Evidence map›Paper›PMID 36174007›Full record

ArticlePloS one2022

Association between renal-limited vasculitis and relapse of antineutrophil cytoplasmic antibody-associated vasculitis: A single-center retrospective cohort study in Japan.

Makoto Yamaguchi, Mayumi Ito, Hirokazu Sugiyama, Shiho Iwagaitsu, Hironobu Nobata, Hiroshi Kinashi, Takayuki Katsuno, Masahiko Ando, Yoko Kubo, Shogo Banno and 2 more

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.5field-weighted citation impact, top 35% 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

2 citing papers in PubMed, 3 citations in OpenAlex.

  1. 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

12 authors at 3 institutions in 1 country.

Makoto YamaguchiDepartment of Nephrology and Rheumatology, Aichi Medical University, Nagakute, Aichi, Japan.
Mayumi ItoDepartment of Nephrology and Rheumatology, Aichi Medical University, Nagakute, Aichi, Japan.
Hirokazu SugiyamaDepartment of Nephrology and Rheumatology, Aichi Medical University, Nagakute, Aichi, Japan.
Shiho IwagaitsuDepartment of Nephrology and Rheumatology, Aichi Medical University, Nagakute, Aichi, Japan.
Hironobu NobataDepartment of Nephrology and Rheumatology, Aichi Medical University, Nagakute, Aichi, Japan.
Hiroshi KinashiDepartment of Nephrology and Rheumatology, Aichi Medical University, Nagakute, Aichi, Japan.
Takayuki KatsunoDepartment of Nephrology and Rheumatology, Aichi Medical University, Nagakute, Aichi, Japan.
Masahiko AndoData Coordinating Center, Department of Advanced Medicine, Nagoya University Hospital, Nagoya, Japan.
Yoko KuboDepartment of Preventive Medicine, Nagoya University Graduate School of Medicine, Nagoya, Japan.
Shogo BannoDepartment of Nephrology and Rheumatology, Aichi Medical University, Nagakute, Aichi, Japan.
Yasuhiko ItoDepartment of Nephrology and Rheumatology, Aichi Medical University, Nagakute, Aichi, Japan.
Takuji IshimotoDepartment of Nephrology and Rheumatology, Aichi Medical University, Nagakute, Aichi, Japan.ORCID 0000-0002-9861-5331
Aichi Medical University · JPNagoya University · JPNagoya University Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSeveral previous studies have evaluated the predictors of relapse in antineutrophil cytoplasmic antibody-associated vasculitis. Nonetheless, the association between renal-limited vasculitis and relapse has not been evaluated.

objectiveTo assess the association between renal-limited vasculitis and the incidence of relapse in Japan among patients with microscopic polyangiitis/renal-limited vasculitis.

methodsThis retrospective cohort study included consecutive patients in remission at 6 months, with renal-limited vasculitis (n = 24, renal-limited vasculitis group) and microscopic polyangiitis with renal and extra-renal involvement (n = 56, non-renal-limited vasculitis group) between 2004 and 2020.

resultsDuring the median follow-up period of 35 (range, 15‒57) months, 28 (35.0%) patients had a relapse. Multivariable Cox proportional hazards models revealed that the lower estimated glomerular filtration rate (per -10 mL/min/1.73 m2; adjusted hazard ratio = 0.87, 95% confidence interval: 0.76-0.99; P =  0.043), renal-limited vasculitis (adjusted hazard ratio =  0.23, 95% confidence interval: 0.08-0.68; P =  0.008), and glucocorticoid combined with intravenous cyclophosphamide or rituximab (adjusted HR = 0.32, 95% CI: 0.11-0.96; P = 0.042) were associated with a decreased risk of relapse. Glucocorticoid dose during the observation period was lower in the renal-limited vasculitis group than in the non-renal-limited vasculitis group.

conclusionsRenal-limited vasculitis was associated with a lower risk of relapse than non-renal-limited vasculitis. Our data may contribute to the development of optimal management for renal-limited vasculitis, which may assist in minimizing the adverse effects of immunosuppressive therapy.

Indexed as

Anti-Neutrophil Cytoplasmic Antibody-Associated VasculitisKidney DiseasesMicroscopic PolyangiitisAntibodies, Antineutrophil CytoplasmicChronic DiseaseCyclophosphamideGlucocorticoidsHumansJapanRecurrenceRetrospective StudiesRituximabAntibodies, Antineutrophil CytoplasmicCyclophosphamideGlucocorticoidsRituximab

Identifiers

PMID36174007
PMCPMC9522015
OpenAlexW4297991075

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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.