Evidence map›Paper›PMID 32513809›Full record

Observational studyLupus science & medicine2020

Prevalence of progressive multifocal leukoencephalopathy (PML) in adults and children with systemic lupus erythematosus.

Teja Kapoor, Pooja Mahadeshwar, Joyce Hui-Yuen, Kayla Quinnies, Nicholas Tatonetti, Yevgeniya Gartshteyn, Cathy Guo, Laura Geraldino-Pardilla, Anca D Askanase

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in Lupus science & medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
0.8field-weighted citation impact, top 25% 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

9 citing papers in PubMed, 17 citations in OpenAlex.

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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

9 authors at 3 institutions in 2 countries.

Teja Kapoor *Rheumatology, Columbia University Medical Center, New York, New York, USA tmk2134@cumc.columbia.edu.ORCID 0000-0002-0160-8822
Pooja Mahadeshwar *Internal Medicine, Mount Sinai Beth Israel Hospital, New York, New York, USA.
Joyce Hui-YuenPediatric Rheumatology, Northwell Health, Lake Success, New York, USA.
Kayla QuinniesBioinformatics, Columbia University Medical Center, New York, New York, USA.
Nicholas TatonettiBioinformatics, Columbia University Medical Center, New York, New York, USA.
Yevgeniya GartshteynRheumatology, Columbia University Medical Center, New York, New York, USA.ORCID 0000-0001-5547-4658
Cathy GuoRheumatology, Columbia University Medical Center, New York, New York, USA.
Laura Geraldino-PardillaRheumatology, Columbia University Medical Center, New York, New York, USA.
Anca D AskanaseRheumatology, Columbia University Medical Center, New York, New York, USA.ORCID 0000-0003-4597-5023
Columbia University Irving Medical Center · USMount Sinai Beth Israel · USNorthwell Health · US

Funding

Precision Pharmacology and Pharmacovigilance: Leveraging AI to address drug safety knowledge gapsR35GM131905 · NIGMS · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI Nicholas P Tatonetti · 2019 to 2026
$3.3M
NIGMS NIH HHS R35 GM131905
6 · The paper itself

Abstract

objectiveTo define the risk of progressive multifocal leukoencephalopathy (PML) in SLE.

methodsThis is a retrospective observational study to evaluate PML cases in patients with SLE admitted to two large academic hospitals. Using electronic medical record (EMR) data, International Classification of Diseases (ICD) codes identified PML cases among patients with SLE, rheumatoid arthritis (RA) (controls), had renal transplant and with HIV. Medication exposure was reviewed.

resultsA total of 5409 Columbia University Medical Center (CUMC) patients and 2046 Northwell Health patients were identified using one ICD code for SLE. Of 7455 patients, three had an ICD code for PML. On EMR review, however, PML was substantiated in only one fatal SLE case with significant immunosuppressant use and severe lymphopenia (<0.5 cells x 10

conclusionAmong 7455 adult patients with SLE ICD codes, there were two PML cases, with only one confirmed case associated with severe lymphopenia and immunosuppressants, corresponding to a prevalence of 13-27 per 100 000 patients. No PML cases in pSLE were found. A high index of suspicion in patients with SLE and CNS manifestations is required for the prompt diagnosis of PML.

Indexed as

AdultArthritis, RheumatoidCase-Control StudiesCentral Nervous System Viral DiseasesChildElectronic Health RecordsFemaleHIVHIV InfectionsHospitalizationHumansImmunosuppressive AgentsJC VirusKidney TransplantationLeukoencephalopathy, Progressive MultifocalLupus Erythematosus, SystemicImmunosuppressive Agentsautoimmune diseasesinfectionssystemic lupus erythematosus

Identifiers

PMID32513809
PMCPMC7282388
OpenAlexW3034048769

What OpenQuestion holds

Textmetadata
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.