Evidence map›Paper›PMID 36440847›Full record

ArticleRheumatology (Oxford, England)2023

Ocular manifestations of ANCA-associated vasculitis.

Mats L Junek, Lily Zhao, Stephanie Garner, David Cuthbertson, Christian Pagnoux, Curry L Koening, Carol A Langford, Carol A McAlear, Paul A Monach, Larry W Moreland and 8 more

Open access · greenAbstract read
In one paragraph

Article in Rheumatology (Oxford, England), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 1 pooled it
4.0field-weighted citation impact, top 5% 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

22 citing papers in PubMed, 1 synthesis or guideline pooled it, 29 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

18 authors at 11 institutions in 2 countries.

Mats L JunekDivision of Rheumatology, St. Joseph's Healthcare, McMaster University, Hamilton, ON, Canada.ORCID 0000-0001-8416-3955
Lily ZhaoDivision of Ophthalmology, St. Joseph's Healthcare, McMaster University, Hamilton, ON, Canada.
Stephanie GarnerDivision of Rheumatology, St. Joseph's Healthcare, McMaster University, Hamilton, ON, Canada.
David CuthbertsonUniversity of South Florida, Tampa, FL, USA.
Christian PagnouxMount Sinai Hospital, Toronto, ON, Canada.ORCID 0000-0001-6287-9549
Curry L KoeningUniversity of Utah, Salt Lake City, UT, USA.
Carol A LangfordCleveland Clinic, Cleveland, OH, USA.
Carol A McAlearUniversity of Pennsylvania, Philadelphia, PA, USA.
Paul A MonachRheumatology Section, Veteran's Affairs Boston Healthcare System, Boston, MA, USA.
Larry W MorelandUniversity of Pittsburgh, Pittsburgh, PA, USA.
Rennie L RheeUniversity of Pennsylvania, Philadelphia, PA, USA.
Philip SeoJohns Hopkins University, Baltimore, MD, USA.
Ulrich SpecksMayo Clinic, Rochester, MN, USA.
Antoine G SreihUniversity of Pennsylvania, Philadelphia, PA, USA.
Kenneth WarringtonMayo Clinic, Rochester, MN, USA.ORCID 0000-0001-7708-2487
Michael E WechslerNational Jewish Health, Denver, CO, USA.
Peter A MerkelUniversity of Pennsylvania, Philadelphia, PA, USA.
Nader A KhalidiDivision of Rheumatology, St. Joseph's Healthcare, McMaster University, Hamilton, ON, Canada.
St. Joseph’s Healthcare Hamilton · CAUniversity of Pennsylvania · USMayo Clinic in Arizona · USCleveland Clinic · USJohns Hopkins University · USMount Sinai Hospital · CANational Jewish Health · USUniversity of Pittsburgh · USUniversity of South Florida · USUniversity of Utah · USVA Boston Healthcare System · US

Funding

VCRC-VF FellowshipU54AR057319 · NIAMS · UNIVERSITY OF PENNSYLVANIA · PI MERKEL, PETER A · 2009 to 2020
$12.5M
VASCULITIS CLINICAL RESEARCH NETWORK (VCRN): RARE DISEASEU54RR019497 · NCRR · BOSTON UNIVERSITY MEDICAL CAMPUS · PI MERKEL, PETER A · 2003 to 2008
$6.1M
NCRR NIH HHS U54 RR019497NIAMS NIH HHS U54 AR057319
6 · The paper itself

Abstract

objectivesANCA-associated vasculitis (AAV) is a group of multisystem diseases that can have several ocular manifestations. There are published data on ocular manifestations of granulomatosis with polyangiitis (GPA), but few for eosinophilic granulomatosis with polyangiitis (EGPA) or microscopic polyangiitis (MPA). There is little information concerning chronicity, complications, and association with other cranial manifestations of AAV.

methodsThis study retrospectively analysed longitudinal multicentre cohorts of individuals with AAV followed between 2006 and 2022. Data included diagnosis, demographics, cranial manifestations of disease, presence of manifestations at onset of disease and/or follow-up, and ocular complications of disease. Univariate and multivariable logistic regression analysis assessed associations across disease manifestations.

resultsData from 1441 patients were analysed, including 395 with EGPA, 876 with GPA, and 170 with MPA. Ocular manifestations were seen within 23.1% of patients: 39 (9.9%) with EGPA, 287 (32.7%) with GPA, and 12 (7.1%) with MPA at any time in the disease course. There were more ocular manifestations at onset (n = 224) than during follow-up (n = 120). The most common disease-related manifestations were conjunctivitis/episcleritis and scleritis. In multivariable analysis, dacryocystitis, lacrimal duct obstruction, and retro-orbital disease were associated with sinonasal manifestations of GPA; ocular manifestations were associated with hearing loss in MPA. The most common ocular complications and/or damage seen were cataracts (n = 168) and visual impairment (n = 195).

conclusionOcular manifestations occur in all forms of AAV, especially in GPA. Clinicians should be mindful of the wide spectrum of ocular disease in AAV, caused by active vasculitis, disease-associated damage, and toxicities of therapy.

Indexed as

Anti-Neutrophil Cytoplasmic Antibody-Associated VasculitisChurg-Strauss SyndromeGranulomatosis with PolyangiitisMicroscopic PolyangiitisScleritisAntibodies, Antineutrophil CytoplasmicHumansRetrospective StudiesAntibodies, Antineutrophil CytoplasmicANCAepidemiologyocular diseasevasculitis

Identifiers

PMID36440847
PMCPMC10321114
OpenAlexW4310172014

What OpenQuestion holds

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Read underepoch 390

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.