Evidence map›Paper›PMID 36381717›Full record

ArticleCureus2022

Frequency of Interstitial Lung Disease in Rheumatoid Arthritis Patients: A Hospital-Based Study.

Zafeer-Ul-Hassan Iqbal, Jawad A Khan, Muhammad Mujeeb Hassan, Rafay Zaidi, Azka A Mirza, Moeena Malik, Hira Ashraf, Maham Javaid, Adil Mahmood, Khurram Zohaib

Open access · diamondAbstract read
In one paragraph

Article in Cureus, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.3field-weighted citation impact, top 40% 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

3 citing papers in PubMed, 2 citations in OpenAlex.

  1. Review
  2. Etiology and Pathogenesis of Rheumatoid Arthritis-Interstitial Lung Disease.International journal of molecular sciences · 2023
    Review
  3. 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

10 authors at 6 institutions in 2 countries.

Zafeer-Ul-Hassan IqbalDepartment of Internal Medicine, District Headquarter Hospital (DHQ), Rawalpindi, PAK.
Jawad A KhanDepartment of Internal Medicine, Saidu Teaching Hospital-Saidu Medical College, Swat, PAK.
Muhammad Mujeeb HassanDepartment of Internal Medicine, Birmingham Heartlands Hospital, Birmingham, GBR.
Rafay ZaidiDepartment of Internal Medicine, Rawalpindi Medical University, Rawalpindi, PAK.
Azka A MirzaDepartment of Internal Medicine, Rawalpindi Medical University, Rawalpindi, PAK.
Moeena MalikDepartment of Internal Medicine, Rawalpindi Medical University, Rawalpindi, PAK.
Hira AshrafDepartment of Obstetrics and Gynecology, District Headquarter Hospital (DHQ), Rawalpindi, PAK.
Maham JavaidDepartment of Internal Medicine, Allama Iqbal Medical College, Lahore, PAK.
Adil MahmoodDepartment of Internal Medicine, Shifa International Hospital Islamabad, Islamabad, PAK.
Khurram ZohaibDepartment of Internal Medicine, Benazir Bhutto Hospital, Rawalpindi, PAK.
Benazir Bhutto Hospital · PKPakistan Army · PKHeartlands Hospital · GBRawalpindi Medical University · PKSaidu Teaching Hospital · PKShifa International Hospital · PK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionAmong various extra-articular manifestations of rheumatoid arthritis (RA), interstitial lung disease (ILD) is the most frequent and concerning manifestation. The reported frequency of RA-associated ILD (RA-ILD) varies in the literature. The objective of the present study was to determine the frequency of ILD in RA patients at a teaching hospital in Rawalpindi.

methods175 male and female patients between 18-70 years were enrolled in the study from January 21, 2022, till July 24, 2022. Patients diagnosed with RA were screened for the concomitant presence of ILD (increased pulmonary markings on chest X-rays and total lung capacity ≤ 80%, predicted on pulmonary function tests). In addition, the frequency of RA-ILD was noted and compared across various subgroups of patients based on age, gender, and disease duration.

resultsThe mean age of the patients was 45.3 ± 11.5 years. The male-to-female ratio was 1:3.1. The mean disease duration was 6.2 ± 3.5 years at the time of presentation. A total of 118 (67.4%) patients were diagnosed with RA-ILD. The frequency of RA-ILD was significantly higher among patients with a prolonged duration of disease, < 5 years vs. ≥ 5 years (59.1% vs. 75.9%; p-value=0.018). Among 118 patients with RA-ILD, usual interstitial pneumonia (UIP) was the most frequent pattern and was noted in 74 (62.7%) patients, followed by nonspecific interstitial pneumonitis (NSIP), which was noted in 44 (37.3%) patients. When compared, there was no statistically significant difference in the frequency of high-resolution CT (HRCT) pattern of RA-ILD across various subgroups of patients based on age (p-value=0.969), gender (p-value=0.934), and duration of disease (p-value=0.881).

conclusionIn the present study, a substantial proportion of RA patients suffered RA-ILD, which warrants routine screening of these patients for undiagnosed pulmonary involvement so that timely identification and anticipated management may improve the outcome of such cases in future clinical practice.

Indexed as

complication of rheumatoid arthritisextra-articular manifestationsinterstitial lungpulmonary involvement: rheumatoid arthritis

Identifiers

PMID36381717
PMCPMC9643025
OpenAlexW4304099134

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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.