Evidence map›Paper›PMID 33140238›Full record

ArticleClinical rheumatology2021

Factors associated with event-free survival in Chinese patients with Takayasu's arteritis.

Yu Wei, Cheng Zhao, Jun Liang, Ziyi Jin, Bingzhu Hua, Hong Wang, Huayong Zhang, Xuebing Feng

Abstract read
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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 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

4 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Review
  4. Might IgA be a Biomarker of Disease Activity in Takayasu Arteritis?European journal of case reports in internal medicine · 2022
    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

8 authors.

Yu WeiDepartment of Rheumatology and Immunology, Nanjing Medical University Drum Tower Clinical Medical Hospital, 321 Zhongshan Road, Nanjing, 210008, China.
Cheng ZhaoDepartment of Rheumatology and Immunology, Nanjing Medical University Drum Tower Clinical Medical Hospital, 321 Zhongshan Road, Nanjing, 210008, China.
Jun LiangDepartment of Rheumatology and Immunology, Nanjing Medical University Drum Tower Clinical Medical Hospital, 321 Zhongshan Road, Nanjing, 210008, China.
Ziyi JinDepartment of Rheumatology and Immunology, Nanjing Medical University Drum Tower Clinical Medical Hospital, 321 Zhongshan Road, Nanjing, 210008, China.
Bingzhu HuaDepartment of Rheumatology and Immunology, Nanjing Medical University Drum Tower Clinical Medical Hospital, 321 Zhongshan Road, Nanjing, 210008, China.
Hong WangDepartment of Rheumatology and Immunology, Nanjing Medical University Drum Tower Clinical Medical Hospital, 321 Zhongshan Road, Nanjing, 210008, China.
Huayong ZhangDepartment of Rheumatology and Immunology, Nanjing Medical University Drum Tower Clinical Medical Hospital, 321 Zhongshan Road, Nanjing, 210008, China.
Xuebing FengDepartment of Rheumatology and Immunology, Nanjing Medical University Drum Tower Clinical Medical Hospital, 321 Zhongshan Road, Nanjing, 210008, China. fengxuebing@hotmail.com.ORCID http://orcid.org/0000-0002-9837-9690

Funding

National Natural Science Foundation of China 81771745National Natural Science Foundation of China 81801608
6 · The paper itself

Abstract

objectivesTo investigate long-term outcomes of Takayasu's arteritis (TA) and explore the predictive factors associated with poor prognosis.

methodsWe performed a retrospective study on consecutive TA patients admitted to the Nanjing Drum Tower Hospital during the period from July 2010 to March 2019. Potential factors contributing to adverse outcomes, including death, vascular complications, and vascular stenosis aggravation were assessed by Cox regression analysis.

resultsSeventy-one individuals were enrolled, in which 90.1% were female. The mean onset age was 29.44 ± 11.75 years, and mean follow-up time was 3.42 ± 2.38 years. Adverse outcomes were observed in twenty-five (35.2%) patients, and the 1-, 5-, and 8-year event-free survival was 94.2%, 61.8%, and 29.8% respectively. Univariable Cox regression revealed that pulmonary hypertension (PH) (HR 4.13), high total cholesterol levels (HR 4.49), high LDL cholesterol levels (HR 5.14), and low-dose cyclophosphamide (CTX) treatment (HR 0.53) were associated with adverse outcomes. Among them, only CTX treatment remained significant in multivariable Cox regression analysis (HR 0.62). Interestingly, compared to those ineffective to CTX, the responders had higher immunoglobulin A levels (p < 0.05) but lower CRP levels (p < 0.05).

conclusionsEven with vigorous therapy, a large proportion of TA patients may present adverse outcomes along with the development of disease. Low-dose CTX treatment is helpful for a better prognosis. Key Points • The prognosis of Takayasu's arteritis is still poor. • Application of low-dose cyclophosphamide in high-risk patients helps to improve the outcome. • Abnormal lipid profiles may contribute to the development of this disease, which also deserves attention.

Indexed as

Hypertension, PulmonaryTakayasu ArteritisAdolescentAdultChinaFemaleHumansMaleProgression-Free SurvivalRetrospective StudiesYoung AdultCyclophosphamidePrognosisPulmonary hypertensionTakayasu’s arteritis

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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.