Evidence map›Paper›PMID 34909566›Full record

ArticleRheumatology advances in practice2021

Clinical presentation and treatment response in patients with polymyalgia rheumatica and giant cell arteritis during a 40-week follow-up.

Amir Emamifar, Søren Hess, Torkell Ellingsen, Oke Gerke, Ziba Ahangarani Farahani, Per Syrak Hansen, Inger Marie Jensen Hansen, Peter Thye-Rønn

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Rheumatology advances in practice, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02985424 (Polymyalgia Rheumatica and Giant Cell Arteritis - Three Challenges - Consequences of the Vasculitis Process, Osteoporosis and Malignancy), which is not on this map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.6field-weighted citation impact, top 30% 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.

NCT02985424 unknown statusnot on this map

Polymyalgia Rheumatica and Giant Cell Arteritis - Three Challenges - Consequences of the Vasculitis Process, Osteoporosis and Malignancy: A Prospective Cohort Study Protocol

TypeobservationalSponsorSvendborg HospitalRan2017 to 2020Enrolled80ConditionsPolymyalgia Rheumatica, Giant Cell ArteritisArms18F-FDG PET/CT
3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 5 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Article
  5. 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

8 authors at 4 institutions in 2 countries.

Amir EmamifarDepartment of Clinical Research, Faculty of Health Sciences, University of Southern Denmark, Odense.ORCID https://orcid.org/0000-0001-5329-1364
Søren HessDepartment of Radiology and Nuclear Medicine, Hospital of Southwest Jutland, Esbjerg.
Torkell EllingsenRheumatology Research Unit, Odense University Hospital and University of Southern Denmark.ORCID https://orcid.org/0000-0003-0426-4962
Oke GerkeResearch Unit of Clinical Physiology and Nuclear Medicine, Department of Clinical Research, University of Southern Denmark.ORCID https://orcid.org/0000-0001-6335-3303
Ziba Ahangarani FarahaniDepartment of Nuclear Medicine, Odense University Hospital, Odense, Denmark.
Per Syrak HansenDiagnostic Center.
Inger Marie Jensen HansenDepartment of Rheumatology, Svendborg Hospital, OUH, Svendborg.
Peter Thye-RønnDepartment of Clinical Research, Faculty of Health Sciences, University of Southern Denmark, Odense.
University of Southern Denmark · DKConsultative and Diagnostic Center · RUOdense University Hospital · DKSvendborg Sygehus · DK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThe aim was to study the clinical features of PMR/GCA and clinical predictors of treatment response during a 40-week follow-up period.

methodsClinical data on 77 patients with newly diagnosed PMR/GCA who were treated with oral glucocorticoids were gathered at baseline and during a 40-week follow-up period. A unilateral temporal artery biopsy (TAB) and

resultsOf 77 patients [49 (63.6%) female; mean age 71.8 (8.0) years], 64 (83.1%) patients had pure PMR, 10 (13.0%) concomitant PMR and GCA, and 3 (3.9%) pure GCA. The patients reported that clinical symptoms, apart from scalp pain and duration of morning stiffness, improved significantly at week 4 and remained lower at week 40 compared with the relative frequencies at baseline. Besides, all components of physical examination showed significant improvement and remained lower at week 40 compared with the baseline. A complete response was seen in 68.7, 62.9, 44.1 and 33.3% of patients at weeks 4, 16, 28 and 40, respectively. Several clinical features, including female biological sex, younger age, fewer relapses and a lower level of baseline ESR, were significantly associated with a better treatment response. Treatment response during the follow-up period was independent of TAB results and fluorodeoxyglucose uptakes on

conclusionObtaining valid disease-specific outcome measures for evaluating treatment efficacy in PMR and GCA that can be applied universally is clearly an unmet clinical need.

trial registrationClinicalTrials.gov, https://clinicaltrials.gov, NCT02985424.

Indexed as

18F-fluorodeoxyglucose PET/CTgiant cell arteritisPolymyalgia rheumaticatemporal artery biopsytreatment response

Identifiers

PMID34909566
PMCPMC8665449
OpenAlexW3216283201

What OpenQuestion holds

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LicenceCC BY
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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.