Evidence map›Paper›PMID 31162829›Full record

ArticleArthritis & rheumatology (Hoboken, N.J.)2019

Disease Activity, Antineutrophil Cytoplasmic Antibody Type, and Lipid Levels in Antineutrophil Cytoplasmic Antibody-Associated Vasculitis.

Zachary S Wallace, Xiaoqing Fu, Katherine Liao, Cees G M Kallenberg, Carol A Langford, Peter A Merkel, Paul Monach, Philip Seo, Ulrich Specks, Robert Spiera and 4 more

Open access · greenAbstract read
In one paragraph

Article in Arthritis & rheumatology (Hoboken, N.J.), 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 1 pooled it
3.1field-weighted citation impact, top 8% 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

21 citing papers in PubMed, 1 synthesis or guideline pooled it, 32 citations in OpenAlex.

  1. Interventions for renal vasculitis in adults.The Cochrane database of systematic reviews · 2020
    Pooled it
  2. Article
  3. Review
  4. Article
  5. Article
  6. Article
  7. Article
  8. Review
  9. Article
  10. Review
  11. Article
  12. Article
  13. Proteomic Profiling of Cryoglobulinemia.Frontiers in immunology · 2022
    Article
  14. Article
  15. Article
  16. ANCA Status or Clinical Phenotype - What Counts More?Current rheumatology reports · 2021
    Review
  17. ANCA-Associated Vasculitis: An Update.Journal of clinical medicine · 2021
    Review
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

14 authors at 10 institutions in 2 countries.

Zachary S WallaceMassachusetts General Hospital, Boston.ORCID 0000-0003-4708-7038
Xiaoqing FuMassachusetts General Hospital, Boston.
Katherine LiaoBrigham and Women's Hospital, Boston, Massachusetts.ORCID 0000-0002-4797-3200
Cees G M KallenbergUniversiteit Groningen, Groningen, Netherlands.
Carol A LangfordCleveland Clinic Foundation, Cleveland, Ohio.
Peter A MerkelUniversity of Pennsylvania, Philadelphia.
Paul MonachVA Boston Health Care System Boston Vet Center, Boston, Massachusetts.
Philip SeoJohns Hopkins University, Baltimore, Maryland.
Ulrich SpecksMayo Clinic, Rochester, Minnesota.
Robert SpieraHospital for Special Surgery, New York, New York.
E William St ClairDuke University School of Medicine, Durham, North Carolina.
Yuqing ZhangMassachusetts General Hospital, Boston.
Hyon ChoiMassachusetts General Hospital, Boston.ORCID 0000-0002-2862-0442
John H StoneMassachusetts General Hospital, Boston.
Massachusetts General Hospital · USBrigham and Women's Hospital · USCleveland Clinic · USDuke University · USHospital for Special Surgery · USJohns Hopkins University · USMayo Clinic · USUniversity of Groningen · NLUniversity of Pennsylvania · USVA Boston Healthcare System · US

Funding

Clinical and Translational Science Collaborative of ClevelandUL1TR002548 · NCATS · CASE WESTERN RESERVE UNIVERSITY · PI MCCOMSEY, GRACE A · 2018 to 2022
$35.5M
WORK DISABILITY-- PERSONS WITH RHEUMATOID ARTHRITISP60AR047785 · NIAMS · BOSTON UNIVERSITY MEDICAL CAMPUS · PI FELSON, DAVID TOBIN · 2001 to 2016
$18.0M
Data Management and Coordinating Center (DMCC)U54NS064808 · NINDS · UNIVERSITY OF SOUTH FLORIDA · PI KRISCHER, JEFFREY P · 2009 to 2013
$16.5M
VCRC-VF FellowshipU54AR057319 · NIAMS · UNIVERSITY OF PENNSYLVANIA · PI MERKEL, PETER A · 2009 to 2020
$12.5M
VASCULITIS CLINICAL RESEARCH NETWORK (VCRN): RARE DISEASEU54RR019497 · NCRR · BOSTON UNIVERSITY MEDICAL CAMPUS · PI MERKEL, PETER A · 2003 to 2008
$6.1M
Lipids, Inflammation, and Cardiovascular Risk in Rheumatoid ArthritisR01HL127118 · NHLBI · BRIGHAM AND WOMEN'S HOSPITAL · PI LIAO, KATHERINE PHOENIX · 2016 to 2020
$4.1M
IDENTIFICATION AND VALIDATION OF BIOMARKERS FOR VASCULITISRC1AR058303 · NIAMS · BOSTON UNIVERSITY MEDICAL CAMPUS · PI MERKEL, PETER A, MONACH, PAUL A · 2009 to 2010
$1.0M
Impact of ANCA Type and Rituximab vs. Cyclophosphamide on Cardiovascular Risk, Mortality, and Quality-Adjusted Life Years inANCA-Associated VasculitisK23AR073334 · NIAMS · MASSACHUSETTS GENERAL HOSPITAL · PI WALLACE, ZACHARY SCOTT · 2018 to 2022
$948k
NCATS NIH HHS UL1 TR002548NCRR NIH HHS U54 RR019497NHLBI NIH HHS R01 HL127118NIAMS NIH HHS K23 AR073334NIAMS NIH HHS L30 AR070520NIAMS NIH HHS P60 AR047785NIAMS NIH HHS RC1 AR058303NIAMS NIH HHS U54 AR057319NINDS NIH HHS U54 NS064808Rheumatology Research Foundation
6 · The paper itself

Abstract

objectivePatients with antineutrophil cytoplasmic antibody (ANCA)-associated vasculitis (AAV) have an elevated risk of cardiovascular disease (CVD). This study was undertaken to develop a clearer understanding of the association between changes in disease activity and lipid levels in AAV, which may inform CVD risk stratification in this population.

methodsLipid levels were assessed in stored serum samples (obtained at baseline and month 6) from the Rituximab for ANCA-Associated Vasculitis (RAVE) trial, which randomized patients to receive either rituximab or cyclophosphamide followed by azathioprine. Paired t-tests and multivariable linear regression were used to assess changes in lipid levels.

resultsOf the 142 patients with serum samples available, the mean ± SD age was 52.3 ± 14.7 years, 72 (51%) were male, 95 (67%) were proteinase 3 (PR3)-ANCA positive, 72 (51%) had received a new diagnosis of AAV, and 75 (53%) were treated with rituximab. Several lipid levels increased between baseline and month 6, including total cholesterol (+12.4 mg/dl [95% confidence interval (95% CI) +7.1, +21.0]), low-density lipoprotein (+10.3 mg/dl [95% CI +6.1, +17.1]), and apolipoprotein B (+3.5 mg/dl [95% CI +1.0, +8.3]). These changes were observed among newly diagnosed and PR3-ANCA-positive patients but not among those with relapsing disease or myeloperoxidase-ANCA-positive patients. There was no difference in change in lipid levels between rituximab-treated patients and cyclophosphamide-treated patients. Changes in lipid levels correlated with changes in erythrocyte sedimentation rate but not with other inflammatory markers or glucocorticoid exposure.

conclusionLipid levels increased during remission induction among patients with newly diagnosed AAV and those who were PR3-ANCA positive. Disease activity and ANCA type should be considered when assessing lipid profiles to stratify CVD risk in patients with AAV.

Indexed as

Lipid MetabolismAdultAgedAntibodies, Antineutrophil CytoplasmicAnti-Neutrophil Cytoplasmic Antibody-Associated VasculitisAntirheumatic AgentsApolipoprotein A-IApolipoproteins BAzathioprineBlood SedimentationCardiovascular DiseasesCholesterolCholesterol, HDLCholesterol, LDLCyclophosphamideFemaleAntibodies, Antineutrophil CytoplasmicAntirheumatic AgentsApolipoprotein A-IApolipoproteins BAzathioprineCholesterolCholesterol, HDLCholesterol, LDLCyclophosphamideMyeloblastinPeroxidaseRituximab

Identifiers

PMID31162829
PMCPMC6944270
OpenAlexW2948827571

What OpenQuestion holds

Textmetadata
LicenceTDM
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.