Evidence map›Paper›PMID 35036891›Full record

ArticleJournal of translational autoimmunity2022

Impact of autoimmune serology test results on RA classification and diagnosis.

Lieve Van Hoovels, Paul Studenic, Daniela Sieghart, Günter Steiner, Xavier Bossuyt, Johan Rönnelid

Open access · goldAbstract read
In one paragraph

Article in Journal of translational autoimmunity, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
4.8field-weighted citation impact, top 4% 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

11 citing papers in PubMed, 29 citations in OpenAlex.

  1. Article
  2. Review
  3. Review
  4. Autoantibodies as prognostic markers in rheumatoid arthritis.Journal of translational autoimmunity · 2025
    Review
  5. Article
  6. Article
  7. Article
  8. Rheumatoid Arthritis and Pericardial Effusion - A Unique Major Manifestation.European journal of case reports in internal medicine · 2024
    Article
  9. Article
  10. Article
  11. 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

6 authors at 6 institutions in 3 countries.

Lieve Van HoovelsDepartment of Microbiology, Immunology and Transplantation, KU Leuven, Leuven, Belgium.
Paul StudenicDivision of Rheumatology, Department of Internal Medicine III, Medical University of Vienna, Vienna, Austria.
Daniela SieghartDivision of Rheumatology, Department of Internal Medicine III, Medical University of Vienna, Vienna, Austria.
Günter SteinerDivision of Rheumatology, Department of Internal Medicine III, Medical University of Vienna, Vienna, Austria.
Xavier BossuytDepartment of Microbiology, Immunology and Transplantation, KU Leuven, Leuven, Belgium.
Johan RönnelidDepartment of Immunology, Genetics and Pathology, Uppsala University, Uppsala, Sweden.
Karolinska Institutet · SEKU Leuven · BELudwig Boltzmann Institute for Traumatology, The Research Center in Cooperation with AUVA · ATMedical University of Vienna · ATOnze Lieve Vrouwziekenhuis Hospital · BEUppsala University · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Rheumatoid arthritis (RA) is the most common systemic autoimmune disease and also the most severe arthritic disorder. The measurement of rheumatoid factor (RF) and anti-citrullinated protein antibodies (ACPA) in serum supports the diagnosis of RA, which gained increasing significance over the last 65 years. However, a high variability between RF and ACPA methods has been described, impacting the diagnostic performance of the current ACR/EULAR RA classification criteria. The great number of commercially available assays, often lacking traceability to an international standard, is a major factor attributing to this in-between assay variability. The adoption of an international standard for ACPA, as is since long available for rheumatoid factor, is therefore highly desirable. Further harmonization in clinical interpretation of RF/ACPA assays could be obtained by harmonization of the cut-offs, for both the low and high antibody levels, based on predefined specificity in disease controls. Reporting test result specific likelihood ratios (LR) adds value in the interpretation of autoantibody tests. However, a good understanding of the control population used to define antibody test result interval-associated LRs is crucial in defining the diagnostic performance characteristics of antibody serology. Finally, specificity in RA classification can be improved by refining serological weight scoring taking into account the nature of the antibody, the antibody level and double RF + ACPA positivity.

Indexed as

Anti-citrullinated protein antibodyHarmonizationLikelihood ratioRA classification criteriaRheumatoid arthritisRheumatoid factor

Identifiers

PMID35036891
PMCPMC8749172
OpenAlexW4206420552

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.