Evidence map›Paper›PMID 38991833›Full record

ArticleLupus science & medicine2024

Outcome clusters and their stability over 1 year in patients with SLE: self-reported and performance-based cognitive function, disease activity, mood and health-related quality of life.

Ambika Gupta, Sindhu Johnson, Michelle Barraclough, Jiandong Su, Kathleen Bingham, Andrea M Knight, Juan Pablo Diaz Martinez, Mahta Kakvan, Maria Carmela Tartaglia, Lesley Ruttan and 9 more

Abstract read
In one paragraph

Article in Lupus science & medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
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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

19 authors.

Ambika GuptaDepartment of Medicine, University of Calgary Cumming School of Medicine, Calgary, Alberta, Canada.
Sindhu JohnsonDivision of Rheumatology, Schroeder Arthritis Institute, University Health Network, Toronto, Ontario, Canada.ORCID 0000-0003-0591-2976
Michelle BarracloughThe University of Manchester, Manchester, UK.ORCID 0000-0002-9698-0917
Jiandong SuToronto Western Hospital, Toronto, Ontario, Canada.
Kathleen BinghamCentre for Mental Health, University Health Network, Toronto, Ontario, Canada.
Andrea M KnightRheumatology, Hospital for Sick Children, Toronto, Ontario, Canada.
Juan Pablo Diaz MartinezUniversity of Toronto Temerty Faculty of Medicine, Toronto, Ontario, Canada.
Mahta KakvanDivision of Rheumatology, University Health Network, Toronto, Ontario, Canada.
Maria Carmela TartagliaUniversity of Toronto, Toronto, Ontario, Canada.
Lesley RuttanUniversity Health Network, Toronto, Ontario, Canada.
Sherief MarzoukDepartment of Psychiatry, University Health Network, Toronto, Ontario, Canada.
Joan WitherUniversity of Toronto, Toronto, Ontario, Canada.
May ChoiUniversity of Calgary Cumming School of Medicine, Calgary, Alberta, Canada.ORCID 0000-0003-3760-2737
Dennisse BonillaDivision of Rheumatology, Schroeder Arthritis Institute, University Health Network, Toronto, Ontario, Canada.
Simone AppenzellerDepartment of Orthopedics, Rheumatology and Traumatology, State University of Campinas, Campinas, Brazil.
Dorcas BeatonInstitute for Work and Health, Toronto, Ontario, Canada.
Patricia KatzMedicine, University of California San Francisco, San Francisco, California, USA.
Robin GreenToronto Rehabilitation Institute, Toronto, Ontario, Canada.
Zahi ToumaDivision of Rheumatology, Schroeder Arthritis Institute, Krembil Research Institute, University Health Network, Toronto, Ontario, Canada Zahi.Touma@uhn.ca.ORCID 0000-0001-5177-2076

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo determine if self-reported fatigue, anxiety, depression, cognitive difficulties, health-related quality of life, disease activity scores and neuropsychological battery (NB) cluster into distinct groups in patients with SLE based on symptom intensity and if they change at 1-year follow-up.

methodsThis is a retrospective analysis of consecutive consenting patients, followed at a single centre. Patients completed a comprehensive NB, the Beck Anxiety Inventory, Beck Depression Inventory, Fatigue Severity Scale, Short-Form Health Survey Physical Component Summary and Mental Component Summary scores and the Perceived Deficits Questionnaire. Disease activity was assessed by Systemic Lupus Erythematosus Disease Activity Index 2000. Ward's method was used for clustering and principal component analysis was used to visualise the number of clusters. Stability at 1 year was assessed with kappa statistic.

resultsAmong 142 patients, three clusters were found:

conclusionThree distinct clusters of symptom intensity were documented in patients with SLE in association with cognitive function. There was a lower tendency for patients in the mild and severe clusters to move but not moderate cluster over the course of a year. This may demonstrate an opportunity for intervention to have moderate cluster patients move to mild cluster instead of moving to severe cluster. Further studies are necessary to assess factors that affect movement into moderate cluster.

Indexed as

CognitionLupus Erythematosus, SystemicQuality of LifeSelf ReportSeverity of Illness IndexAdultAffectAnxietyCluster AnalysisDepressionFatigueFemaleFollow-Up StudiesHumansMaleMiddle AgedAutoantibodiesAutoimmunityLupus Erythematosus, SystemicQuality Indicators, Health CareQuality of LIfe

Identifiers

PMID38991833
PMCPMC11243126

What OpenQuestion holds

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Registered trials

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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.