Evidence map›Paper›PMID 31199488›Full record

Observational studyRheumatology (Oxford, England)2019

Subglottic stenosis and endobronchial disease in granulomatosis with polyangiitis.

Kaitlin A Quinn, Alexander Gelbard, Cailin Sibley, Arlene Sirajuddin, Marcela A Ferrada, Marcus Chen, David Cuthbertson, Simon Carette, Nader A Khalidi, Curry L Koening and 11 more

Open access · greenAbstract readObservational Study
In one paragraph

Observational study in Rheumatology (Oxford, England), 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed, 1 pooled it
5.4field-weighted citation impact, top 4% 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

32 citing papers in PubMed, 1 synthesis or guideline pooled it, 74 citations in OpenAlex.

  1. Guideline
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Review
  10. Review
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Review
  18. Article
  19. Pulmonary function in patients with ANCA-associated vasculitis.Sarcoidosis, vasculitis, and diffuse lung diseases : official journal of WASOG · 2024
    Article
  20. 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

21 authors at 14 institutions in 2 countries.

Kaitlin A QuinnDivision of Rheumatology, MedStar Georgetown University Hospital, Washington, DC, USA.
Alexander GelbardDepartment of Otolaryngology - Head and Neck Surgery, Vanderbilt University, Nashville, TN, USA.
Cailin SibleyDivision of Arthritis & Rheumatic Diseases, Oregon Health & Science University, Portland, OR, USA.
Arlene SirajuddinNational Institutes of Health, NHLBI, Bethesda, MD, USA.
Marcela A FerradaSystemic Autoimmunity Branch, National Institutes of Health, NIAMS, Bethesda, MD, USA.
Marcus ChenNational Institutes of Health, NHLBI, Bethesda, MD, USA.
David CuthbertsonBiostatistics and Informatics, University of South Florida, Tampa, FL, USA.
Simon CaretteDivision of Rheumatology, Mount Sinai Hospital, Toronto, Canada.
Nader A KhalidiDivision of Rheumatology, McMaster University, Hamilton, ON, Canada.
Curry L KoeningDivision of Rheumatology, University of Utah, Salt Lake City, UT, USA.
Carol A LangfordDepartment of Rheumatic and Immunologic Diseases, Cleveland Clinic, Cleveland, OH, USA.
Carol A McAlearDivision of Rheumatology, University of Pennsylvania, Philadelphia, PA, USA.
Paul A MonachDivision of Rheumatology, Brigham and Women's Hospital, Boston, MA, USA.
Larry W MorelandDivision of Rheumatology, University of Pittsburgh, Pittsburgh, PA, USA.
Christian PagnouxDivision of Rheumatology, Mount Sinai Hospital, Toronto, Canada.
Philip SeoDivision of Rheumatology, Johns Hopkins University, Baltimore, MD, USA.
Ulrich SpecksDivision of Pulmonary and Critical Care Medicine, MN, USA.
Antoine G SreihDivision of Rheumatology, University of Pennsylvania, Philadelphia, PA, USA.
Steven R YtterbergDivision of Rheumatology, Mayo Clinic College of Medicine, Rochester, MN, USA.
Peter A MerkelDivision of Rheumatology and Department of Biostatistics, Epidemiology, and Informatics, University of Pennsylvania, Philadelphia, PA, USA.
Peter C GraysonSystemic Autoimmunity Branch, National Institutes of Health, NIAMS, Bethesda, MD, USA.
National Institutes of Health · USUniversity of Pennsylvania · USMount Sinai Hospital · CANational Institute of Arthritis and Musculoskeletal and Skin Diseases · USBrigham and Women's Hospital · USCleveland Clinic · USJohns Hopkins University · USMayo Clinic in Arizona · USMcMaster University · CAOregon Health & Science University · USUniversity of Pittsburgh · USUniversity of South Florida · USUniversity of Utah · USVanderbilt University · US

Funding

The Impact of COVID-19 on People Living with Rare Diseases and Their FamiliesU2CTR002818 · NCATS · CINCINNATI CHILDRENS HOSP MED CTR · PI MICHAEL SEID · 2019 to 2026
$51.2M
Vasculitis and Translational MedicineZIAAR041204 · NIAMS · NATIONAL INSTITUTE OF ARTHRITIS AND MUSCULOSKELETAL AND SKIN DISEASES · PI GRAYSON, PETER · 2015 to 2025
$15.4M
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
NCATS NIH HHS U2C TR002818NCRR NIH HHS U54 RR019497NIAMS NIH HHS U54 AR057319
6 · The paper itself

Abstract

objectivesTo describe tracheobronchial disease in patients with granulomatosis with polyangiitis (GPA) and evaluate the utility of dynamic expiratory CT to detect large-airway disease.

methodsDemographic and clinical features associated with the presence of subglottic stenosis (SGS) or endobronchial involvement were assessed in a multicentre, observational cohort of patients with GPA. A subset of patients with GPA from a single-centre cohort underwent dynamic chest CT to evaluate the airways.

resultsAmong 962 patients with GPA, SGS and endobronchial disease were identified in 95 (10%) and 59 (6%) patients, respectively. Patients with SGS were more likely to be female (72% vs 53%, P < 0.01), younger at time of diagnosis (36 vs 49 years, P < 0.01), and have saddle-nose deformities (28% vs 10%, P < 0.01), but were less likely to have renal involvement (39% vs 62%, P < 0.01). Patients with endobronchial disease were more likely to be PR3-ANCA positive (85% vs 66%, P < 0.01), with more ENT involvement (97% vs 77%, P < 0.01) and less renal involvement (42% vs 62%, P < 0.01). Disease activity in patients with large-airway disease was commonly isolated to the subglottis/upper airway (57%) or bronchi (32%). Seven of 23 patients screened by dynamic chest CT had large-airway pathology, including four patients with chronic, unexplained cough, discovered to have tracheobronchomalacia.

conclusionSGS and endobronchial disease occur in 10% and 6% of patients with GPA, respectively, and may occur without disease activity in other organs. Dynamic expiratory chest CT is a potential non-invasive screening test for large-airway involvement in GPA.

Indexed as

AdultAgedBronchial DiseasesFemaleGranulomatosis with PolyangiitisHumansLaryngostenosisMaleMiddle AgedMyeloblastinPeroxidaseTomography, X-Ray ComputedTracheal StenosisTracheobronchomalaciaMyeloblastinPeroxidaseANCA-associated vasculitisgranulomatosis with polyangiitissubglottic stenosistracheobronchomalacia

Identifiers

PMID31199488
PMCPMC7967893
OpenAlexW2933922424

What OpenQuestion holds

Textmetadata
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.