Evidence map›Paper›PMID 32999885›Full record

ArticleInflammatory intestinal diseases2020

Low Back Pain and Sacroiliitis on Cross-Sectional Abdominal Imaging for Axial Spondyloarthritis Diagnosis in Inflammatory Bowel Diseases.

Marine Fauny, Nicolas Cohen, Caroline Morizot, Sophie Leclerc-Jacob, Daniel Wendling, Guillaume Lux, Valérie Laurent, Alain Blum, Patrick Netter, Cédric Baumann and 3 more

Open access · goldAbstract read
In one paragraph

Article in Inflammatory intestinal diseases, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.1field-weighted citation impact, top 23% 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

3 citing papers in PubMed, 10 citations in OpenAlex.

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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

13 authors at 5 institutions in 1 country.

Marine FaunyDepartment of Rheumatology, IMoPA, University Hospital of Nancy, Lorraine University, Nancy, France.
Nicolas CohenDepartment of Rheumatology, IMoPA, University Hospital of Nancy, Lorraine University, Nancy, France.
Caroline MorizotDepartment of Rheumatology, IMoPA, University Hospital of Nancy, Lorraine University, Nancy, France.
Sophie Leclerc-JacobDepartment of Rheumatology, IMoPA, University Hospital of Nancy, Lorraine University, Nancy, France.
Daniel WendlingDepartment of Rheumatology, University Hospital of Besancon, Besancon, France.
Guillaume LuxDepartment of Radiology, IMoPA, University Hospital of Nancy, Lorraine University, Nancy, France.
Valérie LaurentDepartment of Radiology, IMoPA, University Hospital of Nancy, Lorraine University, Nancy, France.
Alain BlumDepartment of Radiology, IMoPA, University Hospital of Nancy, Lorraine University, Nancy, France.
Patrick NetterIngénierie Moléculaire et Ingénierie Articulaire (IMoPA), UMR-7365 CNRS, Faculté de Médecine, University of Lorraine and University Hospital of Nancy, Nancy, France.
Cédric BaumannUnity of Methodology, Data Management and Statistic, University Hospital of Nancy, Nancy, France.
Isabelle Chary-ValckenaereDepartment of Rheumatology, IMoPA, University Hospital of Nancy, Lorraine University, Nancy, France.
Laurent Peyrin-BirouletDepartment of Gastroenterology and Hepatology, Inserm NGERE, University Hospital of Nancy, Lorraine University, Nancy, France.
Damien LoeuilleDepartment of Rheumatology, IMoPA, University Hospital of Nancy, Lorraine University, Nancy, France.
Ingénierie Moléculaire et Physiopathologie Articulaire · FRCentre National de la Recherche Scientifique · FRCentre Hospitalier Régional et Universitaire de Nancy · FRCentre Hospitalier Universitaire de Besançon · FRInserm · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundJoint damage is the most frequent extraintestinal manifestation in inflammatory bowel disease (IBD).

aimsThe aim of the study was to assess the value of low back pain (LBP) associated with sacroiliitis on abdominal imaging for the diagnosis of spondyloarthritis (SpA) in IBD.

methodsWe used a questionnaire assessing rheumatological symptoms for all patients with abdominal computed tomography (CT) and magnetic resonance enterography (MRE). Sacroiliitis was assessed on available CT and MRE. Patients were classified as axial SpA according to the Assessment of SpondyloArthritis International Society criteria.

resultsFifty-one patients completed the questionnaire and performed both exams. LBP was present in 27 patients (52.9%), and 10 (19.6%) had an inflammatory component. Sacroiliitis was reported in 12 patients (23.5%), and 6 of them suffered from LBP. Among the 20 patients referred to the rheumatologist, 11 patients suffered from LBP. One patient was HLA-B27 positive and presented sacroiliitis. For the last 10 patients, none of them had a sacroiliitis, and 2 patients were negative for HLA-B27.

conclusionAn axial SpA has been diagnosed in 11.8% of IBD patients undergoing cross-sectional imaging, whereas one-fifth had inflammatory LBP, and sacroiliitis was observed in one-quarter of them. To optimize the diagnosis of axial SpA, HLA-B27 testing might be required for patients with both IBD and LBP, but this will require further investigation before its implementation in routine practice.

Indexed as

ImageryInflammatory bowel diseaseSacroiliitisSpondyloarthritis

Identifiers

PMID32999885
PMCPMC7506218
OpenAlexW3032971546

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.