Evidence map›Paper›PMID 34768349›Full record

ArticleJournal of clinical medicine2021

Interstitial Lung Disease in Connective Tissue Diseases: Survival Patterns in a Population-Based Cohort.

Charlotte Hyldgaard, Elisabeth Bendstrup, Alma Becic Pedersen, Lars Pedersen, Torkell Ellingsen

Open access · goldAbstract read
In one paragraph

Article in Journal of clinical medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 4 pooled it
4.3field-weighted citation impact, top 5% 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

26 citing papers in PubMed, 4 syntheses or guidelines pooled it, 41 citations in OpenAlex.

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  10. Treating connective tissue disease-associated interstitial lung disease - think outside the box: a perspective.European respiratory review : an official journal of the European Respiratory Society · 2025
    Review
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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

5 authors at 3 institutions in 1 country.

Charlotte HyldgaardDiagnostic Centre, Silkeborg Regional Hospital, University Clinic for Innovative Patient Pathways, Aarhus University, 8600 Silkeborg, Denmark.ORCID 0000-0002-6353-8671
Elisabeth BendstrupCentre for Rare Lung Diseases, Department of Respiratory Diseases and Allergy, Aarhus University Hospital, 8200 Aarhus, Denmark.ORCID 0000-0002-4238-6963
Alma Becic PedersenDepartment of Clinical Epidemiology, Aarhus University Hospital, 8200 Aarhus, Denmark.
Lars PedersenDepartment of Clinical Epidemiology, Aarhus University Hospital, 8200 Aarhus, Denmark.
Torkell EllingsenDiagnostic Centre, Silkeborg Regional Hospital, University Clinic for Innovative Patient Pathways, Aarhus University, 8600 Silkeborg, Denmark.ORCID 0000-0003-0426-4962
Aarhus University Hospital · DKAarhus University · DKUniversity of Southern Denmark · DK

Funding

Gigtforeningen R160-A5098Skibsreder Per Henriksen & Hustru's Fond. No specific number
6 · The paper itself

Abstract

objectivesInterstitial lung disease (ILD) is associated with impaired survival among patients with connective tissue diseases (CTDs), but population-based data on the frequency of ILD and pulmonary hypertension (PH) in different CTD subtypes and the impact on survival are sparse.

methodsWe included patients with a first-time ICD-10 diagnosis of systemic sclerosis (SSc), mixed connective tissue disease (MCTD), myositis, systemic lupus erythematosus (SLE), or Sjögren's disease registered in the Danish National Patient Registry between 2000 and 2015. Among these, we identified patients with ILD and PH. Using Kaplan-Meier analysis, we assessed survival for the five subtypes of CTD ± ILD and compared survival among CTD patients overall ± ILD with survival in the general population ± ILD.

resultsWe identified 11,731 patients with a diagnosis of CTD; 637 (5.4%) had a diagnosis of ILD. The proportion of patients with ILD was higher in SSc (13.4%) and MCTD (9.1%) than in myositis (6.0%), SLE (4.1%), and Sjögren (2.8%). Fifty-one percent were diagnosed with ILD in their fifties and sixties. PH was more frequent in SSc (7.5%) and MCTD (4.1%). Five-year survival was 73.3% (66.7-80.6) in SSc-ILD, 81.0% (69.0-95.1) in MCTD-ILD, 84.7% (77.3-92.9) in myositis-ILD, 83.5% (76.2-91.5) in SLE-ILD, and 84.7 (78.4-91.6) in Sjögren-associated ILD. Survival in CTD-ILD overall was impaired for all age groups compared with CTD alone. Age-stratified survival was comparable between CTD-ILD and ILD in the general population. The survival gap between ILD and non-ILD increased with age.

conclusionSurvival was comparable between different CTD-ILD subtypes and comparable to survival in non-CTD-ILD.

Indexed as

clinical epidemiologyconnective tissue diseaseinterstitial lung diseasepulmonary hypertensionrare lung disease

Identifiers

PMID34768349
PMCPMC8584507
OpenAlexW3206370684

What OpenQuestion holds

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LicenceCC BY
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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.