Evidence map›Paper›PMID 35225224›Full record

SynthesisClinical and experimental rheumatology2022

Defining anti-synthetase syndrome: a systematic literature review.

Giovanni Zanframundo, Sara Faghihi-Kashani, Carlo Alberto Scirè, Francesco Bonella, Tamera J Corte, Tracy J Doyle, David Fiorentino, Miguel A Gonzalez-Gay, Marie Hudson, Masataka Kuwana and 13 more

Open access · bronzeAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Clinical and experimental rheumatology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 44 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
44citing papers in PubMed, 1 pooled it
11.7field-weighted citation impact, top 1% 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

44 citing papers in PubMed, 1 synthesis or guideline pooled it, 76 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

23 authors at 19 institutions in 10 countries.

Giovanni ZanframundoDivision of Rheumatology, University and IRCCS Policlinico S. Matteo Foundation, Pavia, Italy.
Sara Faghihi-KashaniDivision of Rheumatology and Clinical Immunology, Department of Medicine, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.
Carlo Alberto ScirèSchool of Medicine and Surgery, University of Milano-Bicocca, Milan, Italy.
Francesco BonellaCenter for Interstitial and Rare Lung Diseases, Ruhrlandklinik University Hospital, University of Duisburg-Essen, Germany.
Tamera J CorteUniversity of Sydney, Australia.
Tracy J DoyleBrigham and Women's Hospital, Boston, MA, USA.
David FiorentinoDepartment of Dermatology, Stanford University School of Medicine, Redwood City, CA, USA.
Miguel A Gonzalez-GayHospital Universitario Marques de Valdecilla, IDIVAL, University of Cantabria, Santander, Spain.
Marie HudsonDepartment of Medicine, McGill University, Montreal, Quebec, Canada.
Masataka KuwanaDepartment of Allergy and Rheumatology, Nippon Medical School Graduate School of Medicine, Tokyo, Japan.
Ingrid E LundbergDivision of Rheumatology, Department of Medicine, Solna, Karolinska Institutet, Stockholm, Sweden.
Andrew MammenNational Institute of Arthritis and Musculoskeletal and Skin Disorders, National Institutes of Health, Bethesda, MD, and Department of Neurology, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Neil McHughUniversity of Bath, UK.
Frederick W MillerEnvironmental Autoimmunity Group, Clinical Research Branch, National Institute of Environmental Health Sciences, National Institutes of Health, Bethesda, MD, USA.
Carlomaurizio MonteccuccoDivision of Rheumatology, University and IRCCS Policlinico S. Matteo Foundation, Pavia, Italy.
Chester V OddisDivision of Rheumatology and Clinical Immunology, Department of Medicine, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.
Jorge Rojas-SerranoInterstitial Lung Disease and Rheumatology Units, Instituto Nacional de Enfermedades Respiratorias, Ismael Cosío Villegas, México City, México.
Jens SchmidtDepartment of Neurology, University Medical Center Göttingen; Department of Neurology and Pain Treatment, Immanuel Klinik Rüdersdorf, University Hospital of the Brandenburg Medical School Theodor Fontane, Rüdersdorf bei Berlin; and Faculty of Health Sciences Brandenburg, Brandenburg Medical School Theodor Fontane, Rüdersdorf bei Berlin, Germany.
Albert Selva-O'CallaghanVall d'Hebron Hospital, Universitat Autònoma de Barcelona, Spain.
Victoria P WerthUniversity of Pennsylvania, Perelman School of Medicine and Michael J. Crescenz VAMC, Philadelphia, PA, USA.
Garifallia SakellariouIstituti Clinici Scientifici Maugeri, University of Pavia, Italy. filiciasak@gmail.com.
Rohit AggarwalDivision of Rheumatology and Clinical Immunology, Department of Medicine, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.
Lorenzo CavagnaDivision of Rheumatology, University and IRCCS Policlinico S. Matteo Foundation, Pavia, Italy.
Policlinico San Matteo Fondazione · ITUniversity of Pittsburgh · USBrigham and Women's Hospital · USInstituto Nacional de Enfermedades Respiratorias · MXIstituti Clinici Scientifici Maugeri · ITJohns Hopkins University · USKarolinska Institutet · SEMarqués de Valdecilla University Hospital · ESMcGill University · CAMedizinische Hochschule Brandenburg Theodor Fontane · DENational Institute of Environmental Health Sciences · USNippon Medical School · JPRuhrlandklinik · DEStanford University · USUniversitat Autònoma de Barcelona · ESUniversity of Bath · GBUniversity of Milano-Bicocca · ITUniversity of Pennsylvania · USUniversity of Sydney · AU

Funding

Environmental/genetic Risk Factors and Pathogenesis of Autoimmune DiseaseZIAES101074 · NIEHS · NATIONAL INSTITUTE OF ENVIRONMENTAL HEALTH SCIENCES · PI RIDER, LISA · 2009 to 2025
$34.6M
Pathogenesis And Genetic/environmental Risk Factors ForZ01ES101074 · NIEHS · NATIONAL INSTITUTE OF ENVIRONMENTAL HEALTH SCIENCES · PI MILLER, FREDERICK · 2002 to 2008
$2.7M
Intramural NIH HHS Z01 ES101074
6 · The paper itself

Abstract

objectivesAnti-synthetase syndrome (ASSD) is a heterogeneous autoimmune disease characterised by multi-system involvement with a wide variety of manifestations. Validated classification criteria are necessary to improve recognition and prevent misclassification, especially given the lack of reliable and standardised autoantibody testing. We systematically reviewed the literature to analyse proposed ASSD criteria, characteristics, and diagnostic performance.

methodsWe searched PubMed and Embase databases (01/01/1984 to 06/11/2018) and the ACR and EULAR meeting abstracts (2017-2018). Sensitivities, specificities, positive, negative likelihood ratios and risk of bias were calculated for ASSD criteria and key variables reported in the literature. We performed meta-analysis when appropriate.

resultsWe retrieved 4,358 studies. We found 85 proposed ASSD criteria from a total of 82 studies. All but one study included anti-synthetase autoantibody (ARS) positivity in the ASSD criteria. Most studies required only one ASSD feature plus anti-ARS to define ASSD (n=64, 78%), whereas 16 studies required more than one ASSD variable plus anti-ARS. The only criteria not including anti-ARS positivity required 5 ASSD clinical features. We found limited data and wide variability in the diagnostic performance of each variable and definition proposed in the literature. Given these limitations we only meta-analysed the performance of individual muscle biopsy and clinical variables in diagnosing ASSD, which performed poorly.

conclusionsThe current ASSD criteria include a variety of serological, clinical, and histological features with wide variability amongst proposed definitions and the performance of these definitions has not been tested. This systematic literature review suggests the need for additional data and consensus-driven classification criteria for ASSD.

Indexed as

AutoantibodiesLigasesHumansSyndromeAutoantibodiesLigases

Identifiers

PMID35225224
PMCPMC10411341
OpenAlexW4214778629

What OpenQuestion holds

Textmetadata
LicenceTDM
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.