Evidence map›Paper›PMID 33163866›Full record

ArticleMediterranean journal of rheumatology2020

Interstitial Pneumonia with Autoimmune Features (IPAF): A Single-Centre, Prospective Study.

Maria Karampeli, Konstantinos Thomas, Sofia Flouda, Aikaterina Chavatza, Dionisios Nikolopoulos, Antigone Pieta, Dimitrios Tseronis, Michail Aggelakos, Dimitra Kassara, Vasiliki Tzavara and 3 more

Open access · diamondAbstract read
In one paragraph

Article in Mediterranean journal of rheumatology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
1.5field-weighted citation impact, top 14% 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

12 citing papers in PubMed, 17 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

13 authors at 2 institutions in 2 countries.

Maria KarampeliDepartment of Internal Medicine, General Hospital Korgialenio-Benakio HRC, Athens, Greece.
Konstantinos Thomas4 Department of Internal Medicine, "Attikon" University Hospital of Athens, Greece.
Sofia FloudaRheumatology and Clinical Immunology Unit, 4 Department of Internal Medicine, "Attikon" University Hospital of Athens, Greece.
Aikaterina ChavatzaRheumatology and Clinical Immunology Unit, 4 Department of Internal Medicine, "Attikon" University Hospital of Athens, Greece.
Dionisios NikolopoulosRheumatology and Clinical Immunology Unit, 4 Department of Internal Medicine, "Attikon" University Hospital of Athens, Greece.
Antigone PietaRheumatology and Clinical Immunology Unit, 4 Department of Internal Medicine, "Attikon" University Hospital of Athens, Greece.
Dimitrios TseronisRheumatology and Clinical Immunology Unit, 4 Department of Internal Medicine, "Attikon" University Hospital of Athens, Greece.
Michail AggelakosRheumatology and Clinical Immunology Unit, 4 Department of Internal Medicine, "Attikon" University Hospital of Athens, Greece.
Dimitra KassaraRheumatology and Clinical Immunology Unit, 4 Department of Internal Medicine, "Attikon" University Hospital of Athens, Greece.
Vasiliki TzavaraDepartment of Internal Medicine, General Hospital Korgialenio-Benakio HRC, Athens, Greece.
Pelagia KatsimbriRheumatology and Clinical Immunology Unit, 4 Department of Internal Medicine, "Attikon" University Hospital of Athens, Greece.
Dimitrios BoumpasRheumatology and Clinical Immunology Unit, 4 Department of Internal Medicine, "Attikon" University Hospital of Athens, Greece.
Theofanis KarageorgasRheumatology and Clinical Immunology Unit, 4 Department of Internal Medicine, "Attikon" University Hospital of Athens, Greece.
Center for Rheumatology · USUniversity General Hospital Attikon · GR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesInterstitial pneumonia with autoimmune features (IPAF) refers to patients with interstitial lung disease and autoimmune features not fulfilling the classification criteria for a specific connective tissue disease. We sought to study the characteristics, disease progression, response to treatment and complications of patients with IPAF in 1-year follow-up period.

methodsClinical and laboratory findings, comorbidities, medications, pulmonary function tests (PFTs), chest HRCT and complications during the one-year follow-up period were documented for each of the 39 enrolled patients with IPAF.

resultsThe mean age at the time of IPAF diagnosis was 63.2 (±11) years, and 62% of patients were female. The most common clinical features were arthritis (82%) and rash (54%-not included in the IPAF criteria). Antinuclear antibodies (ANA) (59%) and non-specific interstitial pneumonia (NSIP-61.5%) were the most prevalent autoantibodies and radiological pattern respectively. PFTs at 12 months from baseline stabilized or improved in 79.5% of patients (p> 0.05). Infections were observed in 23.1% of patients during the first and in 12.8% during the second semester of follow-up. Two patients (5.1%) required hospitalization. All infections occurred in patients with non-usual interstitial pneumonia (UIP) pattern (p=0.02).

conclusionsArthritis and rash are among the most common features in IPAF suggesting rash could be included into IPAF criteria. Almost 80% of patients had stable/improved PFTs at the end of follow-up. Infections occurred mainly in the first semester of treatment and in patients with non-UIP radiological pattern probably due to higher doses of corticosteroids used in these patients.

Indexed as

connective tissue diseasesInterstitial lung diseasesinterstitial pneumonia with autoimmune featurespulmonary fibrosis

Identifiers

PMID33163866
PMCPMC7641027
OpenAlexW3089715311

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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.