Evidence map›Paper›PMID 32594219›Full record

Observational studyRheumatology international2020

Trends in idiopathic inflammatory myopathies: cross-sectional data from the German National Database.

Katinka Albrecht, Dörte Huscher, Johanna Callhoff, Jutta G Richter, Tobias Alexander, Jörg Henes, Angela Zink

Open access · hybridAbstract readObservational Study
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 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
2.9field-weighted citation impact, top 8% 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

18 citing papers in PubMed, 1 synthesis or guideline pooled it, 31 citations in OpenAlex.

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  17. [Clinical and immunological characteristics of 88 cases of overlap myositis].Beijing da xue xue bao. Yi xue ban = Journal of Peking University. Health sciences · 2021
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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

7 authors at 4 institutions in 1 country.

Katinka AlbrechtGerman Rheumatism Research Centre, Epidemiology Unit, Charitéplatz 1, 10117, Berlin, Germany. albrecht@drfz.de.ORCID https://orcid.org/0000-0003-0886-0294
Dörte HuscherCharité Universitätsmedizin, Institute of Biostatistics and Clinical Epidemiology, Berlin, Germany.ORCID https://orcid.org/0000-0001-9070-0761
Johanna CallhoffGerman Rheumatism Research Centre, Epidemiology Unit, Charitéplatz 1, 10117, Berlin, Germany.ORCID https://orcid.org/0000-0002-3923-2728
Jutta G RichterMedical Faculty, Policlinic for Rheumatology and Hiller Research Centre for Rheumatology, Heinrich-Heine-University Duesseldorf, Duesseldorf, Germany.
Tobias AlexanderDepartment of Rheumatology and Clinical Immunology, Charité Universitätsmedizin, Berlin, Germany.ORCID https://orcid.org/0000-0003-1193-0097
Jörg HenesDepartment of Rheumatology and Clinical Immunology, Eberhard Karls-University of Tuebingen, Tuebingen, Germany.
Angela ZinkGerman Rheumatism Research Centre, Epidemiology Unit, Charitéplatz 1, 10117, Berlin, Germany.ORCID https://orcid.org/0000-0001-7072-9022
German Rheumatism Research Centre · DECharité - Universitätsmedizin Berlin · DEHeinrich Heine University Düsseldorf · DEUniversity of Tübingen · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo describe trends in outcomes among patients with idiopathic inflammatory myopathies (IIM) over two decades.

methodsFrom 1997 to 2017, a total of 1079 IIM patients were documented in the National Database of the German Collaborative Arthritis Centers. Annual cross-sectional data on treatment, disease activity, patient-reported outcomes, hospitalization and employment were compared across the years. Information on phenotypes, organ manifestations and autoantibodies was collected for a subset to compare the assessment of global health, pain, fatigue and sleeping disorders.

resultsIn 2017, significantly more IIM patients were assessed to be in low disease activity (94%) than in 1997 (59%), p < 0.01. Pain (p = 0.001), global health (p = 0.049), fatigue (p = 0.03) and sleeping disorders (p = 0.01) also improved since recording. Glucocorticoid use decreased from 84 to 58% (p < 0.01). Employment in patients < 65 years remained unchanged (53%), while early retirement (23-9%), hospitalization/year (34-18%) and sick leave (52-24%) decreased. A total of 186 patients with information on subtypes were classified as polymyositis (44%), dermatomyositis (33%), anti-synthetase syndrome (10%), overlapping-myositis (8%), inclusion body myositis (2%), necrotizing myositis (0.5%) and unspecific (3%). The most frequently reported symptoms were limitations in global health (60%), fatigue (57%) and sleeping disorders (51%), and all of them were most frequent in overlap-myositis. Pulmonary hypertension and cardiomyopathy were associated with poor outcomes regarding global health, daily activities and fatigue.

conclusionIIM patients report better outcomes than 20 years ago, along with good physician-reported disease control. Global health, fatigue and sleeping disorders are relevant patient-reported domains in IIM.

Indexed as

Patient Reported Outcome MeasuresCross-Sectional StudiesDatabases, FactualFatigueFemaleGermanyHumansLongitudinal StudiesMaleMiddle AgedMyositisPain MeasurementSeverity of Illness IndexSleep Wake DisordersDermatomyositisIdiopathic inflammatory myopathiesPatient-reported outcomesPolymyositis

Identifiers

PMID32594219
PMCPMC7452918
OpenAlexW3037752984

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.