Evidence map›Paper›PMID 33155024›Full record

ArticleRheumatology (Oxford, England)2021

Disease frequency, patient characteristics, comorbidity outcomes and immunosuppressive therapy in systemic sclerosis and systemic sclerosis-associated interstitial lung disease: a US cohort study.

Qiang Li, Laura Wallace, Padmaja Patnaik, Margarida Alves, Martina Gahlemann, Veronika Kohlbrenner, Christina Raabe, Jocelyn R Wang, Elizabeth M Garry

Open access · hybridAbstract read
In one paragraph

Article in Rheumatology (Oxford, England), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 2 pooled it
2.0field-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

14 citing papers in PubMed, 2 syntheses or guidelines pooled it, 23 citations in OpenAlex.

  1. Effect of breathing exercises on patients with interstitial lung disease: A systematic review and meta-analysis.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2024
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  5. [Surgical Management of Lung Cancer in Patients with Interstitial Lung Disease].Zhongguo fei ai za zhi = Chinese journal of lung cancer · 2026
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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

9 authors at 5 institutions in 4 countries.

Qiang LiDepartment of Epidemiology, Boehringer Ingelheim (China) Investment Co. Ltd., Beijing, China.
Laura WallaceGlobal Epidemiology and Real World Evidence, Boehringer Ingelheim Pharmaceuticals Inc., Ridgefield, CT, USA.
Padmaja PatnaikGlobal Epidemiology and Real World Evidence, Boehringer Ingelheim Pharmaceuticals Inc., Ridgefield, CT, USA.
Margarida AlvesInflammation Medicine, Boehringer Ingelheim International GmbH, Ingelheim am Rhein, Germany.
Martina GahlemannMedicine, Boehringer Ingelheim (Schweiz) GmbH, Basel, Switzerland.
Veronika KohlbrennerGlobal Epidemiology and Real World Evidence, Boehringer Ingelheim Pharmaceuticals Inc., Ridgefield, CT, USA.
Christina RaabeInflammation Medicine, Boehringer Ingelheim International GmbH, Ingelheim am Rhein, Germany.
Jocelyn R WangScience, Aetion Inc., Boston, MA, USA.
Elizabeth M GarryScience, Aetion Inc., Boston, MA, USA.
Boehringer Ingelheim (United States) · USAetion (United States) · USBoehringer Ingelheim (Germany) · DEBoehringer Ingelheim (China) · CNBoehringer Ingelheim (Switzerland) · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo investigate prevalence estimates and incidence rates (IRs) for SSc and SSc-associated interstitial lung disease (SSc-ILD) cohorts and describe patient characteristics, immunosuppressive therapy (IST) and comorbid outcomes among incident SSc and SSc-ILD cohorts.

methodsData were obtained from the US IBM MarketScan (2008-2017) claims database using algorithms developed with expert consultation. For the SSc cohort, newly diagnosed patients (aged ≥18 years) had one or more diagnostic claim for SSc. For the SSc-ILD cohort, patients had an additional ILD claim. Sensitivity analyses using two or more claims or alternative ILD diagnostic codes were also conducted.

resultsWhen requiring one or more diagnostic claim, the prevalence of SSc and SSc-ILD per 100 000 persons was 72.1 and 19.0. The IR for SSc and SSc-ILD per 100 000 person-years was 18.3 and 4.3. Sensitivity analyses requiring two or more claims yielded much lower prevalence (SSc: 41.5; SSc-ILD: 13.3) and IR (SSc: 8.8; SSc-ILD: 1.6) estimates. Patients with SSc-ILD were older, with increased comorbidities and diagnostic procedures at baseline. MTX and MMF were the most common ISTs; 12.7% of the SSc-ILD cohort received therapy at baseline vs 8.2% for SSc. A total of 42.5% and 45.0% of the SSc and SSc-ILD cohorts, respectively, started a stable IST regimen and 21.7% and 19.4% of these had an escalation. Skin disorders were the most common comorbid outcome in both cohorts during follow-up.

conclusionsSSc, with or without associated ILD, is a rare disease in the US. Newly diagnosed patients with SSc-ILD had received more IST and had more comorbidities compared with newly diagnosed SSc.

Indexed as

ComorbidityFemaleHumansImmunosuppressive AgentsIncidenceLung Diseases, InterstitialMaleMiddle AgedPrevalenceScleroderma, SystemicSex FactorsTreatment OutcomeUnited StatesImmunosuppressive Agentsepidemiologyinterstitial lung diseaserare diseaserheumatologysclerodermasystemic sclerosis

Identifiers

PMID33155024
PMCPMC8023990
OpenAlexW3094765554

What OpenQuestion holds

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LicenceCC BY-NC
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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.