Evidence map›Paper›PMID 35022691›Full record

Observational studyRheumatology (Oxford, England)2022

Use of 18F-fluorodeoxyglucose positron emission tomography to standardize clinical trial recruitment in Takayasu's arteritis.

Kaitlin A Quinn, Hugh D Alessi, Cristina Ponte, Emily Rose, Mark A Ahlman, Christopher Redmond, Yiming Luo, Ertugrul Cagri Bolek, Carol A Langford, Peter A Merkel and 1 more

Open access · greenAbstract 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 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
2.1field-weighted citation impact, top 12% 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

8 citing papers in PubMed, 14 citations in OpenAlex.

  1. Review
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  8. Survey-based observational research: Quality, relevance and optimal use in the post-COVID-19 era.The journal of the Royal College of Physicians of Edinburgh · 2022
    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

11 authors at 5 institutions in 3 countries.

Kaitlin A QuinnSystemic Autoimmunity Branch, National Institutes of Health, NIAMS, Bethesda, MD, USA.ORCID 0000-0003-0101-1580
Hugh D AlessiSystemic Autoimmunity Branch, National Institutes of Health, NIAMS, Bethesda, MD, USA.
Cristina PonteRheumatology Department, Hospital de Santa Maria, Centro Hospitalar Universitario Lisboa Norte EPE.ORCID 0000-0002-3989-1192
Emily RoseSystemic Autoimmunity Branch, National Institutes of Health, NIAMS, Bethesda, MD, USA.ORCID 0000-0002-5595-9783
Mark A AhlmanRadiology and Imaging Sciences, Clinical Center, National Institutes of Health, Bethesda, MD, USA.
Christopher RedmondSystemic Autoimmunity Branch, National Institutes of Health, NIAMS, Bethesda, MD, USA.
Yiming LuoSystemic Autoimmunity Branch, National Institutes of Health, NIAMS, Bethesda, MD, USA.
Ertugrul Cagri BolekSystemic Autoimmunity Branch, National Institutes of Health, NIAMS, Bethesda, MD, USA.
Carol A LangfordDepartment of Rheumatic and Immunologic Diseases, Cleveland Clinic, Cleveland, OH, USA.
Peter A MerkelDivision of Rheumatology, Department of Medicine, and Division of Epidemiology, Department of Biostatistics, Epidemiology, and Informatics, University of Pennsylvania, Philadelphia, PA, USA.
Peter C GraysonSystemic Autoimmunity Branch, National Institutes of Health, NIAMS, Bethesda, MD, USA.
National Institutes of Health · USCleveland Clinic · USNational Institutes of Health Clinical Center · USUniversity of Lisbon · PTUniversity of Pennsylvania · US

Funding

Clinical Training in RheumatologyZIEAR041176 · NIAMS · NATIONAL INSTITUTE OF ARTHRITIS AND MUSCULOSKELETAL AND SKIN DISEASES · PI COLBERT, ROBERT · 2009 to 2025
$29.8M
Vasculitis and Translational MedicineZIAAR041204 · NIAMS · NATIONAL INSTITUTE OF ARTHRITIS AND MUSCULOSKELETAL AND SKIN DISEASES · PI GRAYSON, PETER · 2015 to 2025
$15.4M
6 · The paper itself

Abstract

objectivesTo assess whether data from 18F-fluorodeoxyglucose (FDG) PET should be incorporated into eligibility criteria for clinical trials in Takayasu's arteritis (TAK).

methodsThe study was conducted in two parts. Part one was an international online survey among physicians with experience managing TAK to determine, using clinical vignettes, whether FDG-PET data influence decisions about enrolment in trials. Part two used patient data from an observational cohort study in TAK to assess agreement regarding decisions about enrolment into trials, based on clinical assessment with and without incorporation of FDG-PET data.

resultsIn part one, 68 physicians responded to the survey. Most physicians had used FDG-PET to diagnose TAK (82%) or monitor disease activity (66%). In vignettes representing active clinical disease, FDG-PET findings increased physician confidence in disease assessment and reduced outlier assessments. The greatest variability in decisions regarding enrolment into trials was observed in vignettes representing constitutional symptoms alone and elevated acute-phase reactants. In these cases, FDG-PET findings influenced decisions about enrolment and improved physician confidence. In multivariable models, FDG-PET findings were 1.29 times more strongly associated with enrolment decisions compared with levels of acute-phase reactants. In part two, incorporation of FDG-PET data significantly improved agreement about enrolment decisions between raters [inter-rater reliability (IRR) = 0.68 (95% CI 0.67, 0.69) to IRR = 0.88 (95% CI 0.87, 0.89); P < 0.01].

conclusionsIncorporation of FDG-PET data into assessment of TAK influences decisions about enrolment of patients into trials, improves physician confidence about clinical assessment and could help reduce variability in study populations. Future trials in TAK should consider incorporating FDG-PET data into eligibility criteria.

Indexed as

Fluorodeoxyglucose F18Takayasu ArteritisAcute-Phase ProteinsHumansPositron-Emission TomographyRadiopharmaceuticalsReproducibility of ResultsAcute-Phase ProteinsFluorodeoxyglucose F18Radiopharmaceuticalsclinical trialspositron emission tomographyTakayasu’s arteritis

Identifiers

PMID35022691
PMCPMC9536789
OpenAlexW4205241431

What OpenQuestion holds

Textmetadata
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.