Evidence map›Paper›PMID 33540483›Full record

ArticleInternational journal of clinical practice2021

Effect of short-interval rituximab and high-dose corticosteroids on kidney function in systemic sclerosis: Long-term experience of a single centre.

Balazs Odler, Carina Hebesberger, Lukas Hoeflechner, Gudrun Pregartner, Paul Gressenberger, Philipp Jud, Sabine Zenz, Kathrin Eller, Alexander R Rosenkranz, Florentine Moazedi-Fuerst

Open access · hybridAbstract read
In one paragraph

Article in International journal of clinical practice, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.6field-weighted citation impact, top 35% 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

2 citing papers in PubMed, 4 citations in OpenAlex.

  1. Review
  2. 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

10 authors at 1 institution in 1 country.

Balazs OdlerDivision of Nephrology, Department of Internal Medicine, Medical University of Graz, Graz, Austria.ORCID https://orcid.org/0000-0002-8176-5202
Carina HebesbergerDivision of Nephrology, Department of Internal Medicine, Medical University of Graz, Graz, Austria.
Lukas HoeflechnerDivision of Nephrology, Department of Internal Medicine, Medical University of Graz, Graz, Austria.
Gudrun PregartnerInstitute for Medical Informatics, Statistics and Documentation, Medical University of Graz, Graz, Austria.
Paul GressenbergerDivision of Angiology, Department of Internal Medicine, Medical University of Graz, Graz, Austria.
Philipp JudDivision of Angiology, Department of Internal Medicine, Medical University of Graz, Graz, Austria.
Sabine ZenzDivision of Rheumatology and Immunology, Department of Internal Medicine, Medical University of Graz, Graz, Austria.
Kathrin EllerDivision of Nephrology, Department of Internal Medicine, Medical University of Graz, Graz, Austria.
Alexander R RosenkranzDivision of Nephrology, Department of Internal Medicine, Medical University of Graz, Graz, Austria.
Florentine Moazedi-FuerstDivision of Rheumatology and Immunology, Department of Internal Medicine, Medical University of Graz, Graz, Austria.
Medical University of Graz · AT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionScleroderma renal crisis (SRC) is a rare but one of the most recognised complications of systemic sclerosis (SSc). Corticosteroid (CS) use has been considered as a major risk factor for SRC. Several studies reported the efficacy of rituximab (RTX) with an acceptable safety profile in SSc. However, data on the long-term effect of high-dose CS concomitant to RTX on kidney function are lacking.

methodsWe retrospectively analysed SSc patients (n = 35) treated with a lower dosage and short-interval RTX and concomitant high-dose CS at the Department of Internal Medicine at the Medical University of Graz between 2010 and 2019. The kidney function was assessed using the estimated glomerular filtration rate (eGFR) at every RTX admission. The annual decline of kidney function was evaluated by linear mixed model analysis.

resultsAt the RTX initiation, one patient had a decreased kidney function indicated by eGFR < 60 mL/min/1.73 m

conclusionsA regular, high-dose CS given contemporary to RTX seems to be a safe option for kidney function in patients with SSc. Our findings provide additional knowledge in risk evaluation and planning of individualised therapies or designing clinical studies using RTX.

Indexed as

Scleroderma, SystemicAdrenal Cortex HormonesHumansKidneyRetrospective StudiesRituximabTreatment OutcomeAdrenal Cortex HormonesRituximab

Identifiers

PMID33540483
PMCPMC8243981
OpenAlexW3127637838

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.