Evidence map›Paper›PMID 37744047›Full record

ReviewJournal of scleroderma and related disorders2023

Consensus on the assessment of systemic sclerosis-associated primary heart involvement: World Scleroderma Foundation/Heart Failure Association guidance on screening, diagnosis, and follow-up assessment.

Cosimo Bruni, Maya H Buch, Aleksandra Djokovic, Giacomo De Luca, Raluca B Dumitru, Alessandro Giollo, Ilaria Galetti, Alexia Steelandt, Konstantinos Bratis, Yossra Atef Suliman and 25 more

Abstract readReview
In one paragraph

Review in Journal of scleroderma and related disorders, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed, 3 pooled it
–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

32 citing papers in PubMed, 3 syntheses or guidelines pooled it.

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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

35 authors.

Cosimo BruniDivision of Rheumatology, Department of Experimental and Clinical Medicine, Careggi University Hospital (AOUC), University of Florence, Florence, Italy.ORCID https://orcid.org/0000-0003-2813-2083
Maya H BuchCentre for Musculoskeletal Research, School of Biological Sciences, Faculty of Biology, Medicine & Health, University of Manchester, Manchester, UK.
Aleksandra DjokovicDepartment of Cardiology, University Clinical Hospital Center Bezanijska kosa, Belgrade, Serbia.
Giacomo De LucaUnit of Immunology, Rheumatology Allergology and Rare diseases, IRCSS San Raffaele Hospital, Milan, Italy.ORCID https://orcid.org/0000-0002-5306-7714
Raluca B DumitruLeeds Institute of Rheumatic and Musculoskeletal Medicine, University of Leeds, Leeds, UK.
Alessandro GiolloRheumatology Unit, Department of Medicine, University of Padova, Padova, Italy.
Ilaria GalettiFederation of European Scleroderma Associations (FESCA), Saint Maur, Belgium.
Alexia SteelandtRheumatology Department, Paris University, Cochin Hospital, Paris, France.
Konstantinos BratisManchester Heart Centre, Manchester University NHS Foundation Trust, Manchester, UK.
Yossra Atef SulimanDepartment of Rheumatology and Rehabilitation, Faculty of Medicine, Assuit University Hospital, Assuit, Arab Republic of Egypt.ORCID https://orcid.org/0000-0003-2919-1966
Ivan MilinkovicDepartment of Cardiology, University Clinical Hospital Center Bezanijska kosa, Belgrade, Serbia.
Anna BaritussioCardiology and Cardioimmunology Outpatient Clinic, Department of Cardiac, Thoracic, Vascular Sciences and Public Health, University of Padua, Padua, Italy.
Ghadeer HasanDepartment of Medicine, Rutgers Robert Wood Johnson Medical Centre, New Brunswick, NJ, USA.
Anastasia XintarakouMitera General Hospital-Hygeia Group, Athens, Greece.
Yohei IsomuraDepartment of Allergy and Rheumatology, Graduate School of Medicine, Nippon Medical School, Tokyo, Japan.
George Markousis-MavrogenisDepartment of Cardiology, Onassis Cardiac Surgery Centre, Athens, Greece.ORCID https://orcid.org/0000-0001-8192-6670
Sophie MavrogeniOnassis Cardiac Surgery Centre and Kapodistrian University of Athens, Athens, Greece.
Luna GarganiDepartment of Surgical, Medical and Molecular Pathology and Critical Care Medicine, University of Pisa, Pisa, Italy.
Alida Lp CaforioCardiology and Cardioimmunology Outpatient Clinic, Department of Cardiac, Thoracic, Vascular Sciences and Public Health, University of Padua, Padua, Italy.
Carsten TschöpeDepartment of Internal Medicine and Cardiology, Charité-University Medicine Berlin, Berlin, Germany.
Arsen RisticDepartment of Cardiology, University Clinical Hospital Center Bezanijska kosa, Belgrade, Serbia.
Sven PleinBiomedical Imaging Science Department, Leeds Institute of Cardiovascular and Metabolic Medicine, University of Leeds, Leeds, UK.
Elijah BehrCardiovascular Clinical Academic Group, Institute of Molecular and Clinical Sciences, St George's University of London, London, UK.
Yannick AllanoreRheumatology Department, Paris University, Cochin Hospital, Paris, France.
Masataka KuwanaDepartment of Allergy and Rheumatology, Graduate School of Medicine, Nippon Medical School, Tokyo, Japan.ORCID https://orcid.org/0000-0001-8352-6136
Christopher P DentonCentre for Rheumatology, Royal Free Hospital, London, UK.ORCID https://orcid.org/0000-0003-3975-8938
Daniel E FurstDivision of Rheumatology, Department of Experimental and Clinical Medicine, Careggi University Hospital (AOUC), University of Florence, Florence, Italy.
Dinesh KhannaDivision of Rheumatology, Department of Internal Medicine, Scleroderma Program, University of Michigan, Ann Arbor, MI, USA.ORCID https://orcid.org/0000-0001-6822-3401
Thomas KriegDepartment of Dermatology, Translational Matrix Biology, University Hospital Cologne, Cologne, Germany.
Renzo MarcolongoCardiology and Cardioimmunology Outpatient Clinic, Department of Cardiac, Thoracic, Vascular Sciences and Public Health, University of Padua, Padua, Italy.
Alessia PepeInstitute of Radiology and Department of Medicine, University of Padova, Padova, Italy.
Oliver DistlerDepartment of Rheumatology, University Hospital Zurich, University of Zurich, Zurich, Switzerland.
Petros SfikakisFirst Department of Propaedeutic and Internal Medicine and Joint Rheumatology Program, National and Kapodistrian University of Athens Medical School, Athens, Greece.
Petar SeferovicDepartment of Cardiology, University Clinical Hospital Center Bezanijska kosa, Belgrade, Serbia.
Marco Matucci-CerinicDivision of Rheumatology, Department of Experimental and Clinical Medicine, Careggi University Hospital (AOUC), University of Florence, Florence, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Heart involvement is a common problem in systemic sclerosis. Recently, a definition of systemic sclerosis primary heart involvement had been proposed. Our aim was to establish consensus guidance on the screening, diagnosis and follow-up of systemic sclerosis primary heart involvement patients. Methods: A systematic literature review was performed to investigate the tests used to evaluate heart involvement in systemic sclerosis. The extracted data were categorized into relevant domains (conventional radiology, electrocardiography, echocardiography, cardiac magnetic resonance imaging, laboratory, and others) and presented to experts and one patient research partner, who discussed the data and added their opinion. This led to the formulation of overarching principles and guidance statements, then reviewed and voted on for agreement. Consensus was attained when the mean agreement was ⩾7/10 and of ⩾70% of voters. Results: Among 2650 publications, 168 met eligibility criteria; the data extracted were discussed over three meetings. Seven overarching principles and 10 guidance points were created, revised and voted on. The consensus highlighted the importance of patient counseling, differential diagnosis and multidisciplinary team management, as well as defining screening and diagnostic approaches. The initial core evaluation should integrate history, physical examination, rest electrocardiography, trans-thoracic echocardiography and standard serum cardiac biomarkers. Further investigations should be individually tailored and decided through a multidisciplinary management. The overall mean agreement was 9.1/10, with mean 93% of experts voting above 7/10. Conclusion: This consensus-based guidance on screening, diagnosis and follow-up of systemic sclerosis primary heart involvement provides a foundation for standard of care and future feasibility studies that are ongoing to support its application in clinical practice.

Indexed as

cardiac involvementconsensus guidancediagnosisfollow-upscreeningSystemic sclerosis

Identifiers

PMID37744047
PMCPMC10515996

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.