Evidence map›Paper›PMID 42557009›Full record

ArticleRMD open2026

Influence of initial axial involvement on the phenotypic evolution of axial spondyloarthritis: 10-year data from the DESIR cohort.

Audrey-Anne Couture, Bastien Peiffer, Philippe Le Corvoisier, Salah Ferkal, Alain Luciani, Maxime Dougados, Pascal Claudepierre, Laura Pina Vegas

Abstract read
In one paragraph

Article in RMD open, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

8 authors.

Audrey-Anne CoutureService de Rhumatologie, CHU Henri-Mondor, AP-HP, Université Paris Est Créteil, Créteil, France.ORCID http://orcid.org/0009-0003-3126-3487
Bastien PeifferDépartement Médico-Universitaire 'Medecine', AP-HP, Hôpitaux Universitaires Henri Mondor, Créteil, France.
Philippe Le CorvoisierINSERM, Centre d'investigation Clinique 1430, CHU Henri-Mondor, AP-HP, Créteil, France.
Salah FerkalINSERM, Centre d'investigation Clinique 1430, CHU Henri-Mondor, AP-HP, Créteil, France.
Alain LucianiService d'Imagerie Médicale, CHU Henri-Mondor, AP-HP, Université Paris Est Créteil, Créteil, France.
Maxime DougadosService de Rhumatologie, CHU Cochin, AP-HP, Université de Paris, Paris, France.ORCID http://orcid.org/0000-0003-3009-6229
Pascal ClaudepierreService de Rhumatologie, CHU Henri-Mondor, AP-HP, Université Paris Est Créteil, Créteil, France.ORCID http://orcid.org/0000-0003-1911-0544
Laura Pina VegasService de Rhumatologie, CHU Henri-Mondor, AP-HP, Université Paris Est Créteil, Créteil, France laura.pinavegas@aphp.fr.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo investigate whether the initial location of inflammatory axial pain in axial spondyloarthritis (axSpA) is associated with the development of peripheral or extra-rheumatological manifestations over a 10-year period.

methodsData were drawn from the 10-year prospective DESIR

resultsAmong 662 included patients, 94 (14.2%) had cervicothoracic, 466 (70.3%) had lumbosacral and 102 (15.5%) had diffuse involvement at baseline. Patients with diffuse involvement were older, had a lower education level, a lower prevalence of prior dactylitis and higher modified Stoke Ankylosing Spondylitis Spinal Score compared with other groups. Over 10 years, diffuse involvement was independently associated with an increased risk of developing arthritis (HR 1.61; 95% CI 1.15 to 2.25) compared with lumbosacral involvement. No other significant associations were observed.

conclusionDiffuse initial axial involvement identifies a subgroup of patients with axSpA at increased risk of developing peripheral arthritis. This finding has practical implications for clinicians in early risk stratification, patient counselling and interpretation of therapeutic trial outcomes.

Indexed as

Axial SpondyloarthritisAdultDisease ProgressionFemaleFranceHumansMaleMiddle AgedPhenotypeProspective StudiesAutoimmune DiseasesAxial SpondyloarthritisLow Back PainSpondylitis, Ankylosing

Identifiers

PMID42557009
PMCPMC13448533

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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.