Evidence map›Paper›PMID 37481713›Full record

ArticleRheumatology (Oxford, England)2024

Construct validity and reliability of the Assessment of Systemic Sclerosis-Associated Raynaud's Phenomenon (ASRAP) questionnaire.

John D Pauling, Lan Yu, Tracy M Frech, Ariane L Herrick, Laura K Hummers, Ami A Shah, Christopher P Denton, Lesley Ann Saketkoo, Jane Withey, Dinesh Khanna and 1 more

Open access · bronzeAbstract readMulticenter StudyValidation Study
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 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
4.3field-weighted citation impact, top 6% 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

9 citing papers in PubMed, 17 citations in OpenAlex.

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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

11 authors at 8 institutions in 2 countries.

John D PaulingDepartment of Rheumatology, North Bristol NHS Trust, Bristol, UK.ORCID 0000-0002-2793-2364
Lan YuDepartment of Medicine, University of Pittsburgh, PA, USA.
Tracy M FrechVanderbilt University, Nashville, TN, USA.ORCID 0000-0002-5472-3840
Ariane L HerrickThe University of Manchester, Northern Care Alliance NHS Foundation Trust, Manchester Academic Health Science Centre, Manchester, UK.ORCID 0000-0003-4941-7926
Laura K HummersDepartment of Rheumatology, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Ami A ShahDepartment of Rheumatology, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Christopher P DentonCentre for Rheumatology and Connective Tissue Diseases, Royal Free Hospital, London, UK.ORCID 0000-0003-3975-8938
Lesley Ann SaketkooDepartment of Rheumatology, University of Tulane Medical Center, New Orleans, LA, USA.
Jane WitheyDepartment of Rheumatology, Royal National Hospital for Rheumatic Diseases (part of the Royal United Hospitals NHS Foundation Trust), Bath, UK.
Dinesh KhannaUniversity of Michigan Scleroderma Program, Ann Arbor, MI, USA.ORCID 0000-0003-1412-4453
Robyn T DomsicDivision of Rheumatology and Clinical Immunology, University of Pittsburgh, Pittsburgh, PA, USA.ORCID 0000-0002-2765-0922
Johns Hopkins University · USRoyal National Hospital for Rheumatic Diseases · GBUniversity of Pittsburgh · USManchester Academic Health Science Centre · GBThe Royal Free Hospital · GBTulane Medical Center · USUniversity of Michigan · USVanderbilt University · US

Funding

Harnessing multivariate patient- and population-level disease trajectories to predict major clinical events in sclerodermaK24AR080217 · NIAMS · JOHNS HOPKINS UNIVERSITY · PI Ami Aalok Shah · 2022 to 2026
$847k
Systemic sclerosis (SSc) vasculopathy: Improved clinical monitoring and treatmentI01CX002111 · VA · VETERANS HEALTH ADMINISTRATION · PI FRECH, TRACY MINAN · 2021 to 2025
–
CSRD VA I01 CX002111NIAMS NIH HHS K24 AR080217US Department of Defence W81XWH-18–1-0602
6 · The paper itself

Abstract

objectivesAssessment of construct validity and reliability of a novel patient-reported outcome (PRO) instrument for assessing the severity and impact of RP in SSc.

methodsAn international multicentre study validation study of the 27-item Assessment of Systemic Sclerosis-Associated Raynaud's Phenomenon (ASRAP) and 10-item short-form (ASRAP-SF) questionnaires. The relationship between ASRAP questionnaires and demographics, clinical phenotype and legacy instruments for assessing SSc-RP severity, disability and pain was assessed. Repeatability was evaluated at 1 week. Anchor-based statements of health status facilitated assessment of ASRAP thresholds of meaning.

resultsA total of 420 SSc subjects were enrolled. There was good correlation between ASRAP (and ASRAP-SF) with RP visual analogue scale (VAS) and Scleroderma Health Assessment Questionnaire RP VAS (rho range 0.648-0.727, P < 0.001). Correlation with diary-based assessment of SSc-RP attack frequency and duration was lower (rho range 0.258-0.504, P < 0.001). ASRAP questionnaires had good correlation with instruments for assessing disability, hand function, pain and global health assessment (rho range 0.427-0.575, P < 0.001). Significantly higher ASRAP scores were identified in smokers, patients with active digital ulceration (DU), previous history of DU and calcinosis (P < 0.05 for all comparisons). There was excellent repeatability at 1 week among patients with stable SSc-RP symptoms (intra-class coefficients of 0.891 and 0.848, P < 0.001). Patient-acceptable symptom state thresholds for ASRAP and ASRAP-SF were 45.34 and 45.77, respectively. A preliminary Minimally Important Clinical Difference threshold of 4.17 (95% CI 0.53, 7.81, P = 0.029) was estimated.

conclusionASRAP and ASRAP-SF questionnaires are valid and reliable novel PRO instruments for assessing the severity and impact of SSc-RP.

Indexed as

Raynaud DiseaseScleroderma, SystemicSeverity of Illness IndexAdultAgedDisability EvaluationFemaleHumansMaleMiddle AgedPain MeasurementPatient Reported Outcome MeasuresReproducibility of ResultsSurveys and Questionnairesclinical trialpatient-reported outcome instrumentRPSScvalidation

Identifiers

PMID37481713
PMCPMC13396777
OpenAlexW4385157140

What OpenQuestion holds

Textmetadata
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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.