Evidence map›Paper›PMID 32534273›Full record

ArticleSeminars in arthritis and rheumatism2020

Recommendations for the treatment of anti-melanoma differentiation-associated gene 5-positive dermatomyositis-associated rapidly progressive interstitial lung disease.

F Romero-Bueno, P Diaz Del Campo, E Trallero-Araguás, J C Ruiz-Rodríguez, I Castellvi, M J Rodriguez-Nieto, M J Martínez-Becerra, O Sanchez-Pernaute, I Pinal-Fernandez, X Solanich and 5 more

Open access · greenAbstract read
In one paragraph

Article in Seminars in arthritis and rheumatism, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 101 papers.

0numbers the graph read from it
0cells of the map it votes in
101citing papers in PubMed
17.3field-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

101 citing papers in PubMed, 175 citations in OpenAlex.

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41 more citing papers are in PubMed but not listed here.

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

15 authors at 12 institutions in 4 countries.

F Romero-BuenoRheumatology Dept. Fundación Jiménez Díaz University Hospital, Universidad Autónoma de Madrid, Madrid, Spain.
P Diaz Del CampoResearch Unit, Spanish Society of Rheumatology, Madrid, Spain.
E Trallero-AraguásRheumatology Unit. Vall d'Hebron University Hospital, GEAS group, Barcelona, Spain.
J C Ruiz-RodríguezIntensive Care Department. Vall d'Hebron University Hospital, Shock, Organ Dysfunction, and Resuscitation Research Group, Vall d'Hebron Research Institute, Barcelona, Spain.
I CastellviRheumatology Department. Hospital de la Santa Creu i Sant Pau. Universitat Autònoma de Barcelona, Barcelona, Spain.
M J Rodriguez-NietoPneumology Dept. Fundación Jiménez Díaz University Hospital, Centro de Investigación Biomédica en Red de Enfermedades Respiratorias (CIBERES), Instituto de Salud Carlos III, Madrid, Spain.
M J Martínez-BecerraImmunology Dept. Fundación Jiménez Díaz University Hospital, Madrid, Spain.
O Sanchez-PernauteRheumatology Dept. Fundación Jiménez Díaz University Hospital, Universidad Autónoma de Madrid, Madrid, Spain.
I Pinal-FernandezNational Institute of Arthritis and Musculoskeletal and Skin Diseases; NIH, Bethesda; Johns Hopkins University School of Medicine, Baltimore, MD, USA.
X SolanichDepartment of Internal Medicine, Hospital Universitari de Bellvitge, L'Hospitalet de Llobregat, Barcelona, Spain.
T GonoNippon Medical School Graduate School of Medicine, Department of Allergy and Rheumatology, Tokyo, Japan.
M A Gonzalez-GayEpidemiology, Genetics and Atherosclerosis Research Group on Systemic Inflammatory Diseases, Rheumatology Div., Hosp. Universitario Marqués de Valdecilla, IDIVAL and University of Cantabria, Santander; and Univ. of the Witwatersrand, South Africa.
M N PlanaResearch Unit, Spanish Society of Rheumatology, Madrid, Spain. CIBER Epidemiology and Public Health (CIBERESP), Madrid, Spain.
A Selva-O'CallaghanSystemic Autoimmune Diseases Unit. Medicine Dept. Vall d'Hebron University Hospital, GEAS group. Universitat Autònoma de Barcelona, Barcelona, Spain.. Electronic address: aselva@vhebron.net.
MEDRA5 (Spanish MDA5 Register) group (listed contributors at the end of the article)
Universidad Autónoma de Madrid · ESBellvitge University Hospital · ESCentro de Investigación Biomédica en Red de Epidemiología y Salud Pública · ESHospital de Sant Pau · ESHospital Universitario Fundación Jiménez Díaz · ESInstituto de Salud Carlos III · ESJohns Hopkins Medicine · USMarqués de Valdecilla University Hospital · ESNippon Medical School · JPSpanish Society of Hematology and Hemotherapy · ESVall d'Hebron Hospital Universitari · ESVall d'Hebron Institut de Recerca · ES

Funding

Intramural NIH HHS Z99 AR999999
6 · The paper itself

Abstract

objectivesThe study aimed to develop evidence-based recommendations for the treatment of rapidly progressive interstitial lung disease (RPILD) associated with the anti-Melanoma Differentiation-Associated Gene 5-positive dermatomyositis (DM) syndrome.

methodsThe task force comprised an expert panel of specialists in rheumatology, intensive care medicine, pulmonology, immunology, and internal medicine. The study was carried out in two phases: identifying key areas in the management of DM-RPILD syndrome and developing a set of recommendations based on a review of the available scientific evidence. Four specific questions focused on different treatment options were identified. Relevant publications in English, Spanish or French up to April 2018 were searched systematically for each topic using PubMed (MEDLINE), EMBASE, and Cochrane Library (Wiley Online). The experts used evidence obtained from these studies to develop recommendations.

resultsA total of 134 studies met eligibility criteria and formed the evidentiary basis for the recommendations regarding immunosuppressive therapy and complementary treatments. Overall, there was general agreement on the initial use of combined immunosuppressive therapy. Combination of high-dose glucocorticoids and calcineurin antagonists with or without cyclophosphamide is the first choice. In the case of calcineurin antagonist contraindication or treatment failure, switching or adding other immunosuppressants may be individualized. Plasmapheresis, polymyxin B hemoperfusion and/or intravenous immunoglobulins may be used as rescue options. ECMO should be considered in life-threatening situations while waiting for a clinical response or as a bridge to lung transplant.

conclusionsThirteen recommendations regarding the treatment of the anti-MDA5 positive DM-RPILD were developed using research-based evidence and expert opinion.

Indexed as

ConsensusCyclophosphamideDermatomyositisDrug Therapy, CombinationGlucocorticoidsHumansImmunosuppressive AgentsInterferon-Induced Helicase, IFIH1Lung Diseases, InterstitialSyndromeCyclophosphamideGlucocorticoidsIFIH1 protein, humanImmunosuppressive AgentsInterferon-Induced Helicase, IFIH1BasiliximabCyclophosphamideCyclosporineDermatomyositisExtracorporeal membrane oxygenationGlucocorticoidIntensive careIntravenous immunoglobulinsLung transplantMycophenolatePlasmapheresisPolymixyn B hemoperfusionRapidly progressive interstitial lung diseaseReviewRituximabsystematicTacrolimusTofacitinib

Identifiers

PMID32534273
PMCPMC11616672
OpenAlexW3033556276

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.