Evidence map›Paper›PMID 37144946›Full record

ArticleRheumatology (Oxford, England)2024

Validation of a patient-reported outcome measure for giant cell arteritis.

Mwidimi Ndosi, Celia Almeida, Jill Dawson, Emma Dures, Rosemary Greenwood, Alison Bromhead, Catherine Guly, Steve Stern, Catherine Hill, Sarah Mackie and 1 more

Open access · hybridAbstract read
In one paragraph

Article in Rheumatology (Oxford, England), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.6field-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

5 citing papers in PubMed, 6 citations in OpenAlex.

  1. Article
  2. Review
  3. Review
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  5. 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

11 authors at 5 institutions in 2 countries.

Mwidimi NdosiSchool of Health and Social Wellbeing, University of the West of England, Bristol, UK.ORCID 0000-0002-7764-3173
Celia AlmeidaSchool of Health and Social Wellbeing, University of the West of England, Bristol, UK.
Jill DawsonNuffield Department of Population Health (HSRU), University of Oxford, Oxford, UK.ORCID 0000-0002-2358-1333
Emma DuresSchool of Health and Social Wellbeing, University of the West of England, Bristol, UK.ORCID 0000-0002-6674-8607
Rosemary GreenwoodNIHR Research Design Service South West, University Hospitals Bristol and Weston NHS Foundation Trust, Bristol, UK.ORCID 0000-0001-6637-5225
Alison BromheadSchool of Health and Social Wellbeing, University of the West of England, Bristol, UK.
Catherine GulyBristol Eye Hospital, University Hospitals Bristol and Weston NHS Foundation Trust, Bristol, UK.
Steve SternSchool of Health and Social Wellbeing, University of the West of England, Bristol, UK.
Catherine HillDiscipline of Medicine, The University of Adelaide, Adelaide, Australia.ORCID 0000-0001-8289-4922
Sarah MackieLeeds Institute of Rheumatic and Musculoskeletal Medicine, University of Leeds, Leeds, UK.ORCID 0000-0003-2483-5873
Joanna C RobsonSchool of Health and Social Wellbeing, University of the West of England, Bristol, UK.ORCID 0000-0002-7939-5978
University of the West of England · GBUniversity Hospitals Bristol NHS Foundation Trust · GBRoyal Adelaide Hospital · AUUniversity of Leeds · GBUniversity of Oxford · GB

Funding

National Institute for Health and Care Research, Research for Patient Benefit PB-PG-1217-20017NIHR
6 · The paper itself

Abstract

objectivesGCA is systemic vasculitis manifesting as cranial, ocular or large vessel vasculitis. A prior qualitative study developed 40 candidate items to assess the impact of GCA on health-related quality of life (HRQoL). This study aimed to determine final scale structure and measurement properties of the GCA patient reported outcome (GCA-PRO) measure.

methodsCross-sectional study included UK patients with clinician-confirmed GCA. They completed 40 candidate items for the GCA-PRO at times 1 and 2 (3 days apart), EQ-5D-5L, ICECAP-A, CAT-PROM5 and self-report of disease activity. Rasch and exploratory factor analyses informed item reduction and established structural validity, reliability and unidimensionality of the final GCA-PRO. Evidence of validity was also established with hypothesis testing (GCA-PRO vs other PRO scores, and between participants with 'active disease' vs those 'in remission') and test-retest reliability.

resultsThe study population consisted of 428 patients: mean (s.d.) age 74.2 (7.2), 285 (67%) female; 327 (76%) cranial GCA, 114 (26.6%) large vessel vasculitis and 142 (33.2%) ocular involvement. Rasch analysis eliminated 10 candidate GCA items and informed restructuring of response categories into four-point Likert scales. Factor analysis confirmed four domains: acute symptoms (eight items), activities of daily living (seven items), psychological (seven items) and participation (eight items). The overall scale had adequate Rasch model fit (χ2 = 25.219, degrees of freedom = 24, P = 0.394). Convergent validity with EQ5D-5L, ICECAP-A and Cat-PROM5 was confirmed through hypothesis testing. Internal consistency and test-retest reliability were excellent.

conclusionThe final GCA-PRO is a 30-item, four-domain scale with robust evidence of validity and reliability in measuring HRQoL in people with GCA.

Indexed as

Giant Cell ArteritisQuality of LifeActivities of Daily LivingAgedCross-Sectional StudiesFemaleHumansMalePatient Reported Outcome MeasuresPsychometricsReproducibility of ResultsSurveys and QuestionnairesGCAlarge vessel vasculitisocular GCApatient reported outcome measuresquality of lifeRasch analysistemporal arteritis

Identifiers

PMID37144946
PMCPMC10765151
OpenAlexW4372337155

What OpenQuestion holds

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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.