Evidence map›Paper›PMID 39030878›Full record

ArticleArthritis & rheumatology (Hoboken, N.J.)2024

Integration of Genetic and Clinical Risk Factors for Risk Classification of Uveitis in Patients With Juvenile Idiopathic Arthritis.

Melissa Tordoff, Samantha L Smith, Saskia Lawson-Tovey, Andrew D Dick, Michael W Beresford, Athimalaipet V Ramanan, Kimme L Hyrich, Andrew P Morris, Stephen Eyre, Lucy R Wedderburn and 2 more

Abstract read
In one paragraph

Article in Arthritis & rheumatology (Hoboken, N.J.), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

6 citing papers in PubMed.

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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

12 authors.

Melissa TordoffThe University of Manchester, Manchester, United Kingdom.ORCID https://orcid.org/0000-0002-8655-0921
Samantha L SmithThe University of Manchester, Manchester, United Kingdom.
Saskia Lawson-ToveyNIHR Manchester Biomedical Research Centre, Manchester University NHS Foundation Trust, Manchester, UK.ORCID https://orcid.org/0000-0002-8611-162X
Andrew D DickUniversity of Bristol, Bristol, UCL Institute of Ophthalmology, London, and Moorfields Eye Hospital, London, United Kingdom.
Michael W BeresfordUniversity of Liverpool and Alder Hey Children's NHS Foundation Trust Hospital, Liverpool, United Kingdom.
Athimalaipet V RamananBristol Royal Hospital for Children and University of Bristol, Bristol, United Kingdom.
Kimme L HyrichNIHR Manchester Biomedical Research Centre, Manchester University NHS Foundation Trust, Manchester, UK.
Andrew P MorrisNIHR Manchester Biomedical Research Centre, Manchester University NHS Foundation Trust, Manchester, UK.
Stephen EyreNIHR Manchester Biomedical Research Centre, Manchester University NHS Foundation Trust, Manchester, UK.
Lucy R WedderburnUCL Great Ormond Street Institute of Child Health, UCL Hospital and Great Ormond Street Hospital, and NIHR Biomedical Research Centre at Great Ormond Street Hospital, London, United Kingdom.ORCID https://orcid.org/0000-0002-7495-1429
John BowesNIHR Manchester Biomedical Research Centre, Manchester University NHS Foundation Trust, Manchester, UK.
CLUSTER Consortium

Funding

Arthritis Research UK 19612Arthritis Research UK 20659Arthritis Research UK 20747Centre for Epidemiology Versus Arthritis, University of Manchester 21755Centre for Genetics and Genomics Versus Arthritis 21754Great Ormond Street Hospital Charity VS0518Medical Research Council MR/M004600/1Medical Research Council MR/R013926/1Sparks UK 08ICH09Versus Arthritis 20542Versus Arthritis 20621Versus Arthritis 21593Versus Arthritis 22084
6 · The paper itself

Abstract

objectiveJuvenile idiopathic arthritis (JIA)-associated uveitis (JIAU) is a serious JIA comorbidity that can result in vision impairment. This study aimed to identify genetic risk factors within the major histocompatibility complex for JIAU and evaluate their contribution for improving risk classification when combined with clinical risk factors.

methodsData on single nucleotide polymorphisms, amino acids, and classical HLA alleles were available for 2,497 patients with JIA without uveitis and 579 patients with JIAU (female 2,060, male 1,015). Analysis was restricted to patients with inferred European ancestry. Forward conditional logistic regression identified genetic markers exceeding a Bonferroni-corrected significance (6 × 10

resultsThree genetic risk factors were identified, mapping to HLA-DRB1, HLA-DPB1, and HLA-A. These markers were statistically independent from clinical risk factors and significantly improved the fit of a model when included with clinical risk factors (P = 3.3 × 10

conclusionIntegration of a genetic and clinical risk prediction model outperforms a model based solely on clinical risk factors. Future JIAU risk prediction models should include genetic risk factors.

Indexed as

Arthritis, JuvenileGenetic Predisposition to DiseaseHLA-DRB1 ChainsPolymorphism, Single NucleotideUveitisAdolescentAllelesChildChild, PreschoolFemaleGenetic MarkersHLA-A AntigensHLA-DP beta-ChainsHumansLogistic ModelsMaleGenetic MarkersHLA-A AntigensHLA-DPB1 antigenHLA-DP beta-ChainsHLA-DRB1 Chains

Identifiers

PMID39030878
PMCPMC11605271

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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.