Evidence map›Paper›PMID 36828585›Full record

SynthesisAnnals of the rheumatic diseases2024

Treat-to-target recommendations in giant cell arteritis and polymyalgia rheumatica.

Christian Dejaco, Andreas Kerschbaumer, Daniel Aletaha, Milena Bond, Elvis Hysa, Dario Camellino, Lisa Ehlers, Andy Abril, Simone Appenzeller, Maria C Cid and 19 more

Registry-linked trialOpen access · hybridAbstract readSystematic Review
In one paragraph

Synthesis in Annals of the rheumatic diseases, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06172361 (Efficacy and Safety of Induction and Tapering Therapy With Tofacitinib and Glucocorticoid in Patients With Polymyalgia Rheumatica), which is not on this map. Cited by 52 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
52citing papers in PubMed, 3 pooled it
26.9field-weighted citation impact, top 1% 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.

NCT06172361 phase3recruitingnot on this map

Efficacy and Safety of Induction and Tapering Therapy With Tofacitinib and Glucocorticoid in Patients With Polymyalgia Rheumatica (ITTG PMR): An Open-label 52-week Randomized Controlled Trial

TypeinterventionalSponsorZhejiang UniversityRan2024 to 2026Enrolled98ConditionsPolymyalgia RheumaticaArmsPrednisone+Tofacitinib, Prednisone
3 · Its place in the literature

Who cites it

52 citing papers in PubMed, 3 syntheses or guidelines pooled it, 104 citations in OpenAlex.

  1. Guideline
  2. Pooled it
  3. Pooled it
  4. Trial
  5. Article
  6. Article
  7. Review
  8. Observational
  9. Review
  10. Usefulness ofClinical rheumatology · 2026
    Article
  11. Review
  12. Article
  13. Article
  14. Observational
  15. Article
  16. Article
  17. Observational
  18. Review
  19. Review
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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

29 authors at 20 institutions in 10 countries.

Christian DejacoDivision of Rheumatology and Clinical Immunology, Department of Internal Medicine, Medical University, Graz, Austria christian.dejaco@gmx.net.ORCID http://orcid.org/0000-0002-0173-0668
Andreas KerschbaumerAbteilung für Rheumatologie, Medizinische Universitat Wien Universitatsklinik fur Innere Medizin III, Wien, Austria.ORCID http://orcid.org/0000-0002-6685-8873
Daniel AletahaDepartment of Rheumatology, Medizinische Universität Wien, Wien, Austria.ORCID http://orcid.org/0000-0003-2108-0030
Milena BondRheumatology, Hospital of Bruneck (ASAA-SABES), Teaching Hospital of the Paracelsius Medical University, Brunico, Italy.ORCID http://orcid.org/0000-0002-5400-2955
Elvis HysaLaboratory of Experimental Rheumatology and Academic Division of Clinical Rheumatology, University of Genoa, Genova, Italy.
Dario CamellinoDivision of Rheumatology, Department of Medical Specialties, Azienda Sanitaria Locale 3 Genovese, Arenzano, Italy.ORCID http://orcid.org/0000-0001-6384-6458
Lisa EhlersDepartment of Rheumatology and Clinical Immunology, Charite Medical Faculty Berlin, Berlin, Germany.ORCID http://orcid.org/0000-0001-8737-001X
Andy AbrilRheumatology, Mayo Clinic, Jacksonville, Florida, USA.
Simone AppenzellerDepartamento de Clínica Médica. Facultade de Ciências Medicas da UNICAMP, Universidade Estadual de Campinas, Campinas, Brazil.
Maria C CidDepartment of Autoimmune Diseases, Hospital Clinic, University of Barcelona, Institut d'Investigacions Biomèdiques August Pi I Sunyer (IDIBAPS), Barcelona, Spain.ORCID http://orcid.org/0000-0002-4730-0938
Bhaskar DasguptaRheumatology, Southend Hospital NHS Trust, Westcliff-on-sea, UK.ORCID http://orcid.org/0000-0002-5523-6534
Christina DuftnerDepartment of Internal Medicine, Clinical Division of Internal Medicine II, Medical University Innsbruck, Innsbruck, Austria.ORCID http://orcid.org/0000-0003-3137-8834
Peter C GraysonNational Institutes of Health/NIAMS, Bethesda, Maryland, USA.ORCID http://orcid.org/0000-0002-8269-9438
Bernhard HellmichKlinik für Innere Medizin, Rheumatolgie und Immunologie, Medius Kliniken Kirchheim/Teck, University Tübingen, Kirchheim-Teck, Germany.ORCID http://orcid.org/0000-0002-8014-1801
Alojzija HočevarDepartment of Rheumatology, Universitiy Medical Centre, Ljubljana, Slovenia.ORCID http://orcid.org/0000-0002-7361-6549
Tanaz A KermaniRheumatology, David Geffen School of Medicine, University of California, Los Angeles, California, USA.ORCID http://orcid.org/0000-0002-7335-7321
Eric L MattesonDivision of Rheumatology, Mayo Clinic College of Medicine and Science, Rochester, Minnesota, USA.ORCID http://orcid.org/0000-0002-9866-0124
Susan P MollanOphthalmology, University Hospitals Birmingham, Birmingham, UK.
Lorna NeillPatient Charity Polymyalgia Rheumatica and Giant Cell Arteritis Scotland, Nethy Bridge, UK.
Cristina PonteRheumatology, Centro Hospitalar Universitario Lisboa Norte EPE, Lisboa, Portugal.ORCID http://orcid.org/0000-0002-3989-1192
Carlo SalvaraniUnit of Rheumatology, Azienda Unità Sanitaria Locale-IRCCS, Reggio Emilia, Italy.ORCID http://orcid.org/0000-0003-3708-3148
Sebastian Eduardo SattuiDivision of Rheumatology and Clinical Immunology, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA.ORCID http://orcid.org/0000-0002-3945-6828
Wolfgang A SchmidtRheumatology, Immanuel Krankenhaus Berlin, Berlin-Buch, Berlin, Germany.ORCID http://orcid.org/0000-0001-7831-8738
Philip SeoRheumatology, Johns Hopkins University, Baltimore, Maryland, USA.
Josef S SmolenRheumatology, Medical University of Vienna, Wien, Austria.ORCID http://orcid.org/0000-0002-4302-8877
Jens ThielDivision of Rheumatology and Clinical Immunology, Department of Internal Medicine, Medical University, Graz, Austria.
Carlos Enrique Toro-GutiérrezReference Center in Osteoporosis, Rheumatology & Dermatology, Pontificia Universidad Javeriana Cali Facultad de Ciencias de la Salud, Cali, Colombia.ORCID http://orcid.org/0000-0002-6084-7049
Madeline WhitlockRheumatology, Southend University Hospital, Southend, UK.
Frank ButtgereitDepartment of Rheumatology and Clinical Immunology, Charité - Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin and Humboldt Universität zu Berlin, Berlin, Germany.ORCID http://orcid.org/0000-0003-2534-550X
Medical University of Vienna · ATMedical University of Graz · ATASL Roma · ITCentro Hospitalar Lisboa Norte · PTCharité - Universitätsmedizin Berlin · DEConsorci Institut D'Investigacions Biomediques August Pi I Sunyer · ESHumboldt-Universität zu Berlin · DEImmanuel Krankenhaus · DEInnsbruck Medical University · ATJacksonville College · USJohns Hopkins University · USMayo Clinic · USNational Institutes of Health · USNIHR Surgical Reconstruction and Microbiology Research Centre · GBPontificia Universidad Javeriana · COSouthend Hospital · GBSouthend University Hospital NHS Foundation Trust · GBUniversidade Estadual de Campinas (UNICAMP) · BRUniversity of California, Los Angeles · USUniversity of Genoa · IT

Funding

Vasculitis and Translational MedicineZIAAR041204 · NIAMS · NATIONAL INSTITUTE OF ARTHRITIS AND MUSCULOSKELETAL AND SKIN DISEASES · PI GRAYSON, PETER · 2015 to 2025
$15.4M
6 · The paper itself

Abstract

objectivesTo develop treat-to-target (T2T) recommendations in giant cell arteritis (GCA) and polymyalgia rheumatica (PMR).

methodsA systematic literature review was conducted to retrieve data on treatment targets and outcomes in GCA/PMR as well as to identify the evidence for the effectiveness of a T2T-based management approach in these diseases. Based on evidence and expert opinion, the task force (29 participants from 10 countries consisting of physicians, a healthcare professional and a patient) developed recommendations, with consensus obtained through voting. The final level of agreement was provided anonymously.

resultsFive overarching principles and six-specific recommendations were formulated. Management of GCA and PMR should be based on shared decisions between patient and physician recognising the need for urgent treatment of GCA to avoid ischaemic complications, and it should aim at maximising health-related quality of life in both diseases. The treatment targets are achievement and maintenance of remission, as well as prevention of tissue ischaemia and vascular damage. Comorbidities need to be considered when assessing disease activity and selecting treatment.

conclusionThese are the first T2T recommendations for GCA and PMR. Treatment targets, as well as strategies to assess, achieve and maintain these targets have been defined. The research agenda highlights the gaps in evidence and the need for future research.

Indexed as

Giant Cell ArteritisPolymyalgia RheumaticaComorbidityHumansQuality of LifeBiological TherapyGiant Cell ArteritisOutcome and Process Assessment, Health CarePolymyalgia Rheumatica

Identifiers

PMID36828585
PMCPMC10803996
OpenAlexW4321781622

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

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.