Evidence map›Paper›PMID 33310864›Full record

ArticleRMD open2020

No relationship between bone mineral density and syndesmophyte formation at the same level in the lumbar spine of patients with radiographic axial Spondyloarthritis.

Mary Lucy Marques, Sofia Ramiro, Pedro M Machado, Desirée van der Heijde, Floris A van Gaalen

Open access · goldAbstract read
In one paragraph

Article in RMD open, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.9field-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

5 citing papers in PubMed, 7 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

5 authors at 2 institutions in 4 countries.

Mary Lucy MarquesDepartment of Rheumatology, Leids Universitair Medisch Centrum, Leiden, Netherlands mary.lucy.marques@gmail.com.ORCID 0000-0002-3071-9425
Sofia RamiroDepartment of Rheumatology, Leids Universitair Medisch Centrum, Leiden, Netherlands.
Pedro M MachadoCentre for Rheumatology and Department of Neuromuscular Diseases, University College London, London, UK.ORCID 0000-0002-8411-7972
Desirée van der HeijdeDepartment of Rheumatology, Leids Universitair Medisch Centrum, Leiden, Netherlands.ORCID 0000-0002-5781-158X
Floris A van GaalenDepartment of Rheumatology, Leids Universitair Medisch Centrum, Leiden, Netherlands.ORCID 0000-0001-8448-7407
Leiden University Medical Center · NLUniversity College London Hospitals NHS Foundation Trust · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo investigate if in radiographic axial Spondyloarthritis (r-axSpA) low vertebral bone mineral density (BMD) is associated with development of new syndesmophytes at the same vertebral level.

methodsIn a post-hoc analysis from the ASSERT trial (infliximab vs placebo), dual-energy X-ray absorptiometry was used to measure baseline BMD (g/cm

resultsWe analysed 599 vertebrae in 165 r-axSpA patients (78% male, mean (SD) age 38 (10) years, 67% with at least one syndesmophyte anywhere in the spine). In total, 24 to 74 new syndesmophytes developed in 9 (5%) to 30 (18%) patients and 13 (2%) to 39 (7%) vertebrae, if either a syndesmophyte was seen by both or only one of the readers (ie, specific and sensitive definitions) respectively. In multivariable analyses, no association was found between baseline local vertebral BMD and new syndesmophyte formation after 2 years: adjOR (95% CI): 0.56 (0.01, 44.45) (specific definition) and 0.26 (0.03, 2.63) (sensitive definition).

conclusionIn patients with active and established r-axSpA, with an observed low incidence of lumbar spine syndesmophyte formation over 2 years, no relationship was found between baseline BMD and new radiographic syndesmophyte formation at the same vertebra.

Indexed as

SpondylarthritisSpondylitis, AnkylosingAbsorptiometry, PhotonAdultBone DensityFemaleHumansLumbar VertebraeMaleAnkylosingBone DensityInflammationSpondylitis

Identifiers

PMID33310864
PMCPMC7856152
OpenAlexW3111521494

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.