Evidence map›Paper›PMID 28807021›Full record

ArticleBMC pulmonary medicine2017

Serological and morphological prognostic factors in patients with interstitial pneumonia with autoimmune features.

Yuhei Ito, Machiko Arita, Shogo Kumagai, Reoto Takei, Maki Noyama, Fumiaki Tokioka, Keisuke Nishimura, Takashi Koyama, Kenji Notohara, Tadashi Ishida

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Article in BMC pulmonary medicine, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 42 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
42citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

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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

42 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
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  6. Observational
  7. Article
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  12. Connective tissue disease-associated interstitial lung disease.Jornal brasileiro de pneumologia : publicacao oficial da Sociedade Brasileira de Pneumologia e Tisilogia · 2024
    Review
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  15. Review
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  17. Lung Damage in Rheumatoid Arthritis-A Retrospective Study.International journal of molecular sciences · 2022
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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

10 authors.

Yuhei ItoDepartment of Respiratory Medicine, Kurashiki Central Hospital, Kurashiki, Japan. yi14402@gmail.com.
Machiko AritaDepartment of Respiratory Medicine, Kurashiki Central Hospital, Kurashiki, Japan.
Shogo KumagaiDepartment of Respiratory Medicine, Kurashiki Central Hospital, Kurashiki, Japan.
Reoto TakeiDepartment of Respiratory Medicine, Kurashiki Central Hospital, Kurashiki, Japan.
Maki NoyamaDepartment of Respiratory Medicine, Kurashiki Central Hospital, Kurashiki, Japan.
Fumiaki TokiokaDepartment of Respiratory Medicine, Kurashiki Central Hospital, Kurashiki, Japan.
Keisuke NishimuraDepartment of Endocrinology and Rheumatology, Kurashiki Central Hospital, Kurashiki, Japan.
Takashi KoyamaDepartment of Radiology, Kurashiki Central Hospital, Kurashiki, Japan.
Kenji NotoharaDepartment of Pathology, Kurashiki Central Hospital, Kurashiki, Japan.
Tadashi IshidaDepartment of Respiratory Medicine, Kurashiki Central Hospital, Kurashiki, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTo identify the prognostic factors for survival in patients with interstitial pneumonia with autoimmune features (IPAF) who meet the serological domain of the IPAF criteria.

methodsWe retrospectively analysed 99 IPAF patients who met the serological domain and were hospitalised at the Respiratory Medicine Unit of Kurashiki Central Hospital from 1999 to 2015. The high-resolution computed tomography findings were usual interstitial pneumonia (UIP; n = 1), non-specific interstitial pneumonia (NSIP; n = 63), NSIP with organizing pneumonia (OP) overlap (n = 15), and OP (n = 20). One patient who had radiological UIP pattern, and met the serological and clinical domains was excluded. The clinical characteristics, radiological findings, administered therapy, and prognosis of the remaining 98 IPAF patients who met the serological and morphological domains were analysed.

resultsThe median age of the 98 IPAF patients was 68 years, and 41 (41.8%) of them were men. Twelve (12.2%) of the 98 IPAF patients developed other characteristics and were diagnosed with connective tissue disease (CTD) later during the median follow-up of 4.5 years. Univariate Cox analysis revealed systemic sclerosis (SSc)-specific and SSc-associated antibodies (ANA nucleolar pattern, ANA centromere pattern, anti-ribonucleoprotein and anti-Scl-70) positive IPAF, radiological NSIP pattern, bronchoalveolar lavage fluid lymphocytes >15%, and age as significant prognostic factors for survival. Multivariate Cox analysis revealed radiological NSIP pattern (hazard ratio [HR], 4.48; 95% confidence interval [CI], 1.28-15.77, p = 0.02) and age (HR, 1.07; 95% CI, 1.02-1.11, p = 0.01) were significantly associated with worse survival.

conclusionsWe confirmed that radiological NSIP pattern and age are poor prognostic factors for the survival of IPAF patients. This study suggested that the autoantibodies that are highly specific for certain connective tissue diseases might be less important for the prognosis of IPAF compared with the radiological-pathological patterns. The relatively high proportion of IPAF patients who developed CTD later suggests the importance of careful observation for evolution to CTD in IPAF.

Indexed as

AgedAntibodies, AntinuclearAutoimmune DiseasesCryptogenic Organizing PneumoniaDNA Topoisomerases, Type IFemaleHumansIdiopathic Pulmonary FibrosisLung Diseases, InterstitialMaleMiddle AgedMultivariate AnalysisNuclear ProteinsPeptides, CyclicPrognosisProportional Hazards ModelsAntibodies, Antinuclearanticentromere antibodycyclic citrullinated peptideDNA Topoisomerases, Type IJo-1 antibodyNuclear ProteinsPeptides, CyclicRibonucleoproteinsScl 70 antigen, humanAutoimmune diseaseCollagen vascular diseaseInterstitial lung diseaseInterstitial pneumonia with autoimmune featuresSystemic sclerosis

Identifiers

PMID28807021
PMCPMC5554971

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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.