Evidence map›Paper›PMID 33105057›Full record

Observational studyArthritis care & research2022

Treatment of Sarcoidosis in US Rheumatology Practices: Data From the American College of Rheumatology's Rheumatology Informatics System for Effectiveness (RISE) Registry.

Nevin Hammam, Michael Evans, Esi Morgan, Andreas Reimold, Christine Anastasiou, Julia L Kay, Jinoos Yazdany, Gabriela Schmajuk

Open access · greenAbstract readObservational Study
In one paragraph

Observational study in Arthritis care & research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 2 pooled it
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.

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

12 citing papers in PubMed, 2 syntheses or guidelines pooled it, 20 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Rheumatic Manifestations of Sarcoidosis.Diagnostics (Basel, Switzerland) · 2024
    Review
  6. Article
  7. Article
  8. Big data in sarcoidosis.Current opinion in pulmonary medicine · 2024
    Review
  9. A single-center rheumatology experience of sarcoidosis: observations from 70 patients.Sarcoidosis, vasculitis, and diffuse lung diseases : official journal of WASOG · 2023
    Article
  10. Review
  11. Review
  12. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 4 institutions in 1 country.

Nevin HammamUniversity of California, San Francisco.ORCID 0000-0002-7754-5581
Michael EvansUniversity of California, San Francisco.
Esi MorganUniversity of Cincinnati, Cincinnati, Ohio.ORCID 0000-0002-8235-1781
Andreas ReimoldDallas Veterans Affairs Medical Center and University of Texas Southwestern University Medical Center, Dallas, Texas.
Christine AnastasiouUniversity of California, San Francisco.
Julia L KayUniversity of California, San Francisco.
Jinoos YazdanyUniversity of California, San Francisco.ORCID 0000-0002-3508-4094
Gabriela SchmajukUniversity of California, San Francisco and San Francisco Veterans Affairs Medical Center, San Francisco, California.ORCID 0000-0003-2687-5043
University of California, San Francisco · USSan Francisco VA Medical Center · USUniversity Medical Center · USUniversity of Cincinnati · US

Funding

RESOURCE-BASED CENTER FOR THE ADVANCEMENT OF PRECISION MEDICINE IN RHEUMATOLOGYP30AR070155 · NIAMS · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI Mary C Nakamura · 2016 to 2026
$8.2M
ACADEMIC RHEUMATOLOGY AND CLINICAL IMMUNOLOGYT32AR007304 · NIAMS · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI DAIKH, DAVID I · 1986 to 2018
$6.0M
Advancing Quality and Outcomes Measurement in RheumatologyK24AR074534 · NIAMS · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI Jinoos Yazdany · 2019 to 2026
$1.5M
NIAMS NIH HHS K24 AR074534NIAMS NIH HHS P30 AR070155NIAMS NIH HHS T32 AR007304
6 · The paper itself

Abstract

objectiveSarcoidosis is often treated with glucocorticoids, although the use of biologics is growing. Prescribing patterns for biologics for patients with sarcoidosis in US rheumatology practices have never been examined. Given that there are no steroid-sparing US Food and Drug Administration-approved therapies for sarcoidosis, we sought to characterize the real-world treatment of sarcoidosis and to assess practice-level variation in prescribing patterns.

methodsWe conducted an observational study of patients with sarcoidosis using data from the Rheumatology Informatics System for Effectiveness (RISE) registry (2014-2018). The RISE registry represents an estimated 32% of the US clinical rheumatology workforce. Adult patients with ≥2 codes for sarcoidosis ≥30 days apart were included. We examined sarcoidosis-specific medication use at any time during the study period. Data were analyzed at the practice level.

resultsA total of 3,276 patients with sarcoidosis from 184 practices were included. Of those patients, 75.1% were women, with a mean age of 59.0 ± 12.5 years; 48.3% were White and 27.6% were Black. Overall, 59.3% of patients were prescribed glucocorticoids, and 24.7% received prolonged glucocorticoid therapy (≥10 mg/day for ≥90 days). In all, 12.1% received a biologic or targeted synthetic disease-modifying antirheumatic drug (tsDMARD), most commonly tumor necrosis factor inhibitors. There was wide practice-level variation among 31 practices with ≥30 patients with sarcoidosis; biologic use ranged from 15.6% to 69.2%. Infliximab represented the most common biologic prescribed.

conclusionIn a large sample of US rheumatology practices, 12.1% of patients with sarcoidosis received biologics or tsDMARDs. We found high variability in biologic use across practices. The significant use of long-term glucocorticoids suggests unmet therapeutic needs in this patient population.

Indexed as

AgedAntirheumatic AgentsBiological ProductsFemaleGlucocorticoidsHumansInformaticsMaleMiddle AgedPractice Patterns, Physicians'RegistriesRheumatologySarcoidosisUnited StatesAntirheumatic AgentsBiological ProductsGlucocorticoids

Identifiers

PMID33105057
PMCPMC8592780
OpenAlexW3094596144

What OpenQuestion holds

Textmetadata
LicenceTDM
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.