Evidence map›Paper›PMID 31673416›Full record

SynthesisRMD open2019

Management of Takayasu arteritis: a systematic literature review informing the 2018 update of the EULAR recommendation for the management of large vessel vasculitis.

Ana F Águeda, Sara Monti, Raashid Ahmed Luqmani, Frank Buttgereit, Maria Cid, Bhaskar Dasgupta, Christian Dejaco, Alfred Mahr, Cristina Ponte, Carlo Salvarani and 2 more

Open access · goldAbstract readMeta-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 34 papers.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed
9.4field-weighted citation impact, top 1% 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

34 citing papers in PubMed, 84 citations in OpenAlex.

  1. Review
  2. Article
  3. Review
  4. Review
  5. Article
  6. Technical Tips for Surgical Treatment of Takayasu Arteritis.Vascular specialist international · 2025
    Review
  7. Article
  8. Article
  9. Diagnosing vasculitis with ultrasound: findings and pitfalls.Therapeutic advances in musculoskeletal disease · 2024
    Review
  10. Review
  11. Article
  12. Article
  13. Article
  14. Article
  15. [Primary vasculitides in childhood and adulthood].Zeitschrift fur Rheumatologie · 2022
    Review
  16. Review
  17. Large-vessel vasculitis.Nature reviews. Disease primers · 2022
    Review
  18. Virus and Autoimmunity: Can SARS-CoV-2 Trigger Large Vessel Vasculitis?European journal of case reports in internal medicine · 2022
    Article
  19. Might IgA be a Biomarker of Disease Activity in Takayasu Arteritis?European journal of case reports in internal medicine · 2022
    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

12 authors at 11 institutions in 9 countries.

Ana F ÁguedaRheumatology, Centro Hospitalar do Baixo Vouga EPE, Aveiro, Portugal.ORCID 0000-0001-9984-8084
Sara MontiRheumatology, IRCCS Policlinico S. Matteo Foundation, University of Pavia, Pavia, Italy.ORCID 0000-0002-1800-6772
Raashid Ahmed LuqmaniNuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Science (NDORMS), University of Oxford, Oxford, UK.
Frank ButtgereitRheumatology and Clinical Immunology, Charité University Medicine Berlin (CCM), Berlin, Germany.ORCID 0000-0003-2534-550X
Maria CidVasculitis Research Unit, Department of Autoimmune Diseases, Hospital Clínic, Institut d'Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS), Barcelona, Spain.
Bhaskar DasguptaRheumatology, Southend University Hospital, Westcliff-on-Sea, UK.
Christian DejacoRheumatology, Department of Rheumatology, South Tyrol Health Trust, Hospital of Bruneck, Bruneck, Italy.ORCID 0000-0002-0173-0668
Alfred MahrInternal Medicine, Hospital Saint-Louis, University Paris Diderot, Paris, France.
Cristina PonteRheumatology Research Unit, Instituto de Medicina Molecular, Faculdade de Medicina, Universidade de Lisboa, Lisboa, Portugal.
Carlo SalvaraniRheumatology, Università di Modena e Reggio Emilia and Azienda USL-IRCCS di Reggio Emilia, Reggio Emilia, Italy.
Wolfgang SchmidtMedical Centre for Rheumatology, Klinik für Innere Medizin, Rheumatologie und Klinische Immunologie Berlin-Buch, Immanuel Krankenhaus, Berlin, Germany.
Bernhard HellmichKlinik für Innere Medizin, Rheumatologie und Immunologie, Vaskulitis-Zentrum Süd, Medius Kliniken, - Akademisches Lehrkrankenhaus der Universität Tübingen, Kirchheim-unter-Teck, Germany.
Center for Rheumatology · USAzienda Sanitaria Unità Locale di Reggio Emilia · ITConsorci Institut D'Investigacions Biomediques August Pi I Sunyer · ESDélégation Paris 7 · FRImmanuel Krankenhaus · DEMedical University of Graz · ATNuffield Orthopaedic Centre · GBSouthend University Hospital NHS Foundation Trust · GBUniversity of Lisbon · PTUniversity of Pavia · ITUniversity of Tübingen · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: To collect available evidence on management of large vessel vasculitis to inform the 2018 update of the EULAR management recommendations. Methods: Two independent systematic literature reviews were performed, one on diagnosis and monitoring and the other on drugs and surgical treatments. Using a predefined PICO (population, intervention, comparator and outcome) strategy, Medline, Embase and Cochrane databases were accessed. Eligible papers were reviewed and results condensed into a summary of findings table. This paper reports the main results for Takayasu arteritis (TAK). Results: A total of 287 articles were selected. Relevant heterogeneity precluded meta-analysis. Males appear to have more complications than females. The presence of major complications, older age, a progressive disease course and a weaker inflammatory response are associated with a more unfavourable prognosis. Evidence for details on the best disease monitoring scheme was not found. High-quality evidence to guide the treatment of TAK was not found. Glucocorticoids are widely accepted as first-line treatment. Conventional immunosuppressive drugs and tumour necrosis factor inhibitors were beneficial in case series and uncontrolled studies. Tocilizumab failed the primary endpoint (time to relapse) in a randomised controlled clinical trial; however, results still favoured tocilizumab over placebo. Vascular procedures may be required, and outcome is better when performed during inactive disease. Conclusions: Evidence to guide monitoring and treatment of patients with TAK is predominantly derived from observational studies with low level of evidence. Therefore, higher-quality studies are needed in the future.

Indexed as

BiomarkersCombined Modality TherapyComorbidityDiagnosis, DifferentialDisease ManagementDisease SusceptibilityGiant Cell ArteritisHumansPatient-Centered CarePrognosisSeverity of Illness IndexSymptom AssessmentTakayasu ArteritisTreatment OutcomeBiomarkersGiant Cell ArteritisSystemic vasculitisTreatment

Identifiers

PMID31673416
PMCPMC6803017
OpenAlexW2973575493

What OpenQuestion holds

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LicenceCC BY-NC
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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.