Evidence map›Paper›PMID 32906028›Full record

ArticleSeminars in arthritis and rheumatism2020

Gastric antral vascular ectasia in systemic sclerosis: Association with anti-RNA polymerase III and negative anti-nuclear antibodies.

Naomi Serling-Boyd, Melody Pei-Shien Chung, Shufeng Li, Laren Becker, Nielsen Fernandez-Becker, John Clarke, David Fiorentino, Lorinda Chung

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 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
1.4field-weighted citation impact, top 18% 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

11 citing papers in PubMed, 1 synthesis or guideline pooled it, 18 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

8 authors at 2 institutions in 1 country.

Naomi Serling-BoydDepartment of Medicine, Division of Rheumatology, Allergy, & Immunology, Massachusetts General Hospital, USA.
Melody Pei-Shien ChungDepartment of Medicine, Division of Immunology and Rheumatology, Stanford University School of Medicine, USA.
Shufeng LiDepartment of Dermatology, Stanford University School of Medicine, USA.
Laren BeckerDepartment of Medicine, Division of Gastroenterology, Stanford University School of Medicine, USA.
Nielsen Fernandez-BeckerDepartment of Medicine, Division of Gastroenterology, Stanford University School of Medicine, USA.
John ClarkeDepartment of Medicine, Division of Gastroenterology, Stanford University School of Medicine, USA.
David FiorentinoDepartment of Dermatology, Stanford University School of Medicine, USA.
Lorinda ChungDepartment of Medicine, Division of Immunology and Rheumatology, Stanford University School of Medicine, USA; Department of Medicine, Division of Immunology and Rheumatology, Palo Alto Veterans Affairs Healthcare System, USA. Electronic address: shauwei@stanford.edu.
Stanford University · USMassachusetts General Hospital · US

Funding

Research Training in Rheumatology at Massachusetts General HospitalT32AR007258 · NIAMS · MASSACHUSETTS GENERAL HOSPITAL · PI ANDREW D LUSTER · 1986 to 2026
$6.9M
Training Program in Adult and Pediatric RheumatologyT32AR050942 · NIAMS · STANFORD UNIVERSITY · PI LEWIS, DAVID BRAM, ROBINSON, WILLIAM H · 2005 to 2025
$6.6M
NIAMS NIH HHS T32 AR007258NIAMS NIH HHS T32 AR050942
6 · The paper itself

Abstract

objectiveGastric antral vascular ectasia (GAVE) is a vascular manifestation of systemic sclerosis (SSc) that can lead to iron deficiency anemia or acute gastrointestinal (GI) bleeding. We aimed to identify clinical features associated with GAVE.

methodsWe performed a cohort study of SSc patients who were seen at Stanford between 2004 and 2018 and had undergone esophagogastroduodenoscopy (EGD). We compared the clinical features of those with and without GAVE, and multivariable logistic regression was performed to identify clinical correlates with GAVE.

resultsA total of 225 patients with SSc who underwent EGD were included in this study and 19 (8.4%) had GAVE. Those with GAVE were more likely to have scleroderma renal crisis (SRC) (21% vs 3%; p < 0.01), positive anti-RNA polymerase III antibody (71% vs 19%; p < 0.01), nucleolar pattern of anti-nuclear antibody (ANA) (33% vs 11%; p=0.04), and negative ANA (<1:80 by immunofluorescence) (33% vs 11%; p=0.02). On multivariate analysis with multiple imputation, anti-RNA polymerase III positivity (OR 4.57; 95% CI (1.57 - 13.23), p < 0.01) and ANA negativity (OR 3.75; 95% CI (1.21 - 11.62), p=0.02) remained significantly associated with GAVE.

conclusionPositive anti-RNA polymerase III antibody and ANA negativity were significantly associated with GAVE. Further studies are necessary to determine whether patients with these autoantibody profiles should undergo screening endoscopies for GAVE.

Indexed as

Gastric Antral Vascular EctasiaScleroderma, SystemicAntibodies, AntinuclearCohort StudiesHumansRNA Polymerase IIIAntibodies, AntinuclearRNA Polymerase III

Identifiers

PMID32906028
PMCPMC7584748
OpenAlexW3041693131

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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.