Evidence map›Paper›PMID 32826324›Full record

ArticleJournal of the American Society of Nephrology : JASN2020

Efficacy of Rituximab and Plasma Exchange in Antineutrophil Cytoplasmic Antibody-Associated Vasculitis with Severe Kidney Disease.

Marta Casal Moura, Maria V Irazabal, Alfonso Eirin, Ladan Zand, Sanjeev Sethi, Bijan J Borah, Jeffrey L Winters, James P Moriarty, Rodrigo Cartin-Ceba, Alvise Berti and 7 more

Open access · greenAbstract readComparative Study
In one paragraph

Article in Journal of the American Society of Nephrology : JASN, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed, 4 pooled it
6.5field-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

38 citing papers in PubMed, 4 syntheses or guidelines pooled it, 73 citations in OpenAlex.

  1. Guideline
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Review
  12. Medication adherence and real-world factors of first line induction treatment selection in ANCA-associated vasculitis.Sarcoidosis, vasculitis, and diffuse lung diseases : official journal of WASOG · 2025
    Article
  13. Review
  14. Article
  15. Review
  16. Management of antineutrophil cytoplasmic antibody-associated vasculitis with glomerulonephritis as proposed by the ACR 2021, EULAR 2022 and KDIGO 2021 guidelines/recommendations.Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association · 2023
    Article
  17. Article
  18. Article
  19. Article
  20. Contemporary Monoclonal Antibody Utilization in Glomerular Diseases.Mayo Clinic proceedings. Innovations, quality & outcomes · 2023
    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

17 authors at 3 institutions in 1 country.

Marta Casal MouraDivision of Pulmonary and Critical Care, Department of Medicine, Mayo Clinic College of Medicine and Science, Rochester, Minnesota.ORCID 0000-0001-7439-6501
Maria V IrazabalDivision of Nephrology and Hypertension, Department of Medicine, Mayo Clinic College of Medicine and Science, Rochester, Minnesota.ORCID 0000-0002-9904-7778
Alfonso EirinDivision of Nephrology and Hypertension, Department of Medicine, Mayo Clinic College of Medicine and Science, Rochester, Minnesota.
Ladan ZandDivision of Nephrology and Hypertension, Department of Medicine, Mayo Clinic College of Medicine and Science, Rochester, Minnesota.
Sanjeev SethiDivision of Anatomic Pathology, Department of Laboratory Medicine and Pathology, Mayo Clinic College of Medicine and Science, Rochester, Minnesota.ORCID 0000-0002-4536-7709
Bijan J BorahRobert D. and Patricia E. Kern Center for the Science of Health Care Delivery, Mayo Clinic, Rochester, Minnesota.
Jeffrey L WintersDivision of Transfusion Medicine, Department of Laboratory Medicine and Pathology, Mayo Clinic College of Medicine and Science, Rochester, Minnesota.
James P MoriartyRobert D. and Patricia E. Kern Center for the Science of Health Care Delivery, Mayo Clinic, Rochester, Minnesota.
Rodrigo Cartin-CebaDivision of Pulmonary Medicine, Department of Medicine, Mayo Clinic Arizona, Phoenix, Arizona.
Alvise BertiDivision of Pulmonary and Critical Care, Department of Medicine, Mayo Clinic College of Medicine and Science, Rochester, Minnesota.ORCID 0000-0002-7831-921X
Misbah BaqirDivision of Pulmonary and Critical Care, Department of Medicine, Mayo Clinic College of Medicine and Science, Rochester, Minnesota.
Gwen E ThompsonDivision of Pulmonary and Critical Care, Department of Medicine, Mayo Clinic College of Medicine and Science, Rochester, Minnesota.
Ashima MakolDivision of Rheumatology, Department of Medicine, Mayo Clinic College of Medicine and Science, Rochester, Minnesota.
Kenneth J WarringtonDivision of Rheumatology, Department of Medicine, Mayo Clinic College of Medicine and Science, Rochester, Minnesota.
Viengneesee ThaoRobert D. and Patricia E. Kern Center for the Science of Health Care Delivery, Mayo Clinic, Rochester, Minnesota.
Ulrich SpecksDivision of Pulmonary and Critical Care, Department of Medicine, Mayo Clinic College of Medicine and Science, Rochester, Minnesota specks.ulrich@mayo.edu fervenza.fernando@mayo.edu.ORCID 0000-0002-6559-1206
Fernando C FervenzaDivision of Nephrology and Hypertension, Department of Medicine, Mayo Clinic College of Medicine and Science, Rochester, Minnesota specks.ulrich@mayo.edu fervenza.fernando@mayo.edu.ORCID 0000-0002-9952-209X
Mayo Clinic · USMayo Clinic in Arizona · USMayo Clinic in Florida · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTreatment of patients with ANCA-associated vasculitis (AAV) and severe renal involvement is not established. We describe outcomes in response to rituximab (RTX) versus cyclophosphamide (CYC) and plasma exchange (PLEX).

methodsA retrospective cohort study of MPO- or PR3-ANCA-positive patients with AAV (MPA and GPA) and severe kidney disease (eGFR <30 ml/min per 1.73 m

resultsOf 467 patients with active renal involvement, 251 had severe kidney disease. Patients received CYC (

conclusionsThe apparent benefits and risks of using CYC or RTX for the treatment of patients with AAV and severe kidney disease are balanced. The addition of PLEX to standard remission-induction therapy showed no benefit in our cohort. A randomized controlled trial is the only satisfactory means to evaluate efficacy of remission-induction treatments in AAV with severe renal involvement.

Indexed as

Plasma ExchangeAgedAntibodies, Antineutrophil CytoplasmicAnti-Neutrophil Cytoplasmic Antibody-Associated VasculitisCombined Modality TherapyCyclophosphamideDisease ProgressionFemaleGlomerular Filtration RateHumansImmunologic FactorsImmunosuppressive AgentsKaplan-Meier EstimateKidney Failure, ChronicMaleMiddle AgedAntibodies, Antineutrophil CytoplasmicCyclophosphamideImmunologic FactorsImmunosuppressive AgentsRituximabANCAcyclophosphamideglomerulonephritisPlasmapheresisrituximab

Identifiers

PMID32826324
PMCPMC7608964
OpenAlexW3080098141

What OpenQuestion holds

Textmetadata
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.