Evidence map›Paper›PMID 34201939›Full record

ArticleJournal of personalized medicine2021

Rituximab as a Treatment Option after Autologous Hematopoietic Stem Cell Transplantation in a Patient with Systemic Sclerosis.

Paul Gressenberger, Philipp Jud, Gabor Kovacs, Sonja Kreuzer, Hans-Peter Brezinsek, Katharina Guetl, Viktoria Muster, Ewald Kolesnik, Albrecht Schmidt, Balazs Odler and 9 more

Open access · goldAbstract readCase Reports
In one paragraph

Article in Journal of personalized medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.8field-weighted citation impact, top 30% 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

3 citing papers in PubMed, 6 citations in OpenAlex.

  1. Article
  2. Review
  3. 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

19 authors at 1 institution in 1 country.

Paul GressenbergerDivision of Angiology, Department of Internal Medicine, Medical University of Graz, 8036 Graz, Austria.
Philipp JudDivision of Angiology, Department of Internal Medicine, Medical University of Graz, 8036 Graz, Austria.
Gabor KovacsDivision of Pneumology, Department of Internal Medicine, Medical University of Graz, 8036 Graz, Austria.
Sonja KreuzerDivision of Rheumatology and Immunology, Department of Internal Medicine, Medical University of Graz, 8036 Graz, Austria.
Hans-Peter BrezinsekDivision of Rheumatology and Immunology, Department of Internal Medicine, Medical University of Graz, 8036 Graz, Austria.
Katharina GuetlDivision of Angiology, Department of Internal Medicine, Medical University of Graz, 8036 Graz, Austria.ORCID 0000-0002-1659-7185
Viktoria MusterDivision of Angiology, Department of Internal Medicine, Medical University of Graz, 8036 Graz, Austria.
Ewald KolesnikDivision of Cardiology, Department of Internal Medicine, Medical University of Graz, 8036 Graz, Austria.
Albrecht SchmidtDivision of Cardiology, Department of Internal Medicine, Medical University of Graz, 8036 Graz, Austria.
Balazs OdlerDivision of Nephrology, Department of Internal Medicine, Medical University of Graz, 8036 Graz, Austria.ORCID 0000-0002-8176-5202
Gabriel AdelsmayrDivision of General Radiology, Department of Radiology, Medical University of Graz, 8036 Graz, Austria.
Peter NeumeisterDivision of Hematology, Department of Internal Medicine, Medical University of Graz, 8036 Graz, Austria.
Luka BrcicDiagnostic and Research Institute of Pathology, Medical University of Graz, 8036 Graz, Austria.ORCID 0000-0002-9098-8416
Sabine ZenzDivision of Rheumatology and Immunology, Department of Internal Medicine, Medical University of Graz, 8036 Graz, Austria.
Kurt WeberDivision of Rheumatology and Immunology, Department of Internal Medicine, Medical University of Graz, 8036 Graz, Austria.
Thomas GaryDivision of Angiology, Department of Internal Medicine, Medical University of Graz, 8036 Graz, Austria.
Marianne BrodmannDivision of Angiology, Department of Internal Medicine, Medical University of Graz, 8036 Graz, Austria.
Winfried B GraningerDivision of Rheumatology and Immunology, Department of Internal Medicine, Medical University of Graz, 8036 Graz, Austria.
Florentine C Moazedi-FürstDivision of Rheumatology and Immunology, Department of Internal Medicine, Medical University of Graz, 8036 Graz, Austria.
Medical University of Graz · AT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Systemic sclerosis (SSc) is an intractable autoimmune disease characterized by vasculopathy and organ fibrosis. Autologous hematopoietic stem cell transplantation (AHSCT) should be considered for the treatment of selected patients with rapid progressive SSc at high risk of organ failure. It, however, remains elusive whether immunosuppressive therapies such as rituximab (RTX) are still necessary for such patients after AHSCT, especially in those with bad outcomes. In the present report, a 43-year-old man with diffuse cutaneous SSc received AHSCT. Despite AHSCT, SSc further progressed with progressive symptomatic heart failure with newly developed concomitant mitral and tricuspid valve insufficiency, thus the patient started on RTX 8 months after AHSCT. Shortly after initiation of RTX, clinical symptoms and organ functions ameliorated subsequently. Heart valve regurgitations were reversible after initiation of RTX treatment. Currently, the patient remains in a stable condition with significant improvement of clinical symptoms and organ functions. Reporting about therapies after AHSCT in SSc is a very important issue, as randomized controlled trials are lacking, and therefore this report adds to evidence that RTX can be considered as a treatment option in patients with SSc that do not respond to AHSCT.

Indexed as

autologous hematopoietic stem cell transplantationrituximabsystemic sclerosis

Identifiers

PMID34201939
PMCPMC8305780
OpenAlexW3175393126

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.