Evidence map›Paper›PMID 34727118›Full record

ArticlePloS one2021

Distribution of bony erosions in feet and performance of two bone erosion scores: A dual-energy computed tomography study of 61 patients with gout.

Amandine Chabernaud Negrier, Lokmane Taihi, Eric Vicaut, Pascal Richette, Thomas Bardin, Frédéric Lioté, Hang-Korng Ea, Valérie Bousson

Open access · goldAbstract read
In one paragraph

Article in PloS one, 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
0.3field-weighted citation impact, top 42% 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, 2 citations in OpenAlex.

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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

8 authors at 2 institutions in 1 country.

Amandine Chabernaud NegrierService de Radiologie, Hôpital Lariboisière, AP-HP.Nord-Université de Paris, Paris, France.
Lokmane TaihiService de Radiologie, Hôpital Lariboisière, AP-HP.Nord-Université de Paris, Paris, France.
Eric VicautUnité de Recherche Clinique, Hôpitaux Lariboisière, Fernand Widal, Saint Louis, AP-HP.Nord-Université de Paris, Paris, France.
Pascal RichetteService de Rhumatologie, INSERM UMR 1132, Hôpital Lariboisière, AP-HP.Nord-Université de Paris, Paris, France.
Thomas BardinService de Rhumatologie, INSERM UMR 1132, Hôpital Lariboisière, AP-HP.Nord-Université de Paris, Paris, France.
Frédéric LiotéService de Rhumatologie, INSERM UMR 1132, Hôpital Lariboisière, AP-HP.Nord-Université de Paris, Paris, France.
Hang-Korng EaService de Rhumatologie, INSERM UMR 1132, Hôpital Lariboisière, AP-HP.Nord-Université de Paris, Paris, France.
Valérie BoussonService de Radiologie, Hôpital Lariboisière, AP-HP.Nord-Université de Paris, Paris, France.ORCID 0000-0002-3068-0815
Inserm · FRUniversité Paris Cité · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo assess the distribution of bone erosions and two erosion scores in the feet of patients with gout and analyze the association between erosion scores and monosodium urate (MSU) crystal deposition using dual-energy computed tomography (DECT). MATERIALS AND

methodsWe included all patients who underwent DECT of both feet between 2016 and 2019 in our radiology department, with positive detection of MSU deposits. Data on sex, age, treatment, serum urate, and DECT urate volumes were obtained. CT images were analyzed to score bone erosions in 31 sites per foot by using the semi-quantitative method based on the Rheumatoid Arthritis MRI Scoring (RAMRIS) system and the Dalbeth-simplified score. Reproducibility for the two scores was calculated with intraclass correlation coefficients (ICCs). Correlations between clinical features, erosion scores and urate crystal volume were analyzed by the Spearman correlation coefficient (r).

resultsWe studied 61 patients (mean age 62.0 years); 3,751 bones were scored. The first metatarsophalangeal joint and the midfoot were the most involved in terms of frequency and severity of bone erosions. The distribution of bone erosions was not asymmetrical. The intra- and inter-observer reproducibility was similar for the RAMRIS and Dalbeth-simplified scores (ICC 0.93 vs 0.94 and 0.96 vs 0.90). DECT urate volume was significantly correlated with each of the two erosion scores (r = 0.58-0.63, p < 0.001). There was a high correlation between the two scores (r = 0.96, p < 0.001).

conclusionsDECT demonstrates that foot erosions are not asymmetric in distribution and predominate at the first ray and midfoot. The two erosion scores are significantly correlated with DECT urate volume. An almost perfect correlation between the RAMRIS and Dalbeth-simplified scores is observed.

Indexed as

GoutTomography, X-Ray ComputedUric AcidAdultAgedFemaleFootHumansMaleMetatarsophalangeal JointMiddle AgedReproducibility of ResultsRetrospective StudiesSeverity of Illness IndexUric Acid

Identifiers

PMID34727118
PMCPMC8562819
OpenAlexW3209775712

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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.