Evidence map›Paper›PMID 32493508›Full record

ArticleArthritis research & therapy2020

Validation of the suction device Nimble for the assessment of skin fibrosis in systemic sclerosis.

Bettina Müller, Lisa Ruby, Suzana Jordan, Marga B Rominger, Edoardo Mazza, Oliver Distler

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Arthritis research & therapy, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03644225 (Mechanical Characterization of Healthy and Diseased Skin With Suction Based Assessment of Skin Deformability), which is not on this map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
1.0field-weighted citation impact, top 24% 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.

NCT03644225 nacompletednot on this map

Mechanical Characterization of Healthy and Diseased Skin With Suction Based Assessment of Skin Deformability

TypeinterventionalSponsorOliver DistlerRan2018 to 2019Enrolled67ConditionsSystemic SclerosisArmsMeasurment with Aspirational Medical Device, Measurment with Cutometer MPA 580
3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 12 citations in OpenAlex.

  1. Article
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  5. Skin mechanical properties measured with skin elasticity measurement device in patients with lymphedema: Scoping review.Skin research and technology : official journal of International Society for Bioengineering and the Skin (ISBS) [and] International Society for Digital Imaging of Skin (ISDIS) [and] International Society for Skin Imaging (ISSI) · 2024
    Article
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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.

Bettina MüllerInstitute for Mechanical Systems, ETH Zurich, 8092, Zurich, Switzerland.
Lisa RubyInstitute of Diagnostic and Interventional Radiology, University Hospital Zurich, 8091, Zurich, Switzerland.
Suzana JordanDepartment of Rheumatology, University Hospital Zurich, Gloriastrasse 25, 8091, Zurich, Switzerland.
Marga B RomingerInstitute of Diagnostic and Interventional Radiology, University Hospital Zurich, 8091, Zurich, Switzerland.
Edoardo MazzaInstitute for Mechanical Systems, ETH Zurich, 8092, Zurich, Switzerland.
Oliver DistlerDepartment of Rheumatology, University Hospital Zurich, Gloriastrasse 25, 8091, Zurich, Switzerland. Oliver.Distler@usz.ch.ORCID 0000-0002-0546-8310
University Hospital of Zurich · CHETH Zurich · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesSkin fibrosis is a main hallmark of systemic sclerosis (SSc). Clinical assessment is done semi-quantitatively using the modified Rodnan skin score (mRSS). Objective measurements for quantifying skin fibrosis could complement the mRSS to achieve higher reproducibility. The aim of this study was to explore the potential of suction measurements to detect structural changes in the skin that are associated with skin fibrosis.

methodsThis clinical trial included 30 SSc patients and 30 healthy volunteers (HC). We validated a novel suction device-the Nimble-to quantify skin stiffness in comparison to the Cutometer using the OMERACT filter.

resultsA significant difference (p < 0.05) between the skin stiffness of HC and SSc patient groups was found for each location measured. The correlation between the measurements of forearm skin stiffness and the mRSS values was high for the Nimble (r = 0.82) and moderate for the Cutometer (r = 0.58). A ROC analysis showed good ability for the Nimble to distinguish between SSc patients with and without skin involvement (AUC = 0.82). Both suction devices provided excellent reliability in all measurements on HC and SSc patients and proved face validity and feasibility.

conclusionSuction devices assessing skin stiffness, such as the Nimble, show clear potential to objectively quantify skin fibrosis in SSc patients and might be promising outcome measures complementing established methods such as the mRSS.

trial registrationClinicaltrials.gov, NCT03644225, Registered 23 August 2018-Retrospectively registered, http://www.clinicaltrials.gov.

Indexed as

Scleroderma, SystemicSkin DiseasesFibrosisHumansReproducibility of ResultsSkinSuctionSkin fibrosisSkin stiffnessSuction measurementSystemic sclerosis

Identifiers

PMID32493508
PMCPMC7268280
OpenAlexW3029929706

What OpenQuestion holds

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Registered trials

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.