Evidence map›Paper›PMID 40918540›Full record

ArticleCHEST pulmonary2025

Pragmatic Comparative Effectiveness Trials in Rheumatoid Arthritis-Associated Interstitial Lung Disease: A Multiperspective Qualitative Study.

Angela Kaczorowski-Worthley, Dinesh Pal Mudaranthakam, Janell Reichuber, Chris Streiler, Sahil Pandya, Ryan Boente, Susan K Mathai, Ayodeji Adegunsoye, Jeff Swigris, Elizabeth R Volkmann and 3 more

Abstract read
In one paragraph

Article in CHEST pulmonary, 2025. 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

13 authors.

Angela Kaczorowski-WorthleyUniversity of Kansas School of Medicine, Kansas City, KS.
Dinesh Pal MudaranthakamDepartment of Biostatistics and Data Science, University of Kansas Medical Center, Kansas City KS.
Janell ReichuberInterstitial Lung Disease Clinical Trials Program, University of Kansas Medical Center, Kansas City KS.
Chris StreilerDepartment of Pulmonary, Critical Care Medicine, University Health, Kansas City, MO.
Sahil PandyaDepartment of Pulmonary, Critical Care and Sleep Medicine, University of Kansas Medical Center, Kansas City KS.
Ryan BoenteDepartment of Pulmonary, Critical Care, Sleep and Occupational Medicine, Indiana University School of Medicine, Indianapolis, IN.
Susan K MathaiCenter for Advanced Heart and Lung Disease, Baylor University Medical Center, and Texas A&M University School of Medicine, Dallas, TX.
Ayodeji AdegunsoyeSection of Pulmonary & Critical Care, Department of Medicine, University of Chicago, Chicago, IL.
Jeff SwigrisDepartment of Medicine, Division of Pulmonary, Critical Care & Sleep Medicine, National Jewish Health, Denver, CO.
Elizabeth R VolkmannDepartment of Medicine, Division of Rheumatology, University of California, Los Angeles, Los Angeles, CA.
Joshua J SolomonDepartment of Medicine, Division of Pulmonary, Critical Care & Sleep Medicine, National Jewish Health, Denver, CO.
Bryant R EnglandDivision of Rheumatology & Immunology, University of Nebraska Medical Center, Omaha, NE, Veterans Affairs Nebraska-Western Iowa Health Care System, Omaha, NE.
Scott M MatsonDepartment of Pulmonary, Critical Care and Sleep Medicine, University of Kansas Medical Center, Kansas City KS.

Funding

Using Integrated Omics to Identify Dysfunctional Genetic Mechanisms Influencing Schizophrenia and Sleep DisturbancesP20GM130423 · NIGMS · UNIVERSITY OF KANSAS MEDICAL CENTER · PI Kalyani Pyaram, Steven Allan Soper · 2019 to 2026
$21.5M
NIGMS NIH HHS P20 GM130423
6 · The paper itself

Abstract

backgroundRheumatoid arthritis-associated interstitial lung disease (RA-ILD) portends a devastating prognosis for patients, with survival typically being < 5 to 8 years after diagnosis. Limited clinical trial data exist to guide treatment strategies, and the efficacy of current strategies-immunomodulation and antifibrotics-remains uncertain. Large randomized controlled trials are costly, but pragmatic trial designs could reduce expenses. Establishing equipoise and assessing feasibility from both patient and expert perspectives are essential for developing these trials. RESEARCH QUESTION: What are the perceptions of RA-ILD experts and patients with interstitial lung disease surrounding equipoise, feasibility, and trial design? STUDY DESIGN AND

methodsA qualitative study involving a panel of 10 RA-ILD experts and 3 patient panels was conducted. Experts were recruited via snowball sampling, and patient panels included 29 individuals with interstitial lung disease or their caregivers. Discussions were transcribed and analyzed using inductive coding, creating a thematic network based on the Attride-Stirling guidelines.

resultsExpert themes included variability in treatment strategies, prioritizing patient-reported outcomes and balancing pragmatism with data collection in trial design. Patient themes highlighted outcomes of importance, participation barriers, and the need for patient-centered research.

interpretationBoth expert and patient panels endorsed using real-world clinical outcomes and patient-reported outcomes as primary trial end points. Pragmatic trials could reduce costs and expand inclusion criteria, highlighting the potential of patient-centered approaches in RA-ILD research.

Indexed as

antifibroticsinterstitial lung diseasepragmatic trialrheumatoid arthritis interstitial lung disease

Identifiers

PMID40918540
PMCPMC12410752

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.