Evidence map›Paper›PMID 32643055›Full record

ArticleClinical rheumatology2021

Pulmonary artery involvement in Takayasu arteritis: a retrospective study in Chinese population.

Xin Xi, Juan Du, Jiayi Liu, Guangfa Zhu, Guanming Qi, Lili Pan

Abstract read
PubMed Publisher
In one paragraph

Article in Clinical rheumatology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
1.9field-weighted citation impact, top 11% 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, 1 synthesis or guideline pooled it, 25 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Observational
  4. Article
  5. Review
  6. Article
  7. Article
  8. Takayasu's arteritis with pulmonary artery involvement.Jornal brasileiro de pneumologia : publicacao oficial da Sociedade Brasileira de Pneumologia e Tisilogia · 2022
    Article
  9. 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

6 authors at 2 institutions in 2 countries.

Xin XiSleep Center, Beijing Anzhen Hospital, Capital Medical University, Beijing, China.
Juan DuDepartment of Rheumatology and Immunology, Beijing Anzhen Hospital, Capital Medical University, Beijing, China.
Jiayi LiuDepartment of Radiology, Beijing Anzhen Hospital, Capital Medical University, Beijing, China.
Guangfa ZhuDepartment of Pulmonary and Critical Care, Beijing Anzhen Hospital, Capital Medical University, Beijing, China.
Guanming QiPulmonary and Critical Care Division, Tufts Medical Center, Boston, MA, USA.
Lili PanDepartment of Rheumatology and Immunology, Beijing Anzhen Hospital, Capital Medical University, Beijing, China. lilypansxmu@sina.com.ORCID http://orcid.org/0000-0003-2914-078X
Capital Medical University · CNTufts Medical Center · US

Funding

Major Research Plan 91739111National Natural Science Foundation of China 81500037National Natural Science Foundation of China 91739111
6 · The paper itself

Abstract

backgroundTakayasu's arteritis (TA) may involve the pulmonary artery, which signifies a poor prognosis. This study investigated the features of TA patients with pulmonary artery involvement.

methodsOne hundred and twenty-six inpatients diagnosed with TA were retrospectively studied. The clinical data of TA patients with and without pulmonary artery involvement were compared. The imaging features of pulmonary artery lesions in TA patients were evaluated. The treatment responses of pulmonary artery lesions were described, and the drug regimens in different treatment response groups were compared.

resultsAmong the patients with TA, 15.9% showed associated pulmonary artery involvement. The disease durations were significantly longer in patients with pulmonary artery involvement than in those without (108.0 months (53.5, 222.0) vs. 36.0 months (12.0, 120.0); p = 0.038). Hemoptysis was more common in TA patients with pulmonary artery involvement than in those without (15.0%, 3 cases vs. 0.0%; p < 0.001). TA patients with disease duration longer than 5 years showed a 3.42-fold higher odds of pulmonary artery involvement than those with a disease duration of less than 5 years (adjusted odds ratio, 3.42 (95% confidence interval, 1.20-9.76); p = 0.02). The most common imaging manifestations of pulmonary artery involvement were stenosis and occlusion. Among the six patients who had good response to treatment of pulmonary artery lesions, five were treated with the interleukin-6 receptor antagonist tocilizumab.

conclusionsTA patients with pulmonary artery involvement have a longer course of disease and more symptoms of hemoptysis. TA-related pulmonary artery lesions more commonly manifested as stenosis and occlusion. Tocilizumab may be effective for TA-related pulmonary vascular disease. Key Points • Disease duration longer than 5 years is associated with pulmonary artery involvement in TA. • Hemoptysis is a characteristic clinical symptom of TA with pulmonary artery involvement. • Tocilizumab may be more effective for pulmonary artery lesions of TA.

Indexed as

Takayasu ArteritisChinaHumansPulmonary ArteryRetrospective StudiesDisease durationIL-6 receptor antagonistPulmonary artery involvementTakayasu’s arteritis

Identifiers

PMID32643055
OpenAlexW3041722024

What OpenQuestion holds

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Registered trials

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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.