Evidence map›Paper›PMID 29854975›Full record

ArticleKidney international reports2018

Patient Outcomes in Renal-Limited Antineutrophil Cytoplasmic Antibody Vasculitis With Inactive Histology.

Tessa K Novick, Min Chen, Jennifer Scott, Frank B Cortazar, Isabelle Ayoub, Mark A Little, Zdenka Hruskova, Alan D Salama, Christian Pagnoux, Duvuru Geetha

Abstract read
In one paragraph

Article in Kidney international reports, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. ANCA Status or Clinical Phenotype - What Counts More?Current rheumatology reports · 2021
    Review
  3. Article
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.

Tessa K NovickJohns Hopkins University, Baltimore, Maryland, USA.
Min ChenPeking University First Hospital, Beijing, China.
Jennifer ScottTrinity Health Kidney Center, Tallaght Hospital, Dublin, Ireland.
Frank B CortazarMassachusetts General Hospital, Boston, Massachusetts, USA.
Isabelle AyoubOhio State University, Cleveland, Ohio, USA.
Mark A LittleTrinity Health Kidney Center, Tallaght Hospital, Dublin, Ireland.
Zdenka HruskovaCharles University Prague, Prague, Czech Republic.
Alan D SalamaUniversity College London Centre for Nephrology, Royal Free Hospital, London, UK.
Christian PagnouxMount Sinai Hospital, University Health Network, Toronto, Ontario, Canada.
Duvuru GeethaJohns Hopkins University, Baltimore, Maryland, USA.

Funding

RENAL DISEASE EPIDEMIOLOGY TRAINING GRANTT32DK007732 · NIDDK · JOHNS HOPKINS UNIVERSITY · PI CREWS, DEIDRA CANDICE · 1995 to 2024
$7.7M
NIDDK NIH HHS T32 DK007732
6 · The paper itself

Abstract

introductionLittle is known about the anticipated disease course for individuals who present with renal-limited antineutrophil cytoplasmic antibody (ANCA)-associated vasculitis but who lack inflammation on a kidney biopsy. The impact of immunosuppression on renal and overall survival is unknown.

methodsPatients were recruited from 2005 to 2016 from 8 centers worldwide (N = 16) for this descriptive study. All had positive ANCA, elevated serum creatinine with active urine sediment, histologic evidence of pauci-immune glomerulonephritis without active lesions, and had no evidence of extrarenal vasculitis. We describe the characteristics of this cohort and the differences in the clinical, histologic, and therapeutic parameters of those who developed primary outcomes of end-stage renal disease (ESRD) and vasculitis relapse.

resultsThe cohort was 63% Caucasian, and 75% were men, with a median age of 62 years. At entry, the mean ± SD estimated glomerular filtration rate (eGFR) was 24 ± 20 ml/min per 1.73 m

conclusionAmong these patients, lower initial eGFR and dialysis dependence at presentation might increase the risk for ESRD. Immunosuppression did not affect renal outcomes in this sample of patients but was associated with a reduced risk for vasculitis relapse. More information is needed on factors that predict treatment response in this high-risk group.

Indexed as

ANCA-associated vasculitisglomerulonephritisrenal limited vasculitis

Identifiers

PMID29854975
PMCPMC5976815

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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.