Evidence map›Paper›PMID 34409342›Full record

ArticleJAAD international2020

Quantifying the natural variation in lesion counts over time in untreated hidradenitis suppurativa: Implications for outcome measures and trial design.

John W Frew, Caroline S Jiang, Neha Singh, Kristina Navrazhina, Roger Vaughan, James G Krueger

Open access · goldAbstract read
In one paragraph

Article in JAAD international, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 2 pooled it
1.2field-weighted citation impact, top 18% 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, 2 syntheses or guidelines pooled it, 16 citations in OpenAlex.

  1. Australasian hidradenitis suppurativa management guidelines.The Australasian journal of dermatology · 2025
    Guideline
  2. Pooled it
  3. Article
  4. Article
  5. Review
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

6 authors at 2 institutions in 1 country.

John W FrewLaboratory of Investigative Dermatology, Rockefeller University, New York, New York.
Caroline S JiangDepartment of Biostatistics, Rockefeller University, New York, New York.
Neha SinghDepartment of Biostatistics, Rockefeller University, New York, New York.
Kristina NavrazhinaWeill Cornell/Rockefeller/Sloan Kettering Tri-Institutional MD-PhD Program, Weill Cornell, New York, New York.
Roger VaughanDepartment of Biostatistics, Rockefeller University, New York, New York.
James G KruegerLaboratory of Investigative Dermatology, Rockefeller University, New York, New York.
Rockefeller University · USCornell University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHidradenitis suppurativa (HS) demonstrates high placebo response rates in clinical trials, possibly due to the natural variability of the disease. No quantification of variability in lesion counts of untreated disease has been undertaken.

objectiveTo quantify the variability of untreated HS.

methodsDeidentified individual patient data from the placebo arms of PIONEER studies were analyzed, and measurements of within-subject coefficients of variation were examined. Variability was stratified by disease-associated variables (Hurley stage, BMI, sex, smoking, family history) and body site.

resultsAnalysis of within-subject coefficients of variation demonstrated that half of the participants had a middle spread [difference between 75 LIMITATIONS: Limitations include the use of precollected clinical trial data.

conclusionThe within-subject variability of the lesion counts in untreated HS was greater than previously appreciated. This has profound effects on outcome measures and the conduct of future clinical trials of HS.

Indexed as

acne inversaAN, abscess and noduleclinical trialsCVm, median absolute deviation divided by the medianCVq, interquartile range divided by the medianhidradenitis suppurativaHiSCR, hidradenitis suppurativa clinical responseHS, hidradenitis suppurativaIQR, interquartile rangeMAD, median absolute deviationnatural historyvariability

Identifiers

PMID34409342
PMCPMC8361889
OpenAlexW3091647130

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.