Evidence map›Paper›PMID 32978303›Full record

Observational studyRMD open2020

Vascular ultrasound for the diagnosis of giant cell arteritis: a reliability and agreement study based on a standardised training programme.

Stavros Chrysidis, Lene Terslev, Robin Christensen, Ulrich Fredberg, Knud Larsen, Tove Lorenzen, Uffe Møller Døhn, Andreas P Diamantopoulos

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in RMD open, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
1.6field-weighted citation impact, top 13% 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

16 citing papers in PubMed, 1 synthesis or guideline pooled it, 24 citations in OpenAlex.

  1. Pooled it
  2. Observational
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  14. Looking ahead: giant-cell arteritis in 10 years time.Therapeutic advances in musculoskeletal disease · 2022
    Review
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  16. Review
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

8 authors at 5 institutions in 2 countries.

Stavros ChrysidisDepartment of Rheumatology, Southwest Jutland Hospital Esbjerg, Esbjerg, Denmark Stavros.chrysidis@rsyd.dk.ORCID 0000-0001-8583-6517
Lene TerslevCopenhagen Center for Arthritis Research, Center for Rheumatology and Spine Diseases, Rigshospitalet Glostrup, Glostrup, Denmark.ORCID 0000-0001-8193-9471
Robin ChristensenMusculoskeletal Statistics Unit, Frederiksberg Hospital Parker Institute, Frederiksberg, Denmark.
Ulrich FredbergDepartment of Clinical Research, University of Southern Denmark, Odense, Denmark.
Knud LarsenDepartment of Ear Nose and Throat , Southwest Jutland Hospital Esbjerg, Esbjerg, Denmark.
Tove LorenzenDiagnostic Centre, University Research Clinic for Innovative Patient Pathways, Silkeborg Regional Hospital, Silkeborg, Denmark.
Uffe Møller DøhnCopenhagen Center for Arthritis Research, Center for Rheumatology and Spine Diseases, Rigshospitalet Glostrup, Glostrup, Denmark.
Andreas P DiamantopoulosDepartment of Rheumatology, Martina Hansens Hospital, Sandvika, Norway.
University of Southern Denmark · DKGlostrup Hospital · DKHospital South West Jutland · DKMartina Hansens Hospital · NORegionshospitalet Silkeborg · DK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo evaluate the impact of a standardised training programme including equipment adjustment for experienced musculoskeletal ultrasonographers without previous experience in vascular ultrasound (US) on the reliability of US in the diagnosis of giant cell arteritis (GCA).

methodsIn this prospective, non-interventional observational cohort study, patients suspected of GCA were evaluated by US by one of five rheumatologists with long-standing experience in musculoskeletal US (>8 years), trained using a standardised training programme including equipment adjustment. Images of cranial and large vessels were subsequently evaluated first by the performing ultrasonographer and thereafter by a blinded external expert (gold standard).

resultsIn three Danish centres, 112 patients suspected of GCA were included. According to the external expert, vasculitis changes were seen in 66 patients, in 45 of them with only cranial involvement, in 14 with both cranial and large vessel involvement, while in seven patients isolated large vessel vasculitis was found. The reliability was excellent between the local ultrasonographer and the US expert for the overall GCA diagnosis regarding the diagnosis of cranial and for large vessel GCA, with an interobserver agreement of 95-96%, mean kappa values of 0.88-0.92 (95% CI 0.78 to 0.99). Excellent reliability (mean kappa 0.86-1.00) was also found for the US examination of the individual arteries (temporal, facial, common carotid and axillary).

conclusionThe US training programme resulted in excellent agreement between trainees and an expert in patients suspected of GCA and may thus be applicable for implementation of vascular US in clinical practice.

Indexed as

Giant Cell ArteritisHumansProspective StudiesReproducibility of ResultsTemporal ArteriesUltrasonographyGiant Cell ArteritisSystemic vasculitisUltrasonography

Identifiers

PMID32978303
PMCPMC7539855
OpenAlexW3088864786

What OpenQuestion holds

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Registered trials

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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.