Evidence map›Paper›PMID 39059812›Full record

ArticleRMD open2024

Sensitivity to change of structural outcomes in axial spondyloarthritis after 10 years of follow up. Data from the DESIR cohort.

Clementina López-Medina, Anna Molto, Alexandre Sepriano, Sofia Ramiro, Anne Tournadre, Maxime Dougados

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Article in RMD open, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Review
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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

6 authors.

Clementina López-MedinaRheumatology, Reina Sofia University Hospital, Cordoba, Spain h72lomee@uco.es.ORCID 0000-0002-2309-5837
Anna MoltoRheumatology, Cochin Hospital, AP-HP, Paris, France.ORCID 0000-0003-2246-1986
Alexandre SeprianoNOVA Medical School, UNL, Lisbon, Portugal.ORCID 0000-0003-1954-0229
Sofia RamiroDepartment of Rheumatology, Leiden University Medical Center, Leiden, Netherlands.ORCID 0000-0002-8899-9087
Anne TournadreCentre Hospitalier Universitaire de Clermont-Ferrand, Clermont-Ferrand, France.ORCID 0000-0002-5025-0214
Maxime DougadosRheumatology, Cochin Hospital, AP-HP, Paris, France.ORCID 0000-0003-3009-6229

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo evaluate the sensitivity to change in structural imaging outcomes over 10 years of follow-up in patients with axial spondyloarthritis (axSpA).

methodsPatients with axSpA from the Devenir des Spondyloarthropathies Indifferénciées Récentes cohort were included. Radiographs and MRIs of the sacroiliac joints (SIJ) and spine were obtained at baseline and at 1, 2, 5 and 10 years. The yearly rate of change of each structural outcome was analysed using generalised estimating equation models, including all patients with ≥1 score from ≥1 reader from ≥1 reading wave, using the time (years) as an explanatory variable and adjusting for reader and wave. All outcomes were standardised, and the relative standardised rate of change was calculated (ie, the standardised rate of an outcome divided by the rate of a reference outcome).

resultsA total of 659 patients (46% males and mean age 33.6 years) were included. The most sensitive outcome to change in the SIJ (both MRI and radiographs) was the presence of ≥3 fatty lesions at a specific timepoint, with a relative standardised rate of change per year of 5.28 using the modified New York criteria as reference.Similarly, the most sensitive to change (in both MRI and radiographs) outcome in the spine was the modified Stoke Ankylosing Spondylitis Spinal Score (mSASSS; relative standardised yearly change 1.76) using ≥1 syndesmophyte as reference.

conclusionMRI structural outcomes in the SIJ (ie, fatty lesions) are more sensitive to change than radiographic outcomes. Conversely, the mSASSS remains the most sensitive method, even when compared with MRI of the spine.

Indexed as

Axial SpondyloarthritisMagnetic Resonance ImagingSacroiliac JointAdultDisease ProgressionFemaleFollow-Up StudiesHumansMaleMiddle AgedRadiographySeverity of Illness IndexSpineAxial SpondyloarthritisMagnetic Resonance ImagingSpondylitis, AnkylosingSpondyloarthritis

Identifiers

PMID39059812
PMCPMC11284916

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