Evidence map›Paper›PMID 33538130›Full record

ArticleACR open rheumatology2021

A Multianalyte Assay Panel With Cell-Bound Complement Activation Products Predicts Transition of Probable Lupus to American College of Rheumatology-Classified Lupus.

Rosalind Ramsey-Goldman, Roberta Vezza Alexander, John Conklin, Cristina Arriens, Sonali Narain, Elena M Massarotti, Daniel J Wallace, Christopher E Collins, Amit Saxena, Chaim Putterman and 3 more

Open access · goldAbstract read
In one paragraph

Article in ACR open rheumatology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.9field-weighted citation impact, top 28% 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

3 citing papers in PubMed, 5 citations in OpenAlex.

  1. Article
  2. Observational
  3. Article
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

13 authors at 10 institutions in 1 country.

Rosalind Ramsey-GoldmanFeinberg School of Medicine, Northwestern University, Chicago, Illinois.
Roberta Vezza AlexanderExagen, Inc, Vista, California.ORCID https://orcid.org/0000-0001-8827-8637
John ConklinExagen, Inc, Vista, California.
Cristina ArriensOklahoma Medical Research Foundation, Oklahoma City.ORCID https://orcid.org/0000-0002-9546-1664
Sonali NarainHofstra Northwell School of Medicine, Great Neck, New York.
Elena M MassarottiBrigham and Women's Hospital, Boston, Massachusetts.
Daniel J WallaceCedars Sinai Medical Center, Los Angeles, California.ORCID https://orcid.org/0000-0002-2502-1372
Christopher E CollinsMedStar Washington Hospital Center, Washington, District of Columbia.
Amit SaxenaNew York University School of Medicine, New York.
Chaim PuttermanAlbert Einstein College of Medicine and Montefiore Medical Center, Bronx, New York, Azrieli School of Medicine, Safed, Israel, and Galillee Medical Center, Nahariya, Israel.
Kelley BradyExagen, Inc, Vista, California.
Kenneth C KalunianUniversity of California San Diego, La Jolla.
Arthur WeinsteinExagen, Inc, Vista, California, and Loma Linda University, Loma Linda, California.ORCID https://orcid.org/0000-0002-7248-6623
Albert Einstein College of Medicine · USBrigham and Women's Hospital · USCedars-Sinai Medical Center · USHofstra University · USLoma Linda University · USMedStar Washington Hospital Center · USNew York University · USNorthwestern University · USOklahoma Medical Research Foundation · USUniversity of California San Diego · US

Funding

Exagen Inc
6 · The paper itself

Abstract

objectiveTo evaluate the usefulness of biomarkers to predict the evolution of patients suspected of systemic lupus erythematosus (SLE), designated as probable SLE (pSLE), into classifiable SLE according to the American College of Rheumatology (ACR) classification criteria.

methodsPatients suspected of SLE were enrolled by lupus experts if they fulfilled three ACR criteria for SLE and were followed for approximately 1-3 years to evaluate transition into ACR-classifiable SLE. Individual cell-bound complement activation products (CB-CAPs), serum complement proteins (C3 and C4), and autoantibodies were measured by flow cytometry, turbidimetry, and enzyme-linked immunosorbent assay, respectively. Blood levels of hydroxychloroquine (HCQ) were measured by mass spectrometry. A multianalyte assay panel (MAP), which includes CB-CAPs, was also evaluated. A MAP of greater than 0.8 reflected the optimal cutoff for transition to SLE. Time to fulfillment of ACR criteria was evaluated by Kaplan-Meier analysis and Cox proportional hazards model.

resultsOf the 92 patients with pSLE enrolled, 74 had one or two follow-up visits 9-35 months after enrollment for a total of 128 follow-up visits. Overall, 28 patients with pSLE (30.4%) transitioned to ACR-classifiable SLE, including 16 (57%) in the first year and 12 (43%) afterwards. A MAP score of greater than 0.8 at enrollment predicted transition to classifiable SLE during the follow-up period (hazard ratio = 2.72; P = 0.012), whereas individual biomarkers or fulfillment of Systemic Lupus International Collaborating Clinics criteria did not. HCQ therapy was not associated with the prevention of transition to SLE.

conclusionApproximately one-third of patients with pSLE transitioned within the study period. MAP of greater than 0.8 predicted disease evolution into classifiable SLE.

Identifiers

PMID33538130
PMCPMC7882535
OpenAlexW3129100984

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.