Evidence map›Paper›PMID 33496875›Full record

ReviewCurrent rheumatology reports2021

Diffuse Idiopathic Skeletal Hyperostosis (DISH) and a Possible Inflammatory Component.

Reuven Mader, Nicola Pappone, Xenofon Baraliakos, Iris Eshed, Piercarlo Sarzi-Puttini, Fabiola Atzeni, Amir Bieber, Irina Novofastovski, David Kiefer, Jorrit-Jan Verlaan and 4 more

Abstract readReview
PubMed Publisher
In one paragraph

Review in Current rheumatology reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed
7.5field-weighted citation impact, top 2% 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

34 citing papers in PubMed, 58 citations in OpenAlex.

  1. Article
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  11. Observational
  12. Relationship between diffuse idiopathic skeletal hyperostosis and lumbar paravertebral muscle fat infiltration: a CT-based retrospective study.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2025
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  19. Observational
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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

14 authors at 11 institutions in 6 countries.

Reuven MaderRheumatic Diseases Unit, Ha'Emek MC, Afula, Israel. reuven.mader@gmail.com.
Nicola PapponeIstituti Clinici Scientifici Maugeri IRCCS, Pavia, Italy.
Xenofon BaraliakosRheumazentrum Ruhrgebiet, Ruhr-Universität Bochum, Bochum, Germany.
Iris EshedDepartment of Radiology, Musculoskeletal imaging Unit, Sheba Medical Center, Tel Aviv University, Tel Aviv, Israel.
Piercarlo Sarzi-PuttiniRheumatology Unit, L. Sacco University Hospital of Milan, Milan, Italy.
Fabiola AtzeniRheumatology Unit, University of Messina, Messina, Italy.
Amir BieberRheumatic Diseases Unit, Ha'Emek MC, Afula, Israel.
Irina NovofastovskiRheumatic Diseases Unit, Ha'Emek MC, Afula, Israel.
David KieferRheumazentrum Ruhrgebiet, Ruhr-Universität Bochum, Bochum, Germany.
Jorrit-Jan VerlaanDepartment of Orthopedics, University Medical Center Utrecht, Utrecht, The Netherlands.
Pasquale AmbrosinoIstituti Clinici Scientifici Maugeri IRCCS, Pavia, Italy.
Dan BuskilaBen Gurion University of the Negev, Beer-Sheva, Israel.
Jacome Bruges ArmasMedicine, Rheumatology, SEEBMO, Hospital de Santo Espirito da ilha Terceira, Universidade do Porto, Angra do Heroismo, Portugal.
Muhammad Asim KhanCase Western Reserve University, Cleveland, OH, USA.
Emek Medical Center · ILIstituti Clinici Scientifici Maugeri · ITBen-Gurion University of the Negev · ILCase Western Reserve University · USHospital de Santo Espirito de Angra do Heroísmo · PTLuigi Sacco Hospital · ITRheumazentrum Ruhrgebiet · DERuhr University Bochum · DETel Aviv University · ILUniversity Medical Center Utrecht · NLUniversity of Messina · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purpose of reviewDiffuse Idiopathic Skeletal Hyperostosis (DISH) is considered a metabolic condition, characterized by new bone formation affecting mainly at entheseal sites. Enthesitis and enthesopathies occur not only in the axial skeleton but also at some peripheral sites, and they resemble to some extent the enthesitis that is a cardinal feature in spondyloarthritis (SpA), which is an inflammatory disease. RECENT

findingsWe review the possible non-metabolic mechanism such as inflammation that may also be involved at some stage and help promote new bone formation in DISH. We discuss supporting pathogenic mechanisms for a local inflammation at sites typically affected by this disease, and that is also supported by imaging studies that report some similarities between DISH and SpA. Local inflammation, either primary or secondary to metabolic derangements, may contribute to new bone formation in DISH. This new hypothesis is expected to stimulate further research in both the metabolic and inflammatory pathways in order to better understand the mechanisms that lead to new bone formation. This may lead to development of measures that will help in earlier detection and effective management before damage occurs.

Indexed as

EnthesopathyHyperostosis, Diffuse Idiopathic SkeletalSpondylarthritisDiagnostic ImagingHumansAnkylosing hyperostosisAnkylosing spondylitisDiffuse Idiopathic Skeletal HyperostosisDISHEnthesisLigamentous ossificationSpondyloarthritis

Identifiers

PMID33496875
OpenAlexW3125232406

What OpenQuestion holds

Textmetadata
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.