Evidence map›Paper›PMID 33526620›Full record

ArticleThe Journal of rheumatology2021

Clinical Bedside Tools to Assess Systemic Sclerosis Vasculopathy: Can Digital Thermal Monitoring and Sublingual Microscopy Identify Patients With Digital Ulcers?

Tracy M Frech, Zhining Ou, Angela P Presson

Open access · bronzeAbstract read
In one paragraph

Article in The Journal of rheumatology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
0.2field-weighted citation impact, top 55% 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

0 citing papers in PubMed, 1 citations in OpenAlex.

No citing paper in PubMed yet.

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

3 authors at 1 institution in 1 country.

Tracy M FrechT.M. Frech, MD, MS, Department of Internal Medicine, Division of Rheumatology, University of Utah; tracy.frech@hsc.utah.edu.ORCID 0000-0002-5472-3840
Zhining OuZ. Ou, MS, A.P. Presson, PhD, MS, Department of Internal Medicine, Division of Epidemiology, University of Utah, Salt Lake City, Utah, USA.
Angela P PressonZ. Ou, MS, A.P. Presson, PhD, MS, Department of Internal Medicine, Division of Epidemiology, University of Utah, Salt Lake City, Utah, USA.
University of Utah · US

Funding

Utah Center for Clinical and Translational ScienceUL1TR002538 · NCATS · UNIVERSITY OF UTAH · PI HESS, RACHEL, MAJERSIK, JENNIFER JUHL · 2018 to 2022
$26.0M
Systemic Sclerosis (SSc) Vasculopathy: Improved Clinical Monitoring and TreatmentK23AR067889 · NIAMS · UNIVERSITY OF UTAH · PI FRECH, TRACY MINAN · 2016 to 2020
$881k
Systemic sclerosis (SSc) vasculopathy: Improved clinical monitoring and treatmentI01CX001183 · VA · VA SALT LAKE CITY HEALTHCARE SYSTEM · PI FRECH, TRACY MINAN · 2016 to 2020
–
CSRD VA I01 CX001183NCATS NIH HHS UL1 TR002538NIAMS NIH HHS K23 AR067889
6 · The paper itself

Abstract

objectiveSublingual microscopy assesses systemic sclerosis (SSc) vasculopathy. Digital thermal monitoring (DTM) may identify patients at risk for digital ulcer (DU). The purpose of this analysis was to assess sublingual microscopy and DTM in SSc patients with and without previous DU in order to determine the utility of these clinical tools.

methodsSSc registry patients with clinical data who had both DTM and sublingual microscopy on the same day were included in this cross-sectional analysis. DTM quantifies vascular reactivity index (VRI). Sublingual microscopy measures longitudinal red blood cell fraction (RBCfract) and perfused boundary region (PBR). We evaluated the pairwise association between VRI, RBCfract, and PBR in a monotonic relationship using Spearman rank correlation in the DU subset. Correlation coefficients (r

resultsNinety patients were included; 29 had digital pits and/or active DU and 61 never had a DU. The only significant clinical feature associated with DU was modified Rodnan skin score (

conclusionDTM is a useful tool for assessing SSc-DU. While sublingual microscopy measurements did not significantly correlate to VRI in patients with SSc-DU, a longitudinal study may be more helpful in capturing vasculopathy activity prior to possible irreversible damage.

Indexed as

MicroscopyScleroderma, SystemicCross-Sectional StudiesHumansLongitudinal StudiesUlcermicroscopyRaynaud phenomenonsystemic sclerosis

Identifiers

PMID33526620
PMCPMC8325717
OpenAlexW3127167953

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.