Evidence map›Paper›PMID 23429354›Full record

ArticleMedicine2013

The spectrum of type I cryoglobulinemia vasculitis: new insights based on 64 cases.

Benjamin Terrier, Alexandre Karras, Jean-Emmanuel Kahn, Guillaume Le Guenno, Isabelle Marie, Lucas Benarous, Adeline Lacraz, Elisabeth Diot, Olivier Hermine, Luc de Saint-Martin and 9 more

Abstract read
In one paragraph

Article in Medicine, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 72 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
72citing papers in PubMed, 2 pooled it
9.1field-weighted citation impact, top 2% of its field
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

72 citing papers in PubMed, 2 syntheses or guidelines pooled it, 200 citations in OpenAlex.

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12 more citing papers are in PubMed but not listed here.

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

19 authors at 1 institution in 1 country.

Benjamin TerrierFrom the Department of Internal Medicine (BT, DS, P. Cacoub), Groupe Hospitalier Pitié-Salpetrière, Assistance Publique Hôpitaux de Paris, Université Pierre et Marie Curie, Paris 6, Paris; Department of Nephrology (AK), Hôpital Européen Georges Pompidou, Paris; Department of Internal Medicine (J-EK), Hôpital Foch, Suresnes; Department of Internal Medicine (GG), CHU, Clermont-Ferrand; Department of Internal Medicine (IM), CHU, Rouen; Department of Internal Medicine, (LB) CHU, Marseille; Department of Nephrology (AL), CHU, Bordeaux; Department of Internal Medicine (ED), CHU, Tours; Department of Hematology (OH), Hôpital Necker-Enfants Malades, Paris; Department of Internal Medicine (LS-M), CHU, Brest; Department of Internal Medicine (P. Cathébras), CHU, Saint-Etienne; Department of Hematology (VL) and Department of Neurology (J-ML), Groupe Hospitalier Pitié-Salpetrière, Paris; Department of Dermatology (PM), CHRU, Lille; Department of Rheumatology (XM), Hôpital Bicêtre, Le Kremlin-Bicêtre; and Department of Dermatology (PS) and Department of Nephrology (EP), Hôpital Tenon, Paris, France.
Alexandre Karras
Jean-Emmanuel Kahn
Guillaume Le Guenno
Isabelle Marie
Lucas Benarous
Adeline Lacraz
Elisabeth Diot
Olivier Hermine
Luc de Saint-Martin
Pascal Cathébras
Véronique Leblond
Philippe Modiano
Jean-Marc Léger
Xavier Mariette
Patricia Senet
Emmanuelle Plaisier
David Saadoun
Patrice Cacoub
Sorbonne Université · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Type I cryoglobulinemia vasculitis (CryoVas) is considered a life-threatening condition; however, data on the characteristics and outcome are scarce. To analyze the presentation, prognosis, and efficacy and safety of treatments of type I CryoVas, we conducted a French nationwide survey that included 64 patients with type I CryoVas between January 1995 and July 2010: 28 patients with monoclonal gammopathy of unknown significance (MGUS) and 36 with hematologic malignancy.Type I monoclonal CryoVas was characterized by severe cutaneous involvement (necrosis and ulcers) in almost half the patients and high serum cryoglobulin levels, contrasting with a lower frequency of glomerulonephritis than expected. The 1-, 3-, 5-, and 10-year survival rates were 97%, 94%, 94%, and 87%, respectively. Compared to MGUS, type I CryoVas related to hematologic malignancy tended to be associated with a poorer prognosis. Therapeutic regimens based on alkylating agents, rituximab, thalidomide or lenalinomide, and bortezomib showed similar efficacy on vasculitis manifestations, with clinical response rates from 80% to 86%.Data from the CryoVas survey show that the prognosis of type I CryoVas does not seem to be as poor as previously suggested. Besides alkylating agents, the use of regimens based on rituximab, thalidomide or lenalinomide, and bortezomib are interesting alternative options, although the exact role of each strategy remains to be defined.

Indexed as

AdultAgedAged, 80 and overCryoglobulinemiaFemaleFranceHumansLymphoproliferative DisordersMaleMiddle AgedTreatment OutcomeVasculitis

Identifiers

PMID23429354
PMCPMC4553985
OpenAlexW2028587572

What OpenQuestion holds

Textmetadata
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.