Evidence map›Paper›PMID 28231769›Full record

ArticleBMC nephrology2017

Simple, readily available clinical indices predict early and late mortality among patients with ANCA-associated vasculitis.

Ágnes Haris, Kálmán Polner, József Arányi, Henrik Braunitzer, Ilona Kaszás, László Rosivall, Gábor Kökény, István Mucsi

Open access · goldAbstract read
In one paragraph

Article in BMC nephrology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
1.6field-weighted citation impact, top 16% 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

14 citing papers in PubMed, 1 synthesis or guideline pooled it, 23 citations in OpenAlex.

  1. Pooled it
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  14. Analysis of Antineutrophil Cytoplasm Antibody from 118 730 Patients in Tertiary Hospitals in Jiangxi Province, China.Medical science monitor : international medical journal of experimental and clinical research · 2017
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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 at 3 institutions in 2 countries.

Ágnes HarisNephrology Department, Szent Margit Hospital, 132 Bécsi út, Budapest, 1032, Hungary.
Kálmán PolnerNephrology Department, Szent Margit Hospital, 132 Bécsi út, Budapest, 1032, Hungary.
József ArányiNephrology Department, Szent Margit Hospital, 132 Bécsi út, Budapest, 1032, Hungary.
Henrik BraunitzerNephrology Department, Szent Margit Hospital, 132 Bécsi út, Budapest, 1032, Hungary.
Ilona KaszásPathology Department, Szent Margit Hospital, 132 Bécsi út, Budapest, 1032, Hungary.
László RosivallInstitute of Pathophysiology, Semmelweis University, 4 Nagyvárad tér, Budapest, 1089, Hungary.
Gábor KökényInstitute of Pathophysiology, Semmelweis University, 4 Nagyvárad tér, Budapest, 1089, Hungary. kokeny.gabor@med.semmelweis-univ.hu.
István MucsiDepartment of Medicine (Nephrology), University of Toronto, Kidney Transplant Program, Toronto General Hospital, University Health Network, 585 University Avenue, Toronto, M5G 2 N2, ON, Canada.
Szent János Kórház · HUSemmelweis University · HUUniversity Health Network · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe early identification of patients with ANCA-associated vasculitis (AAV) who are at increased risk for inferior clinical outcome at the time of diagnosis might help to optimize the immunosuppressive therapy. In this study we wanted to determine the predictive value of simple clinical characteristics, which may be applicable for early risk-stratification of patients with AAV.

methodsWe retrospectively analyzed the outcome of 101 consecutive patients with AAV receiving a protocolized immunosuppressive therapy. Baseline Birmingham Vasculitis Activity Score (BVAS) and non-vasculitic comorbidities were computed, then predictors of early (<90 days) and late (>90 days) mortality, infectious death, relapse and end stage kidney disease (ESKD) were evaluated.

resultsThe baseline comorbidity score independently predicted early mortality (HR 1.622, CI 1.006-2.614), and showed association with infectious mortality (HR 2.056, CI 1.247-3.392). Patients with BVAS at or above median (=21) had worse early mortality in univariable analysis (HR 3.57, CI 1.039-12.243) (p = 0.031), and had more frequent relapses (p = 0.01) compared to patients with BVAS below median.

conclusionsAssessing baseline comorbidities, beside clinical indices characterizing the severity and extension of AAV, might help clinicians in risk-stratification of patients. Future prospective studies are needed to investigate whether therapies based on risk-stratification could improve both short term and long term survival.

Indexed as

AgedAnti-Neutrophil Cytoplasmic Antibody-Associated VasculitisComorbidityFemaleHumansImmunosuppressive AgentsInfectionsKidney Failure, ChronicLogistic ModelsMaleMiddle AgedMultivariate AnalysisProportional Hazards ModelsRecurrenceRetrospective StudiesRisk AssessmentImmunosuppressive AgentsANCABVASComorbidityImmunosuppressionOutcomeVasculitis

Identifiers

PMID28231769
PMCPMC5324214
OpenAlexW2590881356

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.