Evidence map›Paper›PMID 32185294›Full record

ArticleMediterranean journal of rheumatology2018

Multicenter Cross-sectional Study of Patients with Rheumatoid Arthritis in Greece: Results from a cohort of 2.491 patients.

Konstantinos Thomas, Argiro Lazarini, Evripidis Kaltsonoudis, Alexandros Drosos, Ioannis Papalopoulos, Prodromos Sidiropoulos, Pelagia Katsimbri, Dimitrios Boumpas, Panagiota Tsatsani, Sousana Gazi and 26 more

Abstract read
In one paragraph

Article in Mediterranean journal of rheumatology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing 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

15 citing papers in PubMed.

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  15. Mediterranean Journal of Rheumatology March 2018 Highlights.Mediterranean journal of rheumatology · 2018
    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

36 authors.

Konstantinos ThomasJoint Rheumatology Program, National and Kapodistrian University of Athens, School of Medicine, Athens, Greece.
Argiro LazariniJoint Rheumatology Program, National and Kapodistrian University of Athens, School of Medicine, Athens, Greece.
Evripidis KaltsonoudisRheumatology Clinic, University of Ioannina, Ioannina, Greece.
Alexandros DrososRheumatology Clinic, University of Ioannina, Ioannina, Greece.
Ioannis PapalopoulosClinical Immunology and Allergy Department, University of Crete, Heraklion, Greece.
Prodromos SidiropoulosClinical Immunology and Allergy Department, University of Crete, Heraklion, Greece.
Pelagia KatsimbriJoint Rheumatology Program, National and Kapodistrian University of Athens, School of Medicine, Athens, Greece.
Dimitrios BoumpasJoint Rheumatology Program, National and Kapodistrian University of Athens, School of Medicine, Athens, Greece.
Panagiota TsatsaniRheumatology Unit, KAT Hospital, Athens, Greece.
Sousana GaziRheumatology Unit, KAT Hospital, Athens, Greece.
Kalliopi FragkiadakiJoint Rheumatology Program, National and Kapodistrian University of Athens, School of Medicine, Athens, Greece.
Maria TektonidouJoint Rheumatology Program, National and Kapodistrian University of Athens, School of Medicine, Athens, Greece.
Petros P SfikakisJoint Rheumatology Program, National and Kapodistrian University of Athens, School of Medicine, Athens, Greece.
Lina PantaziRheumatology Unit, Sismanoglio Hospital, Athens, Greece.
Kyriaki A BokiRheumatology Unit, Sismanoglio Hospital, Athens, Greece.
Eleftheria P GrikaJoint Rheumatology Program, National and Kapodistrian University of Athens, School of Medicine, Athens, Greece.
Panagiotis G VlachoyiannopoulosJoint Rheumatology Program, National and Kapodistrian University of Athens, School of Medicine, Athens, Greece.
Konstantina KaragianniDepartment of Rheumatology, University of Thessaly, Larissa, Greece.
Lazaros I SakkasDepartment of Rheumatology, University of Thessaly, Larissa, Greece.
Theodoros Dimitroulas4 Department of Medicine, Aristotle University, Thessaloniki, Greece.
Alexandros Garyfallos4 Department of Medicine, Aristotle University, Thessaloniki, Greece.
Dimitrios Kassimos401 General Military Hospital, Athens, Greece.
Gerasimos EvangelatosRheumatology Unit, NIMTS Hospital, Athens, Greece.
Alexios IliopoulosRheumatology Unit, NIMTS Hospital, Athens, Greece.
Maria AretiPrivate Practice, Greece.
Constantinos GeorganasPrivate Practice, Greece.
Konstantinos MelissaropoulosRheumatology Unit, Agios Andreas Hospital, Patras, Greece.
Panagiotis GeorgiouRheumatology Unit, Agios Andreas Hospital, Patras, Greece.
Periklis VounotrypidisPrivate Practice, Greece.
Konstantinos NtelisPrivate Practice, Greece.
Clio P MavraganiJoint Rheumatology Program, National and Kapodistrian University of Athens, School of Medicine, Athens, Greece.
Ilias BournazosPrivate Practice, Greece.
Gikas KatsifisRheumatology Unit, Navy Hospital, Athens, Greece.
Christos MavrommatisPrivate Practice, Greece.
George D KitasJoint Rheumatology Program, National and Kapodistrian University of Athens, School of Medicine, Athens, Greece.
Dimitrios VassilopoulosJoint Rheumatology Program, National and Kapodistrian University of Athens, School of Medicine, Athens, Greece.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aim of the studyTo evaluate the current disease characteristics, treatment and comorbidities of rheumatoid arthritis (RA) in Greece.

methodsMulticenter, cross-sectional study with a 9-month recruitment period between 2015 and 2016. Demographics, disease characteristics, treatment and comorbidities were collected via a web-based platform.

results2.491 RA patients were recruited: 96% from tertiary referral centers, 79% were females with a mean age of 63.1 years and disease duration of 9.9 years. Fifty-two percent were rheumatoid factor and/or anti-CCP positive, while 41% had erosive disease. Regarding treatment, 82% were on conventional synthetic disease modifying anti-rheumatic drugs (csDMARDs), 42% on biologic DMARDs (TNFi: 22%, non-TNFi: 20%) and 40% on corticosteroids (mean daily dose: 5.2 mg). Despite therapy, 36% of patients had moderate and 12% high disease activity. The most frequent comorbidities were hypertension (42%), hyperlipidemia (33%), osteoporosis (29%), diabetes mellitus (15%) and depression (12%). Latent tuberculosis infection (positive tuberculin skin test or interferon gamma release assay) was diagnosed in 13 and 15.3% of patients, respectively. Regarding chronic viral infections, 6.2% had history of herpes zoster while 2% and 0.7% had chronic hepatitis B and C virus infection, respectively. A history of serious infection was documented in 9.6%. Only 36% and 52% of the participants had ever been vaccinated against pneumococcus and influenza virus, respectively.

conclusionThis is one of the largest epidemiologic studies providing valuable data regarding the current RA characteristics in Greece. Half of patients were seropositive but despite therapy, half displayed residual disease activity, while preventive vaccination was limited.

Indexed as

biologicscardiovascular diseasescomorbiditieshepatitisinfectionsmethotrexaterheumatoid arthritistuberculosisvaccination

Identifiers

PMID32185294
PMCPMC7045959

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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.