Evidence map›Paper›PMID 36530040›Full record

ArticleArthritis care & research2023

Musculoskeletal Ultrasound and the Assessment of Disease Activity in Juvenile Idiopathic Arthritis.

Patricia Vega-Fernandez, Edward J Oberle, Michael Henrickson, Jennifer Huggins, Sampath Prahalad, Amy Cassedy, Johannes Roth, Tracy V Ting, Childhood Arthritis and Rheumatology Research Alliance Investigators

Open access · hybridAbstract read
In one paragraph

Article in Arthritis care & research, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
1.4field-weighted citation impact, top 16% 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

10 citing papers in PubMed, 10 citations in OpenAlex.

  1. Article
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  7. Sonographic and Disease Activity Findings Related With Medication Change in JIA: A Historical Cohort Study.Journal of clinical rheumatology : practical reports on rheumatic & musculoskeletal diseases · 2025
    Article
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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

9 authors at 4 institutions in 2 countries.

Patricia Vega-FernandezUniversity of Cincinnati and Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio.ORCID 0000-0002-4911-7256
Edward J OberleNationwide Children's Hospital, Columbus, Ohio.ORCID 0000-0003-2171-9340
Michael HenricksonUniversity of Cincinnati and Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio.
Jennifer HugginsUniversity of Cincinnati and Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio.
Sampath PrahaladEmory University and Children's Hospital of Atlanta, Atlanta, Georgia.ORCID 0000-0003-3489-1756
Amy CassedyUniversity of Cincinnati and Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio.
Johannes RothChildren's Hospital Eastern Ontario, Ottawa, Canada.
Tracy V TingUniversity of Cincinnati and Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio.
Childhood Arthritis and Rheumatology Research Alliance Investigators
Cincinnati Children's Hospital Medical Center · USChildren's Hospital of Eastern Ontario · CAEmory University · USNationwide Children's Hospital · US

Funding

LCenter for Clinical and Translational Science and TrainingUL1TR001425 · NCATS · UNIVERSITY OF CINCINNATI · PI HEUBI, JAMES E., KISSELA, BRETT M · 2015 to 2024
$37.5M
KL2 Training ProgramKL2TR001426 · NCATS · UNIVERSITY OF CINCINNATI · PI ZELLER, MARGARET H · 2015 to 2024
$6.8M
Pediatric musculOskeletal & RheumaTology Innovation COre center (PORTICO)P30AR076316 · NIAMS · CINCINNATI CHILDRENS HOSP MED CTR · PI BRUNNER, HERMINE I · 2019 to 2023
$3.4M
NCATS NIH HHS KL2 TR001426NCATS NIH HHS UL1 TR001425NIAMS NIH HHS P30 AR076316
6 · The paper itself

Abstract

objectiveTo determine the frequency of subclinical synovitis on musculoskeletal ultrasonography (MSUS) in juvenile idiopathic arthritis (JIA) and correlate patient- and provider-reported outcome measures with MSUS synovitis.

methodJIA patients with an active joint count (AJC) of >4 underwent a 42-joint MSUS performed at baseline and 3 months. B-mode and power Doppler images were obtained and scored (range 0-3) for each of the 42 joints. Outcomes evaluated included physician global assessment of disease activity (PhGA), patient global assessment of disease activity (PtGA), patient pain, Childhood Health Assessment Questionnaire (C-HAQ), and AJC. Subclinical synovitis was defined as synovitis detected by MSUS only. Generalized estimation equations were used to test the relationship between clinical arthritis (positive/negative) and subclinical synovitis (positive/negative). Spearman's correlation coefficients (r

resultsIn 30 patients, subclinical synovitis was detected in 30% of joints. Clinical arthritis of the fingers, wrists, and knee joints was significantly associated with MSUS synovitis in these joints. PtGA and the C-HAQ had a moderate (r

conclusionSubclinical synovitis was commonly observed in this cohort of JIA patients. The fair-to-moderate correlation of MSUS synovitis with patient- and provider-reported outcomes suggests that MSUS assesses a different, possibly more objective, domain not determined by traditional JIA outcome measurements.

Indexed as

Arthritis, JuvenileSynovitisChildHumansUltrasonographyUltrasonography, Doppler

Identifiers

PMID36530040
PMCPMC10276883
OpenAlexW4313379553

What OpenQuestion holds

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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.