Evidence map›Paper›PMID 39585366›Full record

Observational studyZeitschrift fur Rheumatologie2024

An observational study of ultrasound semiquantitative scoring for predicting the risk of gout flare.

Jing Wang, Qin Shao

Abstract readObservational Study
PubMed Publisher
In one paragraph

Observational study in Zeitschrift fur Rheumatologie, 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
  2. Review
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

2 authors.

Jing WangDepartment of Rheumatology, Chongqing City Hospital of Traditional Chinese Medicine, No. 6, Pan Xi Qi Zhi Road, 400021, Jiang Bei District Chongqing, China.
Qin ShaoDepartment of Rheumatology, Chongqing City Hospital of Traditional Chinese Medicine, No. 6, Pan Xi Qi Zhi Road, 400021, Jiang Bei District Chongqing, China. qinshao2011@126.com.ORCID http://orcid.org/0000-0001-9478-3816

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveAn observational study was conducted to determine whether semiquantitative scoring of ultrasound signs of gout predicted flare over 12 months.

methodsGout patients were enrolled consecutively in this 12-month prospective observational single-center study. Ultrasound evaluation and clinical assessment were performed at baseline. All patients were examined bilaterally evaluating 14 joints (knee, ankle, metatarsophalangeal joints 1-5) and 10 tendons (posterior tibial, quadriceps, peroneus longus and brevis scored as one, patellar, and Achilles tendons). The following ultrasound features were examined and semiquantitative scoring was performed: DC sign, aggregates, tophi, bone erosion, synovial hypertrophy, PD activity, and tenosynovitis. Patients were divided into two groups, one with flares during the follow-up period and the other without flares.

resultsA total of 119 participants completed the study; 61 (51.3%) participants experienced at least one flare over 12 months, with a median of 2.0 flares. The ultrasound findings indicative of DC sign, aggregate, tophi, bone erosion, and PD activity at baseline were significantly correlated with the development of gout flares over 12 months. Logistic regression analysis suggested that DC sign score (OR: 2.41, 95% CI: 0.92-4.37; P = 0.02), tophi score (OR: 1.87, 95% CI: 0.65-2.28; P = 0.04), and PD activity score (OR: 1.93, 95% CI: 0.58-3.26; P = 0.03) were independent predictors of flare. ROC curve analysis to assess ultrasound semiquantitative scoring has good sensitivity and specificity for the prediction of gout flares.

conclusionUltrasound semiquantitative scoring can predict the risk of flare, and ultrasound findings indicative of DC sign, tophi, and PD activity are independent predictors of gout flares over 12 months.

Indexed as

GoutSensitivity and SpecificityUltrasonographyAdultAgedFemaleHumansMaleMiddle AgedPrognosisReproducibility of ResultsRisk AssessmentRisk FactorsSymptom Flare UpFlaresGoutPredictionSemiquantitative scoringUltrasonography

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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.