Evidence map›Paper›PMID 36692142›Full record

ArticleRheumatology (Oxford, England)2023

Quality standards for the care of people with giant cell arteritis in secondary care.

Fiona L Coath, Marwan Bukhari, Georgina Ducker, Bridget Griffiths, Shahir Hamdulay, Melanie Hingorani, Candy Horsburgh, Colin Jones, Peter Lanyon, Sarah Mackie and 9 more

Abstract read
PubMed Publisher
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 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
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.

  1. Article
  2. Designing a workshop for a temporal artery biopsy simulation.Digital journal of ophthalmology : DJO · 2025
    Article
  3. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

19 authors.

Fiona L CoathVasculitis Service, Rheumatology Department, Norfolk and Norwich Hospital, Norfolk, UK.ORCID 0000-0002-4110-8806
Marwan BukhariRheumatology Department, University Hospitals of Morecambe Bay NHS Foundation Trust, Royal Lancaster Infirmary, Lancaster, UK.
Georgina DuckerVasculitis Service, Rheumatology Department, Norfolk and Norwich Hospital, Norfolk, UK.
Bridget GriffithsRheumatology Department, Newcastle upon Tyne Hospitals NHS Foundation Trust, Newcastle upon Tyne, UK.
Shahir HamdulayRheumatology Department, London Northwest University Healthcare NHS Trust, London, UK.
Melanie HingoraniMoorfields Eye Hospital, London, UK.
Candy HorsburghPMRGCAuk, London, UK.
Colin JonesDepartment of Ophthalmology, Norfolk and Norwich Hospital, Norfolk, UK.
Peter LanyonRheumatology Department, Nottingham University Hospitals NHS Trust, Nottingham, UK.
Sarah MackieRheumatology Department, University of Leeds, Leeds Teaching Hospital NHS Trust, Leeds, UK.ORCID 0000-0003-2483-5873
Susan MollanBirmingham Neuro-Ophthalmology Unit, University Hospitals Birmingham NHS Foundation Trust, Birmingham, UK.
Janice MooneySchool of Health and Social Care, University of Staffordshire, Stafford, UK.
Jagdish NairDepartment of Rheumatology, Liverpool University Hospitals, Liverpool, UK.
Ajay PatilOphthalmology Department, University Hospitals Birmingham, Birmingham, UK.
Joanna RobsonRheumatology Department, University Hospitals Bristol and Weston NHS Foundation Trust, Bristol, UK.ORCID 0000-0002-7939-5978
Vadivelu SaravananRheumatology Department, Queen Elizabeth Hospital, Gateshead, UK.
Eoin P O'SullivanOphthalmology Department, King's College Hospital, London, UK.
Madeline WhitlockRheumatology Department, Southend Hospital, Mid and South Essex NHS Foundation Trust, Essex, UK.
Chetan B MukhtyarVasculitis Service, Rheumatology Department, Norfolk and Norwich Hospital, Norfolk, UK.ORCID 0000-0002-9771-6667

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveGCA is the commonest primary systemic vasculitis in adults, with significant health economic costs and societal burden. There is wide variation in access to secondary care GCA services, with 34% of hospitals in England not having any formal clinical pathway. Quality standards provide levers for change to improve services.

methodsThe multidisciplinary steering committee were asked to anonymously put forward up to five aspects of service essential for best practice. Responses were qualitatively analysed to identify common themes, subsequently condensed into domain headings, and ranked in order of importance. Quality standards and metrics for each domain were drafted, requiring a minimum 75% agreement.

results13 themes were identified from the initial suggestions. Nine quality standards with auditable metrics were developed from the top 10 themes. Patient Access, glucocorticoid use, pathways, ultrasonography, temporal artery biopsy, PET scan access, rheumatology/ophthalmology expertise, education, multidisciplinary working have all been covered in these quality standards. Access to care is a strand that has run through each of the developed standards. An audit tool was developed as part of this exercise.

conclusionThese are the first consensus auditable quality standards developed by clinicians from rheumatology and ophthalmology, nursing representatives and involvement of a patient charity. We hope that these standards will be adopted by commissioning bodies to provide levers for change from the improvement of patient care of individuals with GCA.

Indexed as

Giant Cell ArteritisRheumatologyHumansPositron-Emission TomographySecondary Health CareTemporal ArteriesGCAlarge vessel vasculitispathwaysquality standards

Identifiers

PMID36692142

What OpenQuestion holds

Textmetadata
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.