Evidence map›Paper›PMID 36250477›Full record

ArticleACR open rheumatology2022

Long-Term Clinical and Radiographic Outcomes in Patients With Clinically Isolated Aortitis.

Adam Mayer, Alexandra Sperry, Laarni Quimson, Rennie L Rhee

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 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
0.9field-weighted citation impact, top 24% 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

6 citing papers in PubMed, 6 citations in OpenAlex.

  1. Review
  2. Review
  3. Article
  4. Article
  5. Multi-Modality Imaging in Vasculitis.Diagnostics (Basel, Switzerland) · 2024
    Review
  6. Article
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

4 authors at 3 institutions in 1 country.

Adam MayerThe University of Pennsylvania and the Children's Hospital of Philadelphia, Philadelphia.ORCID https://orcid.org/0000-0002-2646-0115
Alexandra SperryThe University of Pennsylvania, Philadelphia.
Laarni QuimsonThe University of Chicago, Chicago, Illinois.ORCID https://orcid.org/0000-0001-5472-9778
Rennie L RheeThe University of Pennsylvania, Philadelphia.ORCID https://orcid.org/0000-0002-4907-0304
University of the Sciences · USChildren's Hospital of Philadelphia · USUniversity of Chicago · US

Funding

Nasal Microbiome and Host Immunity in Granulomatosis with PolyangiitisK23AR071514 · NIAMS · UNIVERSITY OF PENNSYLVANIA · PI RHEE, RENNIE · 2017 to 2022
$957k
NIAMS NIH HHS K23AR071514
6 · The paper itself

Abstract

objectiveThe optimal management of patients with incidentally found clinically isolated aortitis (CIA) after aneurysm repair is unclear. This study compared long-term surgical and clinical outcomes after surgical repair of thoracic aortic aneurysm between patients with CIA and patients with noninflammatory etiologies.

methodsThis is a matched cohort study. Patients with CIA were identified by histopathology following open thoracic aortic aneurysm repair. Two comparators without inflammation on pathology were matched to each patient by year of surgical repair. Outcomes included surgical complications, new vascular abnormalities on imaging, and death.

resultsOne hundred sixty-two patients were included: 53 with CIA and 109 matched comparators. Median follow-up time was similar between groups (CIA 3.7 vs. comparator 3.3 years, P = 0.64). There was no difference in postoperative complications, surgical revision, or death between groups. Only 32% of patients with CIA saw a rheumatologist in the outpatient setting and 33% received immunosuppressive treatment. On surveillance imaging, no difference was seen in new or worsening aortic aneurysms, but there were significantly more vascular abnormalities in branch arteries of the thoracic aorta in patients with CIA (39% vs. 11%, P < 0.01).

conclusionAmong patients who underwent surgical repair of a thoracic aortic aneurysm, patients with CIA were more likely than noninflammatory comparators to develop radiographic abnormalities in aortic branch arteries. Notably, there was no difference in risk of new aortic aneurysms or surgical complications despite most patients with CIA never receiving immunosuppression. This suggests that more selective initiation of immunosuppression in CIA may be considered after aortic aneurysm repair.

Identifiers

PMID36250477
PMCPMC9746662
OpenAlexW4306404556

What OpenQuestion holds

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LicenceCC BY-NC
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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.