Evidence map›Paper›PMID 31673411›Full record

SynthesisRMD open2019

Systematic literature review informing the 2018 update of the EULAR recommendation for the management of large vessel vasculitis: focus on giant cell arteritis.

Sara Monti, Ana F Águeda, Raashid Ahmed Luqmani, Frank Buttgereit, Maria Cid, Christian Dejaco, Alfred Mahr, Cristina Ponte, Carlo Salvarani, Wolfgang Schmidt and 1 more

Open access · goldAbstract readComparative StudyMeta-AnalysisSystematic Review
In one paragraph

Synthesis in RMD open, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 39 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
39citing papers in PubMed, 1 pooled it
8.2field-weighted citation impact, top 2% 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

39 citing papers in PubMed, 1 synthesis or guideline pooled it, 80 citations in OpenAlex.

  1. Pooled it
  2. Article
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  5. Article
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  7. Article
  8. Review
  9. Review
  10. Diagnosing vasculitis with ultrasound: findings and pitfalls.Therapeutic advances in musculoskeletal disease · 2024
    Review
  11. Article
  12. Article
  13. Review
  14. Article
  15. Review
  16. Article
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  18. A methodological framework for AI-assisted diagnosis of active aortitis using radiomic analysis of FDG PET-CT images: Initial analysis.Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology · 2022
    Article
  19. Article
  20. Review
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

11 authors at 11 institutions in 8 countries.

Sara MontiRheumatology, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy.ORCID 0000-0002-1800-6772
Ana F ÁguedaRheumatology, Baixo Vouga Hospital Centre Agueda Unit, Agueda, Portugal.ORCID 0000-0001-9984-8084
Raashid Ahmed LuqmaniNuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, University of Oxford, Oxford, UK.
Frank ButtgereitRheumatology and Clinical Immunology, Charite University Hospital Berlin, Berlin, Germany.ORCID 0000-0003-2534-550X
Maria CidVasculitis Research Unit, Hospital Clinic; Institute d'Investiacions Biomèdiques August pi I Sunyer, University of Barcelona, Barcelona, Spain.
Christian DejacoRheumatology; South Tyrol Health Trust, Gesundheitsbezirk Bruneck, Brunico, Italy.ORCID 0000-0002-0173-0668
Alfred MahrInternal Medicine, Université Paris Diderot Institut Saint Louis, Paris, France.
Cristina PonteRheumatology, Hospital de Santa Marta, Lisboa, Portugal.
Carlo SalvaraniRheumatology, Azienda USL-IRCCS di Reggio Emilia, University of Modena and Reggio Emilia, Modena, Italy.
Wolfgang SchmidtKlinik für Innere Medizin, Rheumatologie und Klinische Immunologie Berlin-Buch, Immanuel Krankenhaus Berlin Standort Berlin-Wannsee, Berlin, Germany.
Bernhard HellmichKlinik für Innere Medizin, Rheumatologie und Immunologie, Vaskulitis-Zentrum Süd, Medius Kliniken, Universitatsklinikum Tubingen, Tubingen, Germany.
Centro Hospitalar do Baixo Vouga · PTCharité - Universitätsmedizin Berlin · DEConsorci Institut D'Investigacions Biomediques August Pi I Sunyer · ESDélégation Paris 7 · FRImmanuel Krankenhaus · DENuffield Orthopaedic Centre · GBUniversitätsklinikum Tübingen · DEUniversity of Graz · ATUniversity of Lisbon · PTUniversity of Modena and Reggio Emilia · ITUniversity of Pavia · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objectives: To analyse the current evidence for the management of large vessel vasculitis (LVV) to inform the 2018 update of the EULAR recommendations. Methods: Two systematic literature reviews (SLRs) dealing with diagnosis/monitoring and treatment strategies for LVV, respectively, were performed. Medline, Embase and Cochrane databases were searched from inception to 31 December 2017. Evidence on imaging was excluded as recently published in dedicated EULAR recommendations. This paper focuses on the data relevant to giant cell arteritis (GCA). Results: We identified 287 eligible articles (122 studies focused on diagnosis/monitoring, 165 on treatment). The implementation of a fast-track approach to diagnosis significantly lowers the risk of permanent visual loss compared with historical cohorts (level of evidence, LoE 2b). Reliable diagnostic or prognostic biomarkers for GCA are still not available (LoE 3b).The SLR confirms the efficacy of prompt initiation of glucocorticoids (GC). There is no high-quality evidence on the most appropriate starting dose, route of administration, tapering and duration of GC (LoE 4). Patients with GCA are at increased risk of dose-dependent GC-related adverse events (LoE 3b). The addition of methotrexate or tocilizumab reduces relapse rates and GC requirements (LoE 1b). There is no consistent evidence that initiating antiplatelet agents at diagnosis would prevent future ischaemic events (LoE 2a). There is little evidence to guide monitoring of patients with GCA. Conclusions: Results from two SLRs identified novel evidence on the management of GCA to guide the 2018 update of the EULAR recommendations on the management of LVV.

Indexed as

Antibodies, Monoclonal, HumanizedAntirheumatic AgentsBiomarkersBlindnessDrug Therapy, CombinationFemaleGiant Cell ArteritisGlucocorticoidsHumansMaleMethotrexateObservational Studies as TopicOutcome Assessment, Health CareRandomized Controlled Trials as TopicRecurrenceRisk ManagementAntibodies, Monoclonal, HumanizedAntirheumatic AgentsBiomarkersGlucocorticoidsMethotrexatetocilizumabautoimmune diseasesgiant cell arteritissystemic vasculitis

Identifiers

PMID31673411
PMCPMC6803016
OpenAlexW2972634229

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.