Evidence map›Paper›PMID 34897381›Full record

Observational studyRheumatology (Oxford, England)2022

Characteristics of patients with axial spondyloarthritis by geographic regions: PROOF multicountry observational study baseline results.

Denis Poddubnyy, Joachim Sieper, Servet Akar, Santiago Muñoz-Fernández, Hildrun Haibel, Maja Hojnik, Fabiana Ganz, Robert D Inman

Open access · hybridAbstract readObservational Study
In one paragraph

Observational study in Rheumatology (Oxford, England), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed
5.8field-weighted citation impact, top 3% 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

26 citing papers in PubMed, 48 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 5 institutions in 4 countries.

Denis PoddubnyyDivision of Gastroenterology, Infectious Diseases and Rheumatology, Charité-Universitätsmedizin Berlin.ORCID 0000-0002-4537-6015
Joachim SieperDivision of Gastroenterology, Infectious Diseases and Rheumatology, Charité-Universitätsmedizin Berlin.
Servet AkarDepartment of Internal Medicine, Division of Rheumatology, Izmir Katip Celebi University, Izmir, Turkey.
Santiago Muñoz-FernándezServicio de Reumatología, Hospital Universitario Infanta Sofía, Universidad Europea, Madrid, Spain.ORCID 0000-0002-2758-2085
Hildrun HaibelDivision of Gastroenterology, Infectious Diseases and Rheumatology, Charité-Universitätsmedizin Berlin.ORCID 0000-0002-5180-1831
Maja HojnikGlobal Medical Affairs Rheumatology, AbbVie Inc., Ljubljana, Slovenia.
Fabiana GanzGlobal Medical Affairs, AbbVie Inc., Baar, Switzerland.
Robert D InmanSchroeder Arthritis Institute, University Health Network, University of Toronto, Toronto, ON, Canada.
Charité - Universitätsmedizin Berlin · DEGerman Rheumatism Research Centre · DEHospital Universitario Infanta Sofía · ESIzmir Kâtip Çelebi University · TRUniversity Health Network · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo compare demographic and clinical characteristics of patients with axial SpA (axSpA) across geographic regions.

methodsPatients With Axial Spondyloarthritis: Multicountry Registry of Clinical Characteristics (PROOF) is an observational study that enrolled recently diagnosed (≤1 year) axSpA patients fulfilling the Assessment of SpondyloArthritis international Society classification criteria from rheumatology clinical practices in 29 countries across six geographic regions. Demographics and disease-related parameters were collected. Here we present baseline data for patients who were classified as radiographic axSpA (r-axSpA) or non-radiographic axSpA (nr-axSpA) confirmed by central reading.

resultsOf the 2170 patients enrolled, 1553 were classified based on central evaluation of sacroiliac radiographs [r-axSpA: 1023 (66%); nr-axSpA: 530 (34%)]. Patients with nr-axSpA had a significantly higher occurrence of enthesitis (40% vs 33%), psoriasis (10% vs 5%) and IBD (4% vs 2%) vs r-axSpA patients. Significant differences in axSpA characteristics were observed between geographic regions. The highest occurrence of peripheral arthritis (60%), enthesitis (52%) and dactylitis (12%) was in Latin America, and the lowest was in Canada (9%, 9% and 2%, respectively). The occurrence of uveitis and psoriasis was highest in Canada (18% and 14%, respectively) and lowest in China (6% and <1%, respectively). IBD was highest in Arabia (21%), and no cases were observed in China. In multivariable analysis adjusted for factors potentially affecting peripheral and extramusculoskeletal manifestations, geographic regions still exhibited significant differences in frequencies of uveitis (P < 0.01), psoriasis (P < 0.0001) and peripheral arthritis (P < 0.0001).

conclusionThe multinational PROOF study of axSpA patients showed significant regional differences in peripheral and extramusculoskeletal manifestations of SpA, which could be considered in management guidelines and clinical trials.

Indexed as

Axial SpondyloarthritisInflammatory Bowel DiseasesPsoriasisSpondylarthritisSpondylitis, AnkylosingHumansRadiographyaxial spondyloarthritischaracteristicsdemographicsnon-radiographicradiographic

Identifiers

PMID34897381
PMCPMC9348765
OpenAlexW4200568789

What OpenQuestion holds

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LicenceCC BY-NC
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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.