Evidence map›Paper›PMID 35296533›Full record

ArticleRMD open2022

Comparative study of granulomatosis with polyangiitis subsets according to ANCA status: data from the French Vasculitis Study Group Registry.

Xavier Puéchal, Michele Iudici, Christian Pagnoux, Pascal Cohen, Mohamed Hamidou, Achille Aouba, François Lifermann, Marc Ruivard, Olivier Aumaître, Bernard Bonnotte and 16 more

Abstract readComparative Study
In one paragraph

Article in RMD open, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
–field-weighted citation impact
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

12 citing papers in PubMed.

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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

26 authors.

Xavier PuéchalNational Referral Center for Rare Systemic Autoimmune Diseases, Internal Medicine, Cochin Hospital, AP-HP.Centre, University of Paris, Paris, France xavier.puechal@aphp.fr.ORCID 0000-0003-3573-9203
Michele IudiciNational Referral Center for Rare Systemic Autoimmune Diseases, Internal Medicine, Cochin Hospital, AP-HP.Centre, University of Paris, Paris, France.
Christian PagnouxNational Referral Center for Rare Systemic Autoimmune Diseases, Internal Medicine, Cochin Hospital, AP-HP.Centre, University of Paris, Paris, France.
Pascal CohenNational Referral Center for Rare Systemic Autoimmune Diseases, Internal Medicine, Cochin Hospital, AP-HP.Centre, University of Paris, Paris, France.
Mohamed HamidouInternal Medicine, Hôtel-Dieu University Hospital, Nantes, France.
Achille AoubaInternal Medicine, Côte-de-Nacre Hospital, University of Caen Normandy, Caen, France.
François LifermannInternal Medicine, Côte-d'Argent Hospital, Dax, France.
Marc RuivardInternal Medicine, Clermont-Ferrand University Hospitals, Clermont-Ferrand, France.
Olivier AumaîtreInternal Medicine, Clermont-Ferrand University Hospitals, Clermont-Ferrand, France.
Bernard BonnotteInternal Medicine and Clinical Immunology, François Mitterrand Hospital, University of Burgundy, Dijon, France.ORCID 0000-0001-7229-3808
Francois MaurierInternal Medicine, UNEOS Hospitals, Metz-Ventoux, Metz, France.
Thomas Le GallouInternal Medicine and Clinical Immunology, University of Rennes 1, Rennes, France.
Eric HachullaInternal Medicine, Claude-Huriez Hospital, Lille University School of Medicine, Lille, France.ORCID 0000-0001-7432-847X
Alexandre KarrasNephrology, European Hospital Georges Pompidou, AP-HP.Centre, University of Paris, Paris, France, Paris, France.
Chahéra KhouatraRespiratory Medicine, Louis Pradel Hospital, University of Claude Bernard Lyon 1, Lyon, France.
Noémie Jourde-ChicheNephrology, Aix-Marseille University, Marseille, France.
Jean-François ViallardInternal Medicine, Haut-Lévêque Hospital, University of Bordeaux, Pessac, France.
Claire Blanchard-DelaunayInternal Medicine, Niort Hospital, Niort, France.
Pascal GodmerInternal Medicine, Bretagne -Atlantique Hospital, Vannes, France.
Alain Le QuellecInternal Medicine, Saint Eloi Hospital, University of Montpellier 1, Montpellier, France.
Thomas QuéméneurNephrology and Internal Medicine, Valenciennes Hospital, Valenciennes, France.
Claire de MoreuilInternal Medicine, La Cavale Blanche University Hospital, Brest, France.
Luc MouthonNational Referral Center for Rare Systemic Autoimmune Diseases, Internal Medicine, Cochin Hospital, AP-HP.Centre, University of Paris, Paris, France.
Benjamin TerrierNational Referral Center for Rare Systemic Autoimmune Diseases, Internal Medicine, Cochin Hospital, AP-HP.Centre, University of Paris, Paris, France.ORCID 0000-0001-6612-7336
Loïc GuillevinNational Referral Center for Rare Systemic Autoimmune Diseases, Internal Medicine, Cochin Hospital, AP-HP.Centre, University of Paris, Paris, France.
French Vasculitis Study Group

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo investigate whether antineutrophil cytoplasm antibody (ANCA)-negative and myeloperoxidase (MPO)-ANCA-positive granulomatosis with polyangiitis (GPA) differ from proteinase-3 (PR3)-ANCA-positive GPA.

methodsDiagnostic characteristics and outcomes of newly diagnosed French Vasculitis Study Group Registry patients with ANCA-negative, MPO-ANCA-positive or PR3-ANCA-positive GPA satisfying American College of Rheumatology criteria and/or Chapel Hill Conference Consensus Nomenclature were compared.

resultsAmong 727 GPA, 62 (8.5%) were ANCA-negative, 119 (16.4%) MPO-ANCA-positive and 546 (75.1%) PR3-ANCA-positive. ANCA-negative patients had significantly (p<0.05) more limited disease (17.7% vs 5.8%) and less kidney involvement (35.5% vs 58.9%) than those PR3-ANCA-positive or MPO-ANCA-positive, with comparable relapse-free (RFS) and overall survival (OS). MPO-ANCA-positive versus PR3-ANCA-positive and ANCA-negative patients were significantly more often female (52.9% vs 42.1%), older (59.8 vs 51.9 years), with more frequent kidney involvement (65.5% vs 55.2%) and less arthralgias (34.5% vs 55.1%), purpura (8.4% vs 17.1%) or eye involvement (18.5% vs 28.4%); RFS was similar but OS was lower before age adjustment. PR3-positive patients' RFS was significantly lower than for ANCA-negative and MPO-positive groups combined, with OS higher before age adjustment. PR3-ANCA-positivity independently predicted relapse for all GPA forms combined but not when comparing only PR3-ANCA-positive versus MPO-ANCA-positive patients.

conclusionsBased on this large cohort, ANCA-negative versus ANCA-positive patients more frequently had limited disease but similar RFS and OS. MPO-ANCA-positive patients had similar RFS but lower OS due to their older age. PR3-ANCA-positive GPA patients' RFS was lower than those of the two other subsets combined but that difference did not persist when comparing only PR3 versus MPO-ANCA-positive patients.

Indexed as

Antibodies, Antineutrophil CytoplasmicGranulomatosis with PolyangiitisFemaleHumansMaleMyeloblastinRegistriesRetrospective StudiesAntibodies, Antineutrophil CytoplasmicMyeloblastinautoimmune diseasesautoimmunitygranulomatosis with polyangiitissystemic vasculitis

Identifiers

PMID35296533
PMCPMC8928389

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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.