Evidence map›Paper›PMID 34441861›Full record

ReviewJournal of clinical medicine2021

Fatigue in Systemic Lupus Erythematosus and Rheumatoid Arthritis: A Comparison of Mechanisms, Measures and Management.

Mrinalini Dey, Ioannis Parodis, Elena Nikiphorou

Registry-linked trialAbstract readReview
In one paragraph

Review in Journal of clinical medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07398885 (Assessing the Impact of Herbal Supplement on Fatigue and Disease Activity in SLE), which is not on this map. Cited by 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed
–field-weighted citation impact
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.

NCT07398885 nacompletednot on this mapstarted 2024, after this paper: background citation

Assessing the Impact of Herbal Supplement on Fatigue and Disease Activity in SLE: Results From an 8-Week Randomized Trial

TypeinterventionalSponsorUniversity Tunis El ManarRan2024 to 2025Enrolled59ConditionsSystem, Lupus ErythematosusArmsEVACUR, PLACEBO
3 · Its place in the literature

Who cites it

23 citing papers in PubMed.

  1. Trial
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  4. Review
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  17. Article
  18. Impact of ΔBiomedicines · 2022
    Article
  19. Article
  20. 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

3 authors.

Mrinalini DeyInstitute of Life Course and Medical Sciences, University of Liverpool, Brownlow Hill, Liverpool L69 3BX, UK.ORCID 0000-0001-6858-4338
Ioannis ParodisDivision of Rheumatology, Department of Medicine Solna, Karolinska Institutet and Karolinska University Hospital, 171 76 Stockholm, Sweden.ORCID 0000-0002-4875-5395
Elena NikiphorouRheumatology Department, King's College Hospital, London SE5 9RJ, UK.

Funding

King Gustaf V's 80-year Foundation FAI-2019-0635National Institute for Health Research Academic Clinical FellowshipReumatikerförbundet R-932236Stiftelsen Professor Nanna Svartz Fond 2019-00290Ulla and Roland Gustafsson Foundation 2019-12
6 · The paper itself

Abstract

Fatigue is a common constitutional feature of systemic lupus erythematosus (SLE) and rheumatoid arthritis (RA). While the two diseases share a common mechanism of autoimmunity, they differ in their clinical manifestations and treatment. Fatigue is one of the most commonly reported symptoms in both groups, associated with pain, depression and anxiety, and affecting function, work and quality of life. Fatigue is not easy to assess or conceptualise. It can be linked to disease activity, although it is not always, and is challenging to treat. Several measures have been trialled in RA and SLE; however, none have been adopted into mainstream practice. Despite being a common symptom, fatigue remains poorly managed in both RA and SLE-more so in the latter, where there have been relatively fewer studies. Additionally, comorbidities contribute to fatigue, further complicating its management. Pain, depression and anxiety also need to be addressed, not as separate entities, but together with fatigue in a holistic manner. Here, we describe the similarities and differences between fatigue in patients with RA and SLE, discuss concepts and practices applicable to both conditions and identify areas for further research. Through this review, we aim to highlight the importance of the holistic management of fatigue in SLE.

Indexed as

disease activityfatiguepainpsychosocialquality of liferheumatoid arthritissystemic lupus erythematosus

Identifiers

PMID34441861
PMCPMC8396818

What OpenQuestion holds

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Registered trials

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.