Evidence map›Paper›PMID 34992251›Full record

ReviewNature reviews. Disease primers2022

Large-vessel vasculitis.

Dan Pugh, Maira Karabayas, Neil Basu, Maria C Cid, Ruchika Goel, Carl S Goodyear, Peter C Grayson, Stephen P McAdoo, Justin C Mason, Catherine Owen and 3 more

Open access · greenAbstract readReview
In one paragraph

Review in Nature reviews. Disease primers, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 133 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
133citing papers in PubMed, 3 pooled it
31.0field-weighted citation impact, top 1% 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

133 citing papers in PubMed, 3 syntheses or guidelines pooled it, 219 citations in OpenAlex.

  1. Pooled it
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  6. [Management of emergencies in rheumatology].Zeitschrift fur Rheumatologie · 2026
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  17. [Management of emergencies in rheumatology].Medizinische Klinik, Intensivmedizin und Notfallmedizin · 2026
    Review
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73 more citing papers are in PubMed but not listed here.

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 8 institutions in 4 countries.

Dan PughBritish Hearth Foundation/University Centre for Cardiovascular Science, University of Edinburgh, Edinburgh, UK.
Maira KarabayasCentre for Arthritis & Musculoskeletal Health, University of Aberdeen, Aberdeen, UK.ORCID 0000-0002-4206-477X
Neil BasuInstitute of Infection, Immunity & Inflammation, University of Glasgow, Glasgow, UK.
Maria C CidDepartment of Autoimmune Diseases, Institut d'Investigacions Biomèdiques August Pi I Sunyer (IDIBAPS), University of Barcelona, Barcelona, Spain.
Ruchika GoelDepartment of Clinical Immunology & Rheumatology, Christian Medical College, Vellore, India.
Carl S GoodyearInstitute of Infection, Immunity & Inflammation, University of Glasgow, Glasgow, UK.ORCID 0000-0001-5926-5941
Peter C GraysonNational Institute of Arthritis & Musculoskeletal & Skin Diseases, National Institutes of Health, Bethesda, MA, USA.
Stephen P McAdooDepartment of Immunology & Inflammation, Imperial College London, London, UK.ORCID 0000-0001-8260-8770
Justin C MasonNational Heart & Lung Institute, Imperial College London, London, UK.ORCID 0000-0001-7783-1660
Catherine OwenPatient representative, Edinburgh, UK.
Cornelia M WeyandCentre for Translational Medicine, Stanford University, Stanford, California, USA.ORCID 0000-0003-2230-9802
Taryn YoungsteinNational Heart & Lung Institute, Imperial College London, London, UK.
Neeraj DhaunBritish Hearth Foundation/University Centre for Cardiovascular Science, University of Edinburgh, Edinburgh, UK. bean.dhaun@ed.ac.uk.ORCID 0000-0001-9128-6603
Imperial College London · GBBritish Heart Foundation · GBUniversity of Glasgow · GBChristian Medical College, Vellore · INConsorci Institut D'Investigacions Biomediques August Pi I Sunyer · ESNational Institutes of Health · USStanford University · USUniversity of Aberdeen · GB

Funding

Vasculitis and Translational MedicineZIAAR041204 · NIAMS · NATIONAL INSTITUTE OF ARTHRITIS AND MUSCULOSKELETAL AND SKIN DISEASES · PI GRAYSON, PETER · 2015 to 2025
$15.4M
The NOTCH Signaling Pathway in Large Vessel VasculitisR01HL117913 · NHLBI · STANFORD UNIVERSITY · PI WEYAND, CORNELIA M. · 2014 to 2025
$5.0M
Oligoclonal T Cell Expansion &Rheumatoid ArthritisR01AR042527 · NIAMS · STANFORD UNIVERSITY · PI WEYAND, CORNELIA M. · 1993 to 2022
$4.8M
Telomere Damage Responses and Immune AgingR01AI108906 · NIAID · STANFORD UNIVERSITY · PI WEYAND, CORNELIA M. · 2014 to 2024
$4.0M
T Cell Immunity in Giant Cell ArteritisR01HL142068 · NHLBI · STANFORD UNIVERSITY · PI Cornelia M. Weyand · 2018 to 2026
$3.3M
Chief Scientist Office CAF/19/01Chief Scientist Office CAF/21/05Chief Scientist Office SCAF/19/02Medical Research Council MR/N011775/1NHLBI NIH HHS R01 HL117913NHLBI NIH HHS R01 HL142068NIAID NIH HHS R01 AI108906NIAMS NIH HHS R01 AR042527
6 · The paper itself

Abstract

Large-vessel vasculitis (LVV) manifests as inflammation of the aorta and its major branches and is the most common primary vasculitis in adults. LVV comprises two distinct conditions, giant cell arteritis and Takayasu arteritis, although the phenotypic spectrum of primary LVV is complex. Non-specific symptoms often predominate and so patients with LVV present to a range of health-care providers and settings. Rapid diagnosis, specialist referral and early treatment are key to good patient outcomes. Unfortunately, disease relapse remains common and chronic vascular complications are a source of considerable morbidity. Although accurate monitoring of disease activity is challenging, progress in vascular imaging techniques and the measurement of laboratory biomarkers may facilitate better matching of treatment intensity with disease activity. Further, advances in our understanding of disease pathophysiology have paved the way for novel biologic treatments that target important mediators of disease in both giant cell arteritis and Takayasu arteritis. This work has highlighted the substantial heterogeneity present within LVV and the importance of an individualized therapeutic approach. Future work will focus on understanding the mechanisms of persisting vascular inflammation, which will inform the development of increasingly sophisticated imaging technologies. Together, these will enable better disease prognostication, limit treatment-associated adverse effects, and facilitate targeted development and use of novel therapies.

Indexed as

Giant Cell ArteritisTakayasu ArteritisAdultAortaHumans

Identifiers

PMID34992251
PMCPMC9115766
OpenAlexW4205806163

What OpenQuestion holds

Textmetadata
LicenceTDM
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.