean ± SD of Bath Ankylosing Spondylitis Disease Activity Index 6.1 ± 1.72 and Ankylosing Spondylitis Disease Activity Score C-reactive protein Index 3 ± 0.64) with a high degree of functional limitations (mean ± SD of Bath Ankylosing Spondylitis Functional Index 5.3 ± 2.16).

conclusionThe data clearly show the association between bone marrow edema on MRI at sacroiliac joints and HLA-B*35 allele in patients with undifferentiated spondyloarthritis. Further work is needed to understand how much this result may influence follow-up of these patients. Key Points • HLA-B*35 allele was associated with a 6 times greater chance of identifying bone marrow edema at sacroiliac joints on MRI in un-axSpa patients. • HLA-B*35 allele was also associated with a 4.7 times greater chance of finding elevated CRP and a 5 times greater chance of finding peripheral joint synovitis in un-axSpa patients. • HLA-B*35 allele could be a potential risk factor for developing sacroiliitis and axSpA.

Indexed as

AdultBone MarrowCroatiaCross-Sectional StudiesFemaleHLA-B35 AntigenHumansLogistic ModelsMagnetic Resonance ImagingMaleMiddle AgedSacroiliac JointSacroiliitisSeverity of Illness IndexSpondylitis, AnkylosingUltrasonographyHLA-B35 AntigenBone marrow edemaHLA-B*35Magnetic resonance imagingSacroiliitisUndifferentiated axial spondyloarthritis

Identifiers

PMID32107663
OpenAlexW3006939780

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.