Evidence map›Paper›PMID 36597988›Full record

Observational studyRMD open2022

Influence of the EULAR recommendations for the use of imaging in large vessel vasculitis in the diagnosis of giant cell arteritis: results of the ARTESER register.

Eugenio De Miguel, Jesús T Sanchez-Costa, Paula Estrada, Alejandro Muñoz, Cristina Valero Martínez, Patricia Moya Alvarado, María Jesús García-Villanueva, Vanessa A Navarro Angeles, Carlos Galisteo Lencastre Da Veiga, Anne Riveros Frutos and 10 more

Erratum issuedOpen access · goldAbstract readMulticenter StudyObservational Study
In one paragraph

Observational study in RMD open, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.8field-weighted citation impact, top 13% 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

6 citing papers in PubMed, 13 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. Article
  5. Observational
  6. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

20 authors at 18 institutions in 2 countries.

Eugenio De MiguelHospital Universitario La Paz, Madrid, Madrid, Spain eugenio.demiguel@gmail.com.ORCID 0000-0001-5146-1964
Jesús T Sanchez-CostaRheumatology, Research Unit, Madrid, Madrid, SPAIN, Spain.
Paula EstradaRheumatology Department, Hospital de Sant Joan Despí Moisès Broggi, Sant Joan Despi, Spain.
Alejandro MuñozRheumatology Department, Hospital Universitario Virgen del Rocío Sevilla, Sevilla, Spain.
Cristina Valero MartínezRheumatology Department, Hospital Universitario de la Princesa, Madrid, Spain.
Patricia Moya AlvaradoRheumatology Department, Hospital de la Santa Creu i Sant Pau Barcelona, Barcelona, Spain.
María Jesús García-VillanuevaHospital Universitario Ramon y Cajal, Madrid, Madrid, Spain.
Vanessa A Navarro AngelesRheumatology Department, Hospital de Sant Joan Despí Moisès Broggi, Sant Joan Despi, Spain.
Carlos Galisteo Lencastre Da VeigaRheumatology Department, Hospital Universitari Parc Tauli Sabadell, Sabadell, Spain.
Anne Riveros FrutosRheumatology Department, Hospital Germans Trias i Pujol, Badalona, Spain.
Jose A Román IvorraRheumatology Department, Hospital Universitari i Politècnic La Fe, Valencia, Spain.
Selena Labrada ArrabalRheumatology Department, Hospital del Mar, Barcelona, Spain.
Margarida Vasques RochaRheumatology Department, Hospital Universitario Araba, Vitoria-Gasteiz, Spain.
Carlota L IñiguezRheumatology, Hospital Universitario Lucus Augusti, Lugo, Galicia, Spain.
María García-GonzalezHospital Universitario de Canarias, La Laguna, Canarias, Spain.
Clara Molina-AlmedaRheumatology, Consorci Hospital General Universitari de València, Valencia, Comunitat Valenciana, Spain.
María Alcalde VillarRheumatology Department, Hospital Universitario Severo Ochoa Leganes, Leganes, Madrid, Spain.
Antonio Juan MasRheumatology Department, Hospital Universitari Son Llàtzer, Palma de Mallorca, Spain.
Miguel A Gonzalez-GayRheumatology, Hospital Universitario Marqués de Valdecilla, IDIVAL, Santander, Cantabria, Spain.ORCID 0000-0002-7924-7406
Ricardo BlancoRheumatology, Hospital Universitario Marqués de Valdecilla, IDIVAL, Santander, Cantabria, Spain.ORCID 0000-0003-2344-2285
Hospital de Sant Joan Despí Moisès Broggi · ESInstituto de Investigación Marqués de Valdecilla · ESCenter for Rheumatology · USHospital Del Mar · ESHospital de Sant Pau · ESHospital General Universitario De Valencia · ESHospital Son Llatzer · ESHospital Universitari Germans Trias i Pujol · ESHospital Universitari i Politècnic La Fe · ESHospital Universitario Araba · ESHospital Universitario de Canarias · ESHospital Universitario de La Princesa · ESHospital Universitario La Paz · ESHospital Universitario Lucus Augusti · ESHospital Universitario Ramón y Cajal · ESHospital Universitario Severo Ochoa · ESHospital Universitario Virgen del Rocío · ESMadrid Health Service · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe main study objective was to determine how giant cell arteritis (GCA) is diagnosed in our clinical practice and whether the EULAR recommendations have influenced the diagnostic procedures used.

methodsARTEritis of the Rheumatology Spanish Society -Sociedad Española de Reumatología (ARTESER) is a multicentre observational retrospective study conducted in 26 hospitals with support from the Spanish Society of Rheumatology. All patients diagnosed with GCA between 1 June 2013 and 29 March 2019 were included. The gold standard for the diagnosis of GCA was the judgement of the physician in charge, according to clinical criteria, supported by data available from laboratory tests, imaging studies (ultrasound, positron emission tomography (PET) and MRI/CT angiography) and temporal artery biopsy (TAB) when available.

resultsWe included 1675 patients with GCA (mean age±SD (76.9±8.1) years, 1178 women (70.3%)). Of these, 776 patients had a positive TAB (46.3%), 503 (30.0%) positive ultrasound, 245 positive PET (14.6%) and 64 positive MRI/CT angiography (3.8%). These percentages changed substantially over the study. From 2013 to 2019, the use of ultrasound in diagnosis grew from 25.8% to 52.9% and PET from 12.3% to 19.6%, while use of TAB decreased from 50.3% to 33.3%.

conclusionsBiopsy was the most widely used diagnostic test for confirming GCA, but use of imaging as a diagnostic tool has grown in recent years. Following publication of the 2018 EULAR recommendations, ultrasound has displaced biopsy as the first-line diagnostic test; TAB was performed in a third and PET in a fifth of cases.

Indexed as

Giant Cell ArteritisFemaleHumansPositron-Emission TomographyRetrospective StudiesTemporal ArteriesUltrasonographyGiant Cell ArteritisSystemic vasculitisUltrasonography

Identifiers

PMID36597988
PMCPMC9723955
OpenAlexW4311550228

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.