Evidence map›Paper›PMID 33512787›Full record

ArticleACR open rheumatology2021

Eosinophilic Granulomatosis with Polyangiitis: A Systematic Review and Meta-Analysis of Test Accuracy and Benefits and Harms of Common Treatments.

Jason M Springer, Mohamad A Kalot, Nedaa M Husainat, Kevin W Byram, Anisha B Dua, Karen E James, Yih Chang Lin, Marat Turgunbaev, Alexandra Villa-Forte, Andy Abril and 4 more

Abstract read
In one paragraph

Article in ACR open rheumatology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing 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

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

  1. Pooled it
  2. Review
  3. Review
  4. Review
  5. Review
  6. Review
  7. 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

14 authors.

Jason M SpringerVanderbilt University Medical Center, Nashville.ORCID https://orcid.org/0000-0002-3903-6049
Mohamad A KalotState University of New York at Buffalo.ORCID https://orcid.org/0000-0002-6581-4561
Nedaa M HusainatSt. Mary's Hospital, St. Louis, Missouri.ORCID https://orcid.org/0000-0002-9638-2992
Kevin W ByramVanderbilt University Medical Center, Nashville.ORCID https://orcid.org/0000-0001-6441-1915
Anisha B DuaNorthwestern University Feinberg School of Medicine, Chicago, Illinois.ORCID https://orcid.org/0000-0002-3508-9290
Karen E JamesUniversity of Utah Health, Salt Lake City.
Yih Chang LinUniversity of South Florida, Tampa.
Marat TurgunbaevAmerican College of Rheumatology.
Alexandra Villa-ForteCleveland Clinic, Cleveland, Ohio.
Andy AbrilMayo Clinic, Jacksonville, Florida.
Carol A LangfordCleveland Clinic, Cleveland, Ohio.
Mehrdad MazUniversity of Kansas Medical Center, Kansas City.
Sharon A ChungUniversity of California, San Francisco Medical Center.
Reem A MustafaUniversity of Kansas Medical Center, Kansas City.ORCID https://orcid.org/0000-0002-2091-0875

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveEosinophilic granulomatosis with polyangiitis (EGPA) is part of a group of vasculitides commonly referred to as antineutrophil cytoplasmic antibody (ANCA)-associated vasculitis (AAV), in addition to granulomatosis with polyangiitis (GPA), microscopic polyangiitis (MPA), and renal-limited vasculitis. Patients with EGPA characteristically have asthma and marked peripheral eosinophilia with only approximately 30% to 35% of patients being myeloperoxidase (MPO)-ANCA positive, distinguishing it from other forms of AAV (1,2). The aim of this systematic review is to support the development of the American College of Rheumatology/Vasculitis Foundation guideline for the management of EGPA.

methodsA systematic review was conducted of the literature for seven forms of primary systemic vasculitis (GPA, MPA, EGPA, polyarteritis nodosa, Kawasaki disease, giant cell arteritis, and Takayasu arteritis). The search was done for articles in English using Ovid Medline, PubMed, Embase, and the Cochrane Library. Articles were screened for suitability in addressing population/patients, intervention, comparator, and outcomes (PICO) questions, with studies presenting the highest level of evidence given preference. Two independent reviewers conducted a title/abstract screen and full-text review for each eligible study.

resultsThe initial search, conducted in August 2019, included 13 800 articles, of which 2596 full-text articles were reviewed. There were 190 articles (addressing 34 PICO questions) reporting on the diagnosis and management of EGPA.

conclusionThis comprehensive systematic review synthesizes and evaluates the accuracy of commonly used tests for EGPA as well as benefits and toxicities of different treatment options.

Identifiers

PMID33512787
PMCPMC7882521

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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.