Evidence map›Paper›PMID 32699830›Full record

ArticleBMC rheumatology2020

Line blot immunoassays in idiopathic inflammatory myopathies: retrospective review of diagnostic accuracy and factors predicting true positive results.

Fergus To, Clara Ventín-Rodríguez, Shuayb Elkhalifa, James B Lilleker, Hector Chinoy

Open access · goldAbstract read
In one paragraph

Article in BMC rheumatology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
2.6field-weighted citation impact, top 9% 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

14 citing papers in PubMed, 1 synthesis or guideline pooled it, 32 citations in OpenAlex.

  1. Defining anti-synthetase syndrome: a systematic literature review.Clinical and experimental rheumatology · 2022
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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

5 authors at 4 institutions in 3 countries.

Fergus ToDivision of Rheumatology, University of British Columbia Division of Rheumatology, University of British Columbia, 802 - 1200 Burrard Street, Vancouver, BC V6Z 2C7 Canada.ORCID https://orcid.org/0000-0001-8860-3209
Clara Ventín-RodríguezComplejo Hospitalario Universitario de A Coruña, Xubias de Arriba, 84, 15006 A Coruña, Spain.
Shuayb ElkhalifaDepartment of Immunology, Salford Royal NHS Foundation Trust, 2nd floor, Turnberg Building, Stott Lane, Salford, M68HD UK.ORCID https://orcid.org/0000-0002-6292-6795
James B LillekerCentre for Musculoskeletal Research, School of Biological Sciences, Faculty of Biology, Medicine and Health, Manchester Academic Health Science Centre, The University of Manchester, Stopford Building, 99 Oxford Rd, Manchester, M13 9PG UK.ORCID https://orcid.org/0000-0002-9230-4137
Hector ChinoyNational Institute for Health Research Manchester Biomedical Research Centre, Manchester University NHS Foundation Trust, The University of Manchester, Manchester, UK.ORCID https://orcid.org/0000-0001-6492-1288
Manchester Academic Health Science Centre · GBComplexo Hospitalario Universitario A Coruña · ESSalford Royal NHS Foundation Trust · GBUniversity of British Columbia · CA

Funding

Medical Research Council MR/N003322/1
6 · The paper itself

Abstract

backgroundLine blot immunoassays (LIA) for myositis-specific (MSA) and myositis-associated (MAA) autoantibodies have become commercially available. In the largest study of this kind, we evaluated the clinical performance of a widely used LIA for MSAs and MAAs.

methodsAdults tested for MSA/MAA by LIA at a tertiary myositis centre (January 2016-July 2018) were identified. According to expert-defined diagnoses, true and false positive rates were calculated for strongly and weakly positive autoantibody results within three cohorts: idiopathic inflammatory myopathy (IIM), connective tissue disease (CTD) without myositis, and non-CTD/IIM. Factors associated with true positivity were determined.

resultsWe analysed 342 cases. 67 (19.6%) had IIM, in whom 71 autoantibodies were detected (50 strong positives [70.4%], 21 weak positives [29.6%]). Of the strong positives, 48/50 (96.0%; 19 MSAs, 29 MAAs) were deemed true positives. Of the weak positives, 15/21 (71.4%; 3 MSAs, 12 MAAs) were deemed true positives.In CTD without myositis cases (

conclusionsWe demonstrated the high specificity of a myositis LIA in a clinical setting. However, a significant burden of false positive results was evident in those with a low pre-test likelihood of IIM and for weakly positive autoantibodies.

Indexed as

Idiopathic inflammatory myopathyImmunoblotting; myositis; autoantibodiesInflammatory muscle diseaseLine blot immunoassay

Identifiers

PMID32699830
PMCPMC7370419
OpenAlexW3043780942

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.