Evidence map›Paper›PMID 27933390›Full record

ReviewZeitschrift fur Rheumatologie2017

[De-escalation of therapy in ANCA-associated vasculitides].

S Schinke, G Riemekasten, P Lamprecht

Abstract readReview
PubMed Publisher
In one paragraph

Review in Zeitschrift fur Rheumatologie, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

3 authors.

S SchinkeKlinik für Rheumatologie & Vaskulitis Zentrum, Universität zu Lübeck, Ratzeburger Allee 160, 23538, Lübeck, Deutschland.
G RiemekastenKlinik für Rheumatologie & Vaskulitis Zentrum, Universität zu Lübeck, Ratzeburger Allee 160, 23538, Lübeck, Deutschland.
P LamprechtKlinik für Rheumatologie & Vaskulitis Zentrum, Universität zu Lübeck, Ratzeburger Allee 160, 23538, Lübeck, Deutschland. peter.lamprecht@uksh.de.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Antineutrophil cytoplasmic antibody (ANCA)-associated vasculitides (AAV) require a differentiated therapeutic approach depending on the degree of organ dysfunction and disease activity. In organ dysfunction and life-threatening AAV cyclophosphamide and rituximab are recommended for the induction of remission. For remission induction with a lack of organ dysfunction and non-life-threatening AAV, methotrexate or mycophenolate mofetil are recommended. For remission maintenance therapy azathioprine or methotrexate are used. In the case of contraindications, intolerance or previous failure of azathioprine and methotrexate treatment, rituximab, leflunomide or mycophenolate mofetil may be used as alternatives. Maintenance therapy is usually continued for at least 2 years. De-escalation of therapy requires continuous clinical monitoring while the glucocorticoid medication and immunosuppressive therapy is tapered; however, every de-escalation of therapy carries a risk of relapse.

Indexed as

Anti-Neutrophil Cytoplasmic Antibody-Associated VasculitisAntirheumatic AgentsDose-Response Relationship, DrugDrug Administration ScheduleDrug MonitoringEvidence-Based MedicineHumansImmunosuppressive AgentsTreatment OutcomeAntirheumatic AgentsImmunosuppressive AgentsGlucocorticoidsImmunosuppressionMonitoringRelapseRemission

Identifiers

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.