Evidence map›Paper›PMID 34056682›Full record

ArticleRheumatology international2021

Interstitial lung disease with myeloperoxidase-antineutrophil cytoplasmic antibody-associated vasculitis in elderly patients.

Koichi Yamaguchi, Aya Yamaguchi, Miki Itai, Yuji Onuki, Yuki Shin, Shogo Uno, Chiharu Hanazato, Kohei Taguchi, Kazue Umetsu, Masaki Aikawa and 14 more

Abstract readMulticenter Study
PubMed Publisher
In one paragraph

Article in Rheumatology international, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.0field-weighted citation impact, top 23% 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

4 citing papers in PubMed, 11 citations in OpenAlex.

  1. Observational
  2. Article
  3. Presentation and progression of MPO-ANCA interstitial lung disease.Journal of translational autoimmunity · 2024
    Article
  4. 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

24 authors at 1 institution in 1 country.

Koichi YamaguchiDepartment of Allergy and Respiratory Medicine, Gunma University Graduate School of Medicine, 3-39-15 Showa-machi, Maebashi, Gunma, 371-8511, Japan. yamaguchi1214@gunma-u.ac.jp.ORCID http://orcid.org/0000-0002-8428-2046
Aya YamaguchiDepartment of Allergy and Respiratory Medicine, Gunma University Graduate School of Medicine, 3-39-15 Showa-machi, Maebashi, Gunma, 371-8511, Japan.ORCID http://orcid.org/0000-0003-0085-7728
Miki ItaiDepartment of Respiratory Medicine, Fujioka General Hospital, Fujioka, Japan.ORCID http://orcid.org/0000-0003-0701-6753
Yuji OnukiDepartment of Allergy and Respiratory Medicine, Gunma University Graduate School of Medicine, 3-39-15 Showa-machi, Maebashi, Gunma, 371-8511, Japan.ORCID http://orcid.org/0000-0001-7071-236X
Yuki ShinDepartment of Allergy and Respiratory Medicine, Gunma University Graduate School of Medicine, 3-39-15 Showa-machi, Maebashi, Gunma, 371-8511, Japan.ORCID http://orcid.org/0000-0001-7215-121X
Shogo UnoDepartment of Allergy and Respiratory Medicine, Gunma University Graduate School of Medicine, 3-39-15 Showa-machi, Maebashi, Gunma, 371-8511, Japan.ORCID http://orcid.org/0000-0001-5755-0781
Chiharu HanazatoDepartment of Allergy and Respiratory Medicine, Gunma University Graduate School of Medicine, 3-39-15 Showa-machi, Maebashi, Gunma, 371-8511, Japan.ORCID http://orcid.org/0000-0003-2787-6566
Kohei TaguchiDepartment of Respiratory Medicine, Fujioka General Hospital, Fujioka, Japan.ORCID http://orcid.org/0000-0002-1696-1899
Kazue UmetsuDepartment of Respiratory Medicine, Fujioka General Hospital, Fujioka, Japan.ORCID http://orcid.org/0000-0001-9858-6502
Masaki AikawaDepartment of Allergy and Respiratory Medicine, Gunma University Graduate School of Medicine, 3-39-15 Showa-machi, Maebashi, Gunma, 371-8511, Japan.ORCID http://orcid.org/0000-0002-7047-7870
Shunichi KounoDepartment of Allergy and Respiratory Medicine, Gunma University Graduate School of Medicine, 3-39-15 Showa-machi, Maebashi, Gunma, 371-8511, Japan.ORCID http://orcid.org/0000-0001-9329-1203
Masao TakemuraDepartment of Respiratory Medicine, Fujioka General Hospital, Fujioka, Japan.ORCID http://orcid.org/0000-0003-1154-1454
Kenichiro HaraDepartment of Allergy and Respiratory Medicine, Gunma University Graduate School of Medicine, 3-39-15 Showa-machi, Maebashi, Gunma, 371-8511, Japan.ORCID http://orcid.org/0000-0003-4212-7352
Shinsuke MotegiDivision of Rheumatology and Nephrology, Fujioka General Hospital, Fujioka, Japan.ORCID http://orcid.org/0000-0002-6251-7414
Mayuko TsukidaDivision of Rheumatology and Nephrology, Fujioka General Hospital, Fujioka, Japan.ORCID http://orcid.org/0000-0002-8753-7067
Fumie OtaDivision of Rheumatology and Nephrology, Fujioka General Hospital, Fujioka, Japan.ORCID http://orcid.org/0000-0003-1198-8520
Yoshito TsukadaDivision of Rheumatology and Nephrology, Fujioka General Hospital, Fujioka, Japan.ORCID http://orcid.org/0000-0002-3982-7561
Mitsuru MotegiDepartment of Respiratory Medicine, Fujioka General Hospital, Fujioka, Japan.ORCID http://orcid.org/0000-0001-9030-2050
Masao NakasatomiDepartment of Nephrology and Rheumatology, Gunma University Graduate School of Medicine, Gunma, Japan.ORCID http://orcid.org/0000-0002-8612-8915
Toru SakairiDepartment of Nephrology and Rheumatology, Gunma University Graduate School of Medicine, Gunma, Japan.ORCID http://orcid.org/0000-0003-2804-485X
Hidekazu IkeuchiDepartment of Nephrology and Rheumatology, Gunma University Graduate School of Medicine, Gunma, Japan.ORCID http://orcid.org/0000-0002-0768-7090
Yoriaki KanekoDepartment of Nephrology and Rheumatology, Gunma University Graduate School of Medicine, Gunma, Japan.ORCID http://orcid.org/0000-0003-4567-6082
Keiju HiromuraDepartment of Nephrology and Rheumatology, Gunma University Graduate School of Medicine, Gunma, Japan.ORCID http://orcid.org/0000-0002-9490-8364
Toshitaka MaenoDepartment of Allergy and Respiratory Medicine, Gunma University Graduate School of Medicine, 3-39-15 Showa-machi, Maebashi, Gunma, 371-8511, Japan.ORCID http://orcid.org/0000-0002-8428-1617
Gunma University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Anti-neutrophil cytoplasmic antibodies-associated vasculitis (AAV) occurs in elderly people, and patients with anti-myeloperoxidase autoantibodies (MPO-ANCA)-positive AAV are often complicated with interstitial lung disease (ILD). This study aimed to evaluate the age-related clinical features of elderly patients with MPO-ANCA-positive AAV-ILD. This study retrospectively investigated 63 patients with MPO-ANCA-positive AAV-ILD, all of whom were 65 years or older at diagnosis. Clinical characteristics, causes of death and survival rates among three groups stratified by age (65-74 years, n = 29; 75-79 years, n = 18; over 80 years, n = 16) were compared. This study also examined the association with severe infections in these patients. Among the three age groups, there were significant differences in sex (P = 0.032), serum Krebs von den Lungen-6 (P < 0.01), and total ground-glass opacity score (P = 0.011). The causes of death were mainly severe infections and complications of ILD. Kaplan-Meier curve analysis showed a significantly lower 5-year survival rate in the oldest group (P < 0.01). Regarding severe infections in these patients, the 5-year cumulative incidence of severe infections was higher in the patients receiving steroid pulse therapy (P = 0.034). The clinical characteristics of MPO-ANCA-positive AAV-ILD differ with age in elderly patients, with age being an important poor prognostic factor in these patients. The administration of steroid pulse therapy is a significant risk factor of severe infection in MPO-ANCA-positive elderly patients with AAV-ILD.

Indexed as

AgedAged, 80 and overAnti-Neutrophil Cytoplasmic Antibody-Associated VasculitisAutoantibodiesFemaleHumansKaplan-Meier EstimateLung Diseases, InterstitialMaleRetrospective StudiesAutoantibodiesAgeAnti-neutrophil cytoplasmic antibodyElderlyInterstitial lung disease

Identifiers

PMID34056682
OpenAlexW3165592605

What OpenQuestion holds

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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.