Evidence map›Paper›PMID 34877820›Full record

ArticleACR open rheumatology2022

Cancer in Anti-Neutrophil Cytoplasm Antibody-Associated Vasculitis and Polyarteritis Nodosa in Australia: A Population-Based Study.

Joanna Tieu, Susan Lester, Warren Raymond, Helen Keen, Catherine L Hill, Johannes Nossent

Open access · goldAbstract read
In one paragraph

Article in ACR open rheumatology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
0.1field-weighted citation impact, top 45% 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, 1 synthesis or guideline pooled it, 3 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. 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

6 authors at 4 institutions in 1 country.

Joanna TieuFaculty of Health and Medical Sciences, University of Adelaide, Adelaide, Australia.ORCID https://orcid.org/0000-0002-2975-176X
Susan LesterFaculty of Health and Medical Sciences, University of Adelaide, Adelaide, Australia.ORCID https://orcid.org/0000-0003-3013-2701
Warren RaymondRheumatology Section, School of Medicine, University of Western Australia, Perth, Australia.ORCID https://orcid.org/0000-0002-2537-0070
Helen KeenRheumatology Section, School of Medicine, University of Western Australia, Perth, Australia.ORCID https://orcid.org/0000-0002-8469-2424
Catherine L HillFaculty of Health and Medical Sciences, University of Adelaide, Adelaide, Australia.ORCID https://orcid.org/0000-0001-8289-4922
Johannes NossentRheumatology Section, School of Medicine, University of Western Australia, Perth, Australia.ORCID https://orcid.org/0000-0002-2833-7997
The University of Western Australia · AUBasil Hetzel Institute · AULyell McEwin Hospital · AURoyal Adelaide Hospital · AU

Funding

Arthritis Foundation of Western AustraliaNational Health and Medical Research Council Postgraduate scholarship
6 · The paper itself

Abstract

objectiveThe study objective was to compare incident cancer rates among patients with anti-neutrophil cytoplasm antibody-associated vasculitis (AAV) and polyarteritis nodosa (PAN) in Western Australia (WA) with the general population and perform time-varying analyses to identify periods with greatest excess cancers.

methodsAdministrative health data from patients hospitalized with incident AAV/PAN from 1980 to 2014 were linked to the WA cancer registry, which holds compulsorily reported cancer data (excluding skin squamous cell and basal cell carcinomas). Incident cancer rates in patients with AAV/PAN were compared with age-, sex-, and calendar-year-matched WA population rates.

resultsPatients with AAV/PAN had higher overall rates of incident cancer compared with the matched population (standardized incidence ratio [SIR], 1.74; 95% confidence interval [CI], 1.42-2.10). In subgroup analyses, incident cancer rates in patients with granulomatosis with polyangiitis/eosinophilic granulomatosis with polyangiitis were approximately double the general population (SIR, 2.21; 95% CI, 1.73-2.78) but similar to the general population in patients with microscopic polyangiitis/PAN (SIR, 1.21; 95% CI, 0.85-1.68). Patients with AAV/PAN had higher rates of genitourinary, skin, hematological, and lung cancers. Excess rates of hematological and lung cancers peaked early after diagnosis, whereas excess skin and genitourinary cancer rates peaked at 5 and 10 years, respectively.

conclusionThis study highlights the importance of long-term cancer surveillance in patients with AAV/PAN and defines time frames of excess risk for specific cancers, which may help inform guidance on cancer screening. Furthermore, it indicates the need for skin surveillance for melanoma in addition to nonmelanoma skin cancers in patients who have greater environmental ultraviolet exposure, such as in Australia.

Identifiers

PMID34877820
PMCPMC8916546
OpenAlexW4200494923

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.