Evidence map›Paper›PMID 31176796›Full record

ArticleRespiratory medicine

Long-term treatment with human immunoglobulin for antisynthetase syndrome-associated interstitial lung disease.

J A Huapaya, R Hallowell, L Silhan, I Pinal-Fernandez, M Casal-Dominguez, C Johnson, J Albayda, J J Paik, C T Lin, A Hussien and 3 more

Open access · bronzeAbstract read
In one paragraph

Article in Respiratory medicine. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 3 pooled it
3.2field-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

23 citing papers in PubMed, 3 syntheses or guidelines pooled it, 51 citations in OpenAlex.

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  12. A Review of Antisynthetase Syndrome-Associated Interstitial Lung Disease.International journal of molecular sciences · 2024
    Review
  13. Review
  14. Review
  15. Article
  16. Biological Therapies in Inflammatory Myopathies.Rambam Maimonides medical journal · 2023
    Review
  17. Intravenous immunoglobulin for acute exacerbation of fibrotic idiopathic interstitial pneumonias.Sarcoidosis, vasculitis, and diffuse lung diseases : official journal of WASOG · 2022
    Article
  18. Article
  19. Review
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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

13 authors at 5 institutions in 1 country.

J A HuapayaDivision of Pulmonary and Critical Care Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, 21205, United States; Division of Internal Medicine, MedStar Georgetown University Hospital, Washington, DC, 20007, United States.
R HallowellDivision of Pulmonary, Critical Care, and Sleep Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, 02215, United States.
L SilhanDivision of Pulmonary and Critical Care Medicine, University of Texas Southwestern Medical Center, Dallas, TX, 75390, United States.
I Pinal-FernandezMuscle Disease Unit, Laboratory of Muscle Stem Cells and Gene Regulation, National Institute of Arthritis and Musculoskeletal and Skin Diseases, National Institutes of Health, Bethesda, MD, 20892, United States.
M Casal-DominguezMuscle Disease Unit, Laboratory of Muscle Stem Cells and Gene Regulation, National Institute of Arthritis and Musculoskeletal and Skin Diseases, National Institutes of Health, Bethesda, MD, 20892, United States; Department of Neurology, Johns Hopkins University School of Medicine, Baltimore, MD, 21205, United States; Division of Rheumatology, Johns Hopkins University School of Medicine, Baltimore, MD, 21205, United States.
C JohnsonDivision of Pulmonary, Allergy, and Critical Care Medicine, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA, 19104, United States.
J AlbaydaDivision of Rheumatology, Johns Hopkins University School of Medicine, Baltimore, MD, 21205, United States.
J J PaikDivision of Rheumatology, Johns Hopkins University School of Medicine, Baltimore, MD, 21205, United States.
C T LinThe Russell H. Morgan Department of Radiology and Radiological Science, Johns Hopkins University School of Medicine, Baltimore, MD, 21205, United States.
A HussienThe Russell H. Morgan Department of Radiology and Radiological Science, Johns Hopkins University School of Medicine, Baltimore, MD, 21205, United States.
A L MammenMuscle Disease Unit, Laboratory of Muscle Stem Cells and Gene Regulation, National Institute of Arthritis and Musculoskeletal and Skin Diseases, National Institutes of Health, Bethesda, MD, 20892, United States; Department of Neurology, Johns Hopkins University School of Medicine, Baltimore, MD, 21205, United States; Division of Rheumatology, Johns Hopkins University School of Medicine, Baltimore, MD, 21205, United States.
L Christopher-StineDepartment of Neurology, Johns Hopkins University School of Medicine, Baltimore, MD, 21205, United States; Division of Rheumatology, Johns Hopkins University School of Medicine, Baltimore, MD, 21205, United States.
S K DanoffDivision of Pulmonary and Critical Care Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, 21205, United States. Electronic address: sdanoff@jhmi.edu.
Johns Hopkins University · USNational Institutes of Health · USBeth Israel Deaconess Medical Center · USThe University of Texas Southwestern Medical Center · USUniversity of Pennsylvania · US

Funding

Muscle Disease UnitZIAAR041203 · NIAMS · NATIONAL INSTITUTE OF ARTHRITIS AND MUSCULOSKELETAL AND SKIN DISEASES · PI MAMMEN, ANDREW · 2015 to 2025
$19.7M
Intramural NIH HHS Z99 AR999999
6 · The paper itself

Abstract

backgroundInterstitial lung disease-associated antisynthetase syndrome (AS-ILD) carries significant morbidity and mortality. Corticosteroids and immunosuppressive drugs are the mainstay of treatment. Human immunoglobulin (IVIg), an immunomodulator without immunosuppressive properties, is effective in myositis but the evidence supporting its use in ILD is scarce.

objectiveTo describe clinical outcomes of AS-ILD patients receiving IVIg.

methodsRetrospective analysis of AS-ILD patients. Linear mixed models using restricted maximum likelihood estimation was used to estimate the change in lung function and corticosteroid dose over time.

resultsData from 17 patients was analyzed. Median follow-up was 24.6 months. Fourteen patients had refractory disease. The mean percent-predicted forced vital capacity (FVC%) (p = 0.048) and percent-predicted diffusing capacity of the lung for carbon monoxide (DLCO%) (p = 0.0223) increased over time, while the mean prednisone dose (p < 0.001) decreased over time. Seven patients achieved a >10% increase in FVC%, including two who used IVIg as initial treatment. Five patients showed a >10% increase in DLCO% and TLC%. Nine (53%) patients experienced side effects.

conclusionsIVIg may be a useful complementary therapy in active progressive AS-ILD but is associated with potential side effects. Fssssurther investigation is required to determine the value of IVIg as an initial treatment in AS-ILD.

Indexed as

Administration, IntravenousAdrenal Cortex HormonesAdultAgedCarbon MonoxideFemaleFollow-Up StudiesHumansImmunoglobulins, IntravenousImmunologic FactorsImmunosuppressive AgentsLungLung Diseases, InterstitialMaleMiddle AgedMyositisAdrenal Cortex HormonesCarbon MonoxideImmunoglobulins, IntravenousImmunologic FactorsImmunosuppressive AgentsPrednisoneAntisynthetase syndrome and refractory diseaseHuman intravenous immunoglobulinInterstitial lung diseaseTherapy

Identifiers

PMID31176796
PMCPMC11678789
OpenAlexW2946489909

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.