Evidence map›Paper›PMID 35022671›Full record

ArticleRheumatology (Oxford, England)2022

Outcome predictors of immune-mediated necrotizing myopathy-a retrospective, multicentre study.

Jeremy X Wang, Michael Wilkinson, Christopher Oldmeadow, Vidya Limaye, Gabor Major

Open access · hybridAbstract readMulticenter Study
In one paragraph

Article in Rheumatology (Oxford, England), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
1.9field-weighted citation impact, top 15% 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

10 citing papers in PubMed, 12 citations in OpenAlex.

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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.

Jeremy X WangDepartment of Rheumatology, John Hunter Hospital, New Lambton Heights, NSW.ORCID 0000-0003-2107-8555
Michael WilkinsonDepartment of Rheumatology, Royal Adelaide Hospital, Adelaide, SA.
Christopher OldmeadowHunter Medical Research Institute, New Lambton Heights, NSW.
Vidya LimayeDepartment of Rheumatology, Royal Adelaide Hospital, Adelaide, SA.
Gabor MajorDepartment of Rheumatology, John Hunter Hospital, New Lambton Heights, NSW.ORCID 0000-0003-3464-7438
John Hunter Hospital · AURoyal Adelaide Hospital · AUHunter Medical Research Institute · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesEvidence-based treatment protocols are currently lacking for immune-mediated necrotizing myopathy (IMNM). In this multicentre retrospective study, we examined baseline clinical characteristics and treatment variables that may predict short-term outcomes of patients with IMNM.

methodsMuscle biopsies from the John Hunter Hospital and the Royal Adelaide Hospital obtained between 2012 and 2019 were reviewed at a single laboratory at South Australia Pathology. All biopsies with histological features of IMNM were identified. Demographics of study subjects, clinical information and myositis-specific antibody status were recorded along with muscle strength, serum creatine kinase (CK) and treatment regimens at baseline and 3 and 6 months. Primary outcome measures were muscle strength and serum CK at 3 and 6 months. Mixed-effects regression models in a Bayesian framework were performed using the R statistical package.

resultsFemale sex, older age, initial prednisone dose and i.v. methylprednisolone were associated with greater improvement in serum CK. In patients with moderate-severe disease at baseline, early IVIG was associated with greater improvement in hip flexor strength at 6 months.

conclusionEarly IVIG was associated with clinical improvement in the short-term follow-up in IMNM. Female sex, older age, initial oral prednisone dose and initial use of i.v. methylprednisolone were associated with better biochemical improvement.

Indexed as

Autoimmune DiseasesMuscular DiseasesMyositisAutoantibodiesBayes TheoremFemaleHumansImmunoglobulins, IntravenousMethylprednisoloneMuscle, SkeletalPrednisoneRetrospective StudiesAutoantibodiesImmunoglobulins, IntravenousMethylprednisolonePrednisoneDMARDimmune-mediated necrotizing myopathyintravenous immunoglobulinpredictors of outcome

Identifiers

PMID35022671
PMCPMC9434226
OpenAlexW4206596152

What OpenQuestion holds

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Registered trials

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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.