Evidence map›Paper›PMID 34221217›Full record

ArticleThe World Allergy Organization journal2021

Assessment of disease activity and quality of life in patients with recurrent bradykinin-mediated versus mast cell-mediated angioedema.

Pelin Kuteyla Can, Ece Nur Degi Rmentepe, Piril Etikan, Kübra Kiziltaç, Asli Gelincik, Semra Demir, Suna Buyukozturk, Eda Haşal, Emel Bülbül Başkan, Ömür Aydin and 3 more

Open access · goldAbstract read
In one paragraph

Article in The World Allergy Organization journal, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
2.0field-weighted citation impact, top 13% 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

11 citing papers in PubMed, 18 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Review
  9. Bradykinin Metabolism and Drug-Induced Angioedema.International journal of molecular sciences · 2023
    Review
  10. Article
  11. 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

13 authors at 7 institutions in 2 countries.

Pelin Kuteyla CanBahcesehir University, Faculty of Medicine, Department of Dermatology, Istanbul, Turkey.
Ece Nur Degi RmentepeOkmeydani Training and Research Hospital, Dermatology and Venerology, Istanbul, Turkey.
Piril EtikanOkmeydani Training and Research Hospital, Dermatology and Venerology, Istanbul, Turkey.
Kübra KiziltaçOkmeydani Training and Research Hospital, Dermatology and Venerology, Istanbul, Turkey.
Asli GelincikIstanbul University, Istanbul Faculty of Medicine, Adult Allergy Clinic, Istanbul, Turkey.
Semra DemirIstanbul University, Istanbul Faculty of Medicine, Adult Allergy Clinic, Istanbul, Turkey.
Suna BuyukozturkIstanbul University, Istanbul Faculty of Medicine, Adult Allergy Clinic, Istanbul, Turkey.
Eda HaşalUludağ University Faculty of Medicine Department of Dermatology, Bursa, Turkey.
Emel Bülbül BaşkanUludağ University Faculty of Medicine Department of Dermatology, Bursa, Turkey.
Ömür AydinAnkara University Faculty of Medicine, Adult Allergy Clinic, Ankara, Turkey.
Marcus MaurerDermatological Allergology, Allergie-Centrum-Charité, Department of Dermatology and Allergy, Charité - Universitätsmedizin Berlin, Berlin, Germany.
Karsten WellerDermatological Allergology, Allergie-Centrum-Charité, Department of Dermatology and Allergy, Charité - Universitätsmedizin Berlin, Berlin, Germany.
Emek KocaturkKoç University School of Medicine Department of Dermatology, Istanbul, Turkey.
Istanbul University · TROkmeydanı Eğitim ve Araştırma Hastanesi · TRBursa Uludağ Üni̇versi̇tesi̇ · TRCharité - Universitätsmedizin Berlin · DEAnkara University · TRBahçeşehir University · TRKoç University · TR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveRecurrent Angioedema (RAE) is characterized by sudden swelling of mucosal surfaces or deep dermis and is either mast cell-(MMAE) or bradykinin-mediated (BMAE). How patients with BMAE and MMAE differ in terms of disease activity and impact remains largely unknown. Here, we determined validity, reliability, and sensitivity to change of Turkish versions of angioedema activity score (AAS) and quality of life questionnaire (AE-QoL) and used both instruments to investigate and compare patients with BMAE and MMAE.

methodsTurkish versions of AAS28 and AE-QoL were applied to 94 patients with RAE (18-72 years). Patients' global self-assessment of QoL (PGA-QoL), disease activity (PGA-DA-VRS, PatGA-DA-VAS), and 12-Item-Short Form Survey were used at week 4 (visit 2), and week 8 (visit 3). Demographic characteristics, clinical features, and AAS28 and AE-QoL values were compared between 31 patients with BMAE and 63 patients with MMAE.

resultsTurkish AAS28 and AE-QoL showed excellent internal consistency, high reproducibility and known-groups validity. Compared to patients with MMAE, BMAE patients were younger (34.6 ± 10.7 vs. 40.7 ± 13.3 years), had longer disease duration (236 ± 178 vs. 51 ± 78 months), high prevalence of family history (63% vs 14%), longer duration of attacks (65 ± 20 vs. 40 ± 25 h), and they were more commonly affected by upper airway angioedema (70% vs 23%). Disease activity (AAS28) was lower (29.3 ± 24.6 vs 55.2 ± 52.9), but AE-QoL was higher (44.2 ± 16.1 vs 34.5 ± 22.5) in BMAE patients as compared to MMAE patients.

conclusionsPatients with BMAE and MMAE have distinct disease characteristics. Recurrent bradykinin-mediated angioedema impacts quality of life more than mast cell-mediated angioedema. The discriminating characteristics of patients with BMAE and MMAE may help to improve the diagnosis and management of patients with RAE.

Indexed as

AngioedemaAngioedema activity scoreAngioedema quality of life questionnaireBradykinin mediated angioedemaMast cell mediated angioedema

Identifiers

PMID34221217
PMCPMC8219995
OpenAlexW3170690567

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.