Evidence map›Paper›PMID 32146490›Full record

Observational studyRheumatology international2020

Applicability of shear wave elastography for the evaluation of skin strain in systemic sclerosis.

Piotr Sobolewski, Maria Maślińska, Jakub Zakrzewski, Łukasz Paluch, Elżbieta Szymańska, Irena Walecka

Open access · hybridAbstract readObservational Study
PubMed Publisher
In one paragraph

Observational study in Rheumatology international, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 1 pooled it
3.5field-weighted citation impact, top 7% 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

21 citing papers in PubMed, 1 synthesis or guideline pooled it, 33 citations in OpenAlex.

  1. Pooled it
  2. Trial
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  11. Review
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  14. Observational
  15. Review
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  17. Review
  18. Imaging in Diagnosis of Systemic Sclerosis.Journal of clinical medicine · 2021
    Review
  19. Review
  20. 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.

Piotr SobolewskiDepartment of Dermatology, Center of Postgraduate Medical Education, Central Clinical Hospital of Ministry of the Interior and Administration, Warsaw, Poland.ORCID http://orcid.org/0000-0002-3775-8021
Maria MaślińskaEarly Arthritis Clinic, National Institute of Geriatrics, Rheumatology and Rehabilitation, Warsaw, Poland. maslinskam@gmail.com.ORCID http://orcid.org/0000-0002-2211-0302
Jakub ZakrzewskiDepartment of Radiology, Center of Postgraduate Medical Education, Gruca Orthopedic and Trauma Teaching Hospital, Otwock, Poland.ORCID http://orcid.org/0000-0001-6434-9672
Łukasz PaluchDepartment of Radiology, Center of Postgraduate Medical Education, Gruca Orthopedic and Trauma Teaching Hospital, Otwock, Poland.ORCID http://orcid.org/0000-0002-7197-0851
Elżbieta SzymańskaDepartment of Dermatology, Center of Postgraduate Medical Education, Central Clinical Hospital of Ministry of the Interior and Administration, Warsaw, Poland.ORCID http://orcid.org/0000-0003-1287-8016
Irena WaleckaDepartment of Dermatology, Center of Postgraduate Medical Education, Central Clinical Hospital of Ministry of the Interior and Administration, Warsaw, Poland.ORCID http://orcid.org/0000-0002-3502-3339
Central Clinical Hospital · PLNational Institute of Geriatrics, Rheumatology and Rehabilitation · PL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The assessment of skin fibrosis is vital for the diagnosis and monitoring of treatment in the systemic sclerosis (SSc)-a severe autoimmune disease. The elastography is a technique of skin fibrosis assessment through the evaluation of skin strain. We compared the efficacy of the shear wave elastography (SWE) and commonly used modified Rodnan skin score (RSS) in skin fibrosis assessment in SSc. The study included 40 SSc patients and 28 healthy individuals, with the exclusion of individuals with other skin/autoimmune diseases. Skin thickness using RSS and skin strain using SWE were assessed in the same 20 body localizations. Subjects' informed consent and the bioethics committee approval were obtained. Elastographic skin strain correlated positively with both partial and overall RSS values, with strong positive correlation (r ≥ 0.75) for hands and fingers localizations in particular. In SSc patients with normal RSS values, the elastographic strain was significantly higher than in healthy controls. Elastographic strain of fingers' skin evaluated in SWE is highly accurate for distinguishing SSc patients (sensitivity 0.897-0.923, specificity 0.929-0.964, positive predictive value 0.946-0.973, negative predictive value 0.867-0.900). ESW results are substantially more reproducible than those of RSS examination (intraclass correlation coefficients: 0.987 vs. 0.941). The shear wave elastography is more reproducible and has higher sensitivity than RSS in the evaluation of skin condition in SSc, especially in case of changes non-detectable on physical evaluation, indicating it might become a useful tool in SSc diagnosis.

Indexed as

AdultCase-Control StudiesDisease ProgressionElasticity Imaging TechniquesFemaleFibrosisHumansMaleMiddle AgedReproducibility of ResultsScleroderma, SystemicSensitivity and SpecificitySkinRodnan skin scoreShear wave elastographySystemic sclerosis

Identifiers

PMID32146490
OpenAlexW3009384489

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.