Evidence map›Paper›PMID 36173318›Full record

ArticleRheumatology (Oxford, England)2023

Systemic sclerosis associated interstitial lung disease: a conceptual framework for subclinical, clinical and progressive disease.

David Roofeh, Kevin K Brown, Ella A Kazerooni, Donald Tashkin, Shervin Assassi, Fernando Martinez, Athol U Wells, Ganesh Raghu, Christopher P Denton, Lorinda Chung and 43 more

Open access · greenAbstract read
In one paragraph

Article in Rheumatology (Oxford, England), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
2.3field-weighted citation impact, top 11% 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, 1 synthesis or guideline pooled it, 17 citations in OpenAlex.

  1. Pooled it
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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

53 authors at 20 institutions in 11 countries.

David RoofehDepartment of Internal Medicine, Division of Rheumatology, Scleroderma Program, University of Michigan, Ann Arbor, MI, USA.ORCID 0000-0002-9750-5771
Kevin K BrownDepartment of Medicine, National Jewish Health, Denver, CO, USA.
Ella A KazerooniDepartment of Internal Medicine, Division of Rheumatology, Scleroderma Program, University of Michigan, Ann Arbor, MI, USA.ORCID 0000-0001-5859-8744
Donald TashkinDepartment of Medicine, Division of Pulmonary and Critical Care Medicine, David Geffen School of Medicine at UCLA, Los Angeles, CA, USA.ORCID 0000-0002-5607-4872
Shervin AssassiDepartment of Internal Medicine, Division of Rheumatology, McGovern Medical School, University of Texas Health Science Center at Houston, Houston, TX, USA.ORCID 0000-0002-8059-9978
Fernando MartinezDepartment of Internal Medicine, Division of Pulmonary Critical Care Medicine, Weill Cornell School of Medicine, New York, NY, USA.ORCID 0000-0002-2412-3182
Athol U WellsDepartment of Internal Medicine, Division of Pulmonology, Royal Brompton Hospital and National Heart and Lung Institute, London, UK.ORCID 0000-0003-2108-6248
Ganesh RaghuDepartment of Internal Medicine, Division of Pulmonology, Critical Care and Sleep Medicine, University of Washington School of Medicine, Seattle, WA, USA.ORCID 0000-0001-7506-6643
Christopher P DentonCentre for Rheumatology, Division of Medicine, University College London, London, UK.ORCID 0000-0003-3975-8938
Lorinda ChungDepartment of Internal Medicine, Division of Immunology and Rheumatology, Stanford University, and Palo Alto VA Health Care System, Palo Alto, CA, USA.ORCID 0000-0003-0072-6939
Anna-Maria Hoffmann-VoldDepartment of Rheumatology, Oslo University Hospital, Oslo, Norway.ORCID 0000-0001-6467-7422
Oliver DistlerDepartment of Rheumatology, University Hospital Zurich, University of Zurich, Zurich, Switzerland.ORCID 0000-0002-0546-8310
Kerri A JohannsonDepartments of Medicine and Community Health Sciences, Section of Respiratory Medicine, University of Calgary, Calgary, Canada.ORCID 0000-0003-1205-5511
Yannick AllanoreDepartment of Rheumatology A, Cochin Hospital, APHP, Université de Paris, Paris, France.ORCID 0000-0002-6149-0002
Eric L MattesonDepartment of Internal Medicine, Division of Rheumatology, Mayo Clinic, Rochester, MN, USA.ORCID 0000-0002-9866-0124
Leticia Kawano-DouradoHCor Research Institute, Hospital do Coração, São Paulo, Brazil.ORCID 0000-0003-0784-1331
John D PaulingMusculoskeletal Research Unit, Bristol Medical School, University of Bristol, Bristol, UK.ORCID 0000-0002-2793-2364
James R SeiboldScleroderma Research Consultants, Aiken, SC, USA.ORCID 0000-0001-5187-3141
Elizabeth R VolkmannDepartment of Internal Medicine, Division of Rheumatology, David Geffen School of Medicine at UCLA, Los Angeles, CA, USA.ORCID 0000-0003-3750-6569
Simon L F WalshNational Heart and Lung Institute, Imperial College London, London, UK.
Chester V OddisDivision of Rheumatology and Clinical Immunology, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.ORCID 0000-0002-9529-3111
Eric S WhiteBoehringer Ingelheim Pharmaceuticals, Inc., Ridgefield, CT, USA.ORCID 0000-0003-4060-8443
Shaney L BarrattAcademic Respiratory Unit, School of Clinical Sciences, University of Bristol, Bristol, UK.ORCID 0000-0003-3067-7349
Elana J BernsteinDepartment of Internal Medicine, Division of Rheumatology, Columbia University School of Medicine, Vagelos College of Physicians and Surgeons, New York, NY, USA.ORCID 0000-0001-5560-6390
Robyn T DomsicDepartment of Internal Medicine, Division of Rheumatology and Clinical Immunology, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.ORCID 0000-0002-2765-0922
Paul F DellaripaDepartment of Medicine, Division of Rheumatology, Inflammation, and Immunity, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA.ORCID 0000-0003-0237-739X
Richard ConwayDepartment of Internal Medicine, Division of Rheumatology, Trinity College Dublin, University of Dublin, Dublin, Ireland.ORCID 0000-0003-2538-3362
Ivan RosasDepartment of Internal Medicine, Division of Pulmonology, Critical Care and Sleep Medicine, Baylor College of Medicine, Houston, TX, USA.ORCID 0000-0003-4622-618X
Nitin BhattDepartment of Internal Medicine, Division of Pulmonary, Critical Care, and Sleep Medicine, The Ohio State University Wexner Medical Center, Columbus, OH, USA.
Vivien HsuDepartment of Internal Medicine, Division of Rheumatology, Rutgers-Robert Wood Johnson Medical School, New Brunswick, NJ, USA.ORCID 0000-0002-9588-347X
Francesca IngegnoliDepartment of Clinical Sciences and Community Health, Research Center for Adult and Pediatric Rheumatic Diseases, Università degli Studi di Milano, Milano, Italy.ORCID 0000-0002-6727-1273
Bashar KahalehDepartment of Internal Medicine, Division of Rheumatology, University of Toledo Medical Center, Toledo, OH, USA.ORCID 0000-0003-4666-0250
Puneet GarchaDepartment of Internal Medicine, Division of Pulmonology, Critical Care and Sleep Medicine, Baylor College of Medicine, Houston, TX, USA.ORCID 0000-0003-1099-6967
Nishant GuptaDepartment of Internal Medicine, Division of Pulmonary, Critical Care and Sleep Medicine, University of Cincinnati, Cincinnati, OH, USA.ORCID 0000-0001-9112-1315
Surabhi KhannaDepartment of Internal Medicine, Division of Rheumatology, University of Cincinnati, Cincinnati, OH, USA.
Peter KorstenDepartment of Nephrology and Rheumatology, University Medical Center Göttingen, Göttingen, Germany.ORCID 0000-0001-6065-5680
Celia LinGenentech, Inc, San Francisco, CA, USA.
Stephen C MathaiDepartment of Internal Medicine, Division of Pulmonology, Critical Care and Sleep Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Vibeke StrandDepartment of Internal Medicine, Division of Immunology and Rheumatology, Stanford University, Palo Alto, CA, USA.ORCID 0000-0003-4978-4072
Tracy J DoyleDepartment of Internal Medicine, Division of Pulmonary and Critical Care Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA.
Virginia SteenDepartment of Internal Medicine, Division of Rheumatology, Georgetown University School of Medicine, Washington, DC, USA.ORCID 0000-0002-6333-0133
Donald F ZozBoehringer Ingelheim Pharmaceuticals, Inc., Ridgefield, CT, USA.
Juan Ovalles-BonillaDepartment of Rheumatology, Hospital General Universitario Gregorio Marañón, Madrid, Spain.ORCID 0000-0001-6300-5341
Ignasi Rodriguez-PintoAutoimmune Disease Unit. Deaprtment of Internal Medicine. Hospital Mutua de Terrassa, University of Barcelona, Barcelona, Spain.ORCID 0000-0001-6193-6396
Padmanabha D ShenoyDepartment of Rheumatology, Center for Arthritis and Rheumatism Excellence, Kochi, Kerala, India.ORCID 0000-0002-7666-1361
Andrew LewandoskiDepartment of Internal Medicine, Division of Rheumatology, University of Michigan-Metro Health, Grand Rapids, MI, USA.
Elizabeth BelloliDepartment of Internal Medicine, Division of Pulmonary and Critical Care Medicine, University of Michigan, Ann Arbor, MI, USA.
Alain LescoatDepartment of Internal Medicine, Division of Rheumatology, Scleroderma Program, University of Michigan, Ann Arbor, MI, USA.ORCID 0000-0001-5289-3312
Vivek NagarajaDepartment of Internal Medicine, Division of Rheumatology, Scleroderma Program, University of Michigan, Ann Arbor, MI, USA.ORCID 0000-0002-6134-3387
Wen YeDepartment of Biostatistics, School of Public Health, University of Michigan, Ann Arbor, MI, USA.
Suiyuan HuangDepartment of Biostatistics, School of Public Health, University of Michigan, Ann Arbor, MI, USA.
Toby MaherDepartment of Internal Medicine, Division of Pulmonary and Critical Care Medicine, University of Southern California, Los Angeles, CA, USA.ORCID 0000-0001-7192-9149
Dinesh KhannaDepartment of Internal Medicine, Division of Rheumatology, Scleroderma Program, University of Michigan, Ann Arbor, MI, USA.ORCID 0000-0003-1412-4453
University of Michigan · USBaylor College of Medicine · USBoehringer Ingelheim (United States) · USBrigham and Women's Hospital · USInserm · FRNorth Bristol NHS Trust · GBUniversity of California, Los Angeles · USUniversity of Cincinnati · USUniversity of Pittsburgh · USColumbia University · USCornell University · USGeorgetown University · USHospital General Universitario Gregorio Marañón · ESImperial College London · GBJohns Hopkins University · USMayo Clinic in Arizona · USNational Jewish Health · USOslo University Hospital · NORoyal Brompton Hospital · GBRutgers, The State University of New Jersey · US

Funding

TRAINING OF ARTHRITIS RESEARCH SCIENTISTST32AR007080 · NIAMS · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI Jason Knight · 1986 to 2026
$6.3M
Outcomes Research in Rheumatic DiseasesK24AR063120 · NIAMS · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI KHANNA, DINESH · 2012 to 2022
$1.6M
Systemic Sclerosis-Associated Interstitial Lung Disease Response IndexR01AR070470 · NIAMS · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI KHANNA, DINESH · 2017 to 2019
$642k
NIAMS NIH HHS K24 AR063120NIAMS NIH HHS R01 AR070470NIAMS NIH HHS T32 AR007080Versus Arthritis 20719
6 · The paper itself

Abstract

objectivesTo establish a framework by which experts define disease subsets in systemic sclerosis associated interstitial lung disease (SSc-ILD).

methodsA conceptual framework for subclinical, clinical and progressive ILD was provided to 83 experts, asking them to use the framework and classify actual SSc-ILD patients. Each patient profile was designed to be classified by at least four experts in terms of severity and risk of progression at baseline; progression was based on 1-year follow-up data. A consensus was reached if ≥75% of experts agreed. Experts provided information on which items were important in determining classification.

resultsForty-four experts (53%) completed the survey. Consensus was achieved on the dimensions of severity (75%, 60 of 80 profiles), risk of progression (71%, 57 of 80 profiles) and progressive ILD (60%, 24 of 40 profiles). For profiles achieving consensus, most were classified as clinical ILD (92%), low risk (54%) and stable (71%). Severity and disease progression overlapped in terms of framework items that were most influential in classifying patients (forced vital capacity, extent of lung involvement on high resolution chest CT [HRCT]); risk of progression was influenced primarily by disease duration.

conclusionsUsing our proposed conceptual framework, international experts were able to achieve a consensus on classifying SSc-ILD patients along the dimensions of disease severity, risk of progression and progression over time. Experts rely on similar items when classifying disease severity and progression: a combination of spirometry and gas exchange and quantitative HRCT.

Indexed as

Lung Diseases, InterstitialScleroderma, SystemicHumansLungSeverity of Illness IndexTomography, X-Ray ComputedVital Capacityconnective tissue disease interstitial lung diseasesystemic sclerosis associated interstitial lung disease subsetssystemic sclerosis interstitial lung disease

Identifiers

PMID36173318
PMCPMC10152284
OpenAlexW4297965483

What OpenQuestion holds

Textmetadata
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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.