Evidence map›Paper›PMID 33547118›Full record

ArticleBMJ case reports2021

Delayed diagnosis of rheumatoid arthritis in an elderly patient presenting with weakness and desolation.

Sebastian Stiebitz, Tasslem von Streng, Moritz Strickler

Open access · greenAbstract readCase Reports
PubMed Full text at PMC Publisher
In one paragraph

Article in BMJ case reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.2field-weighted citation impact, top 52% 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

2 citing papers in PubMed, 3 citations in OpenAlex.

  1. Review
  2. 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

3 authors at 3 institutions in 1 country.

Sebastian StiebitzUniversitäre Altersmedizin Felix Platter, Basel, Basel-Stadt, Switzerland sebastian.stiebitz@felixplatter.ch.ORCID http://orcid.org/0000-0002-9178-6875
Tasslem von StrengPsychiatriezentrum Münsingen, Munsingen, Bern, Switzerland.
Moritz StricklerGeriatric Department, Solothurner Spitäler AG, Solothurn, Switzerland.
Felix Platter-Hospital · CHPsychiatriezentrum Münsingen · CHSolothurner Spitäler · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We describe the case of an 81-year-old man who presented with unspecific symptoms of desolation and general weakness, which led to a delayed diagnosis of rheumatoid arthritis (RA). The patient had not received any previous treatment as he had not been in contact with medical services for several years prior to hospital admission. This enabled advanced disease manifestations to develop, including peripheral neuropathy with distal paraparesis, lethargy and weight loss. These signs and symptoms were later recognised as extra-articular manifestations of RA and classical features of RA were less pronounced. Following extensive diagnostic testing ruling out other possible causes for the presenting symptoms, an anti-inflammatory therapy with oral glucocorticoids and methotrexate was started.

Indexed as

Aged, 80 and overAntirheumatic AgentsArthritis, RheumatoidBiomarkersDelayed DiagnosisDepressionDiagnosis, DifferentialDiagnostic ImagingGlucocorticoidsHumansMaleMethotrexateMuscle WeaknessAntirheumatic AgentsBiomarkersGlucocorticoidsMethotrexategeneral practice / family medicinegeriatric medicinerheumatoid arthritis

Identifiers

PMID33547118
PMCPMC7871278
OpenAlexW3127098458

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.