Evidence map›Paper›PMID 36702528›Full record

ArticleAnnals of the rheumatic diseases2023

Risk factors for serious infections in ANCA-associated vasculitis.

Balazs Odler, Regina Riedl, Philipp Gauckler, Jae Il Shin, Johannes Leierer, Peter A Merkel, William St Clair, Fernando Fervenza, Duvuru Geetha, Paul Monach and 7 more

Open access · hybridAbstract read
In one paragraph

Article in Annals of the rheumatic diseases, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed
13.4field-weighted citation impact, top 1% 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

34 citing papers in PubMed, 52 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
  4. Proceedings of the 2Mediterranean journal of rheumatology · 2026
    Article
  5. Article
  6. Understanding the burden of ANCA-associated vasculitis.Rheumatology (Oxford, England) · 2026
    Review
  7. Article
  8. Observational
  9. Review
  10. Observational
  11. Article
  12. Article
  13. Article
  14. Article
  15. Review
  16. Top ten tips in managing ANCA vasculitis.Clinical kidney journal · 2025
    Review
  17. Article
  18. [Update on treatment of ANCA-associated vasculitis].Zeitschrift fur Rheumatologie · 2024
    Review
  19. Review
  20. Review
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

17 authors at 10 institutions in 5 countries.

Balazs OdlerDepartment of Medicine, University of Cambridge, Cambridge, UK.
Regina RiedlInstitute for Medical Informatics, Statistics and Documentation, Medical University of Graz, Graz, Austria.
Philipp GaucklerDepartment of Internal Medicine IV, Nephrology and Hypertension, Medical University Innsbruck, Innsbruck, Austria.ORCID 0000-0002-5964-0307
Jae Il ShinYonsei University College of Medicine and Severance Children's Hospital, Seoul, Republic of Korea.
Johannes LeiererDepartment of Internal Medicine IV, Nephrology and Hypertension, Medical University Innsbruck, Innsbruck, Austria.
Peter A MerkelDivision of Rheumatology, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
William St ClairDivision of Rheumatology and Immunology, Duke University, Durham, North Carolina, USA.
Fernando FervenzaDivision of Nephrology and Hypertension, Mayo Clinic, Rochester, Minnesota, USA.
Duvuru GeethaDivision of Nephrology, Johns Hopkins University, Baltimore, Maryland, USA.ORCID 0000-0001-8353-5542
Paul MonachVA Boston Healthcare System, West Roxbury, Massachusetts, USA.
David JayneDepartment of Medicine, University of Cambridge, Cambridge, UK.ORCID 0000-0002-1712-0637
Rona M SmithDepartment of Medicine, University of Cambridge, Cambridge, UK.
Alexander RosenkranzDivision of Nephrology, Department of Internal Medicine, Medical University of Graz, Graz, Austria.
Ulrich SpecksDivision of Pulmonary and Critical Care Medicine, Mayo Clinic, Rochester, Minnesota, USA.
John H StoneDivision of Rheumatology Allergy, and Immunology, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts, USA.ORCID 0000-0001-6588-9435
Andreas KronbichlerDepartment of Medicine, University of Cambridge, Cambridge, UK ak2283@cam.ac.uk.ORCID 0000-0002-2945-2946
RAVE−ITN Research Group
Medical University of Graz · ATUniversity of Cambridge · GBInnsbruck Medical University · ATMayo Clinic · USCalifornia University of Pennsylvania · USDuke University · USHarvard University · USJohns Hopkins University · USVA Boston Healthcare System · USYonsei University · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesSevere infections contribute to morbidity and mortality in antineutrophil cytoplasm antibody-associated vasculitis (AAV). This study aimed to identify risk factors associated with severe infections in participants of the Rituximab versus Cyclophosphamide for ANCA-Associated Vasculitis (RAVE) trial.

methodsData on 197 patients recruited into the RAVE trial were analysed. Participants received either rituximab (RTX) or cyclophosphamide (CYC), followed by azathioprine (AZA). Clinical and laboratory data of patients with and without severe infections (≥grade 3, according to the Common Terminology Criteria for Adverse Events version 3.0) were compared. Risk factors for severe infections were investigated using Cox-regression models.

resultsEighteen of 22 (82%) severe infections occurred within 6 months after trial entry, most commonly respiratory tract infections (15/22, 68%). At baseline, lower absolute numbers of CD19+ cells were observed in patients with severe infections either receiving RTX or CYC/AZA at baseline, while CD5+B and CD3+T cells did not differ between groups. In Cox-regression analysis, higher baseline serum immunoglobulin M levels were associated with the risk of severe infections, whereby a higher baseline total CD19+B cell number and prophylaxis against

conclusionsThe use of low-dose TMP/SMX is associated with reduced risk of severe infections in patients with AAV treated with either RTX or CYC/AZA. Reduced B cell subpopulations at start of treatment might be a useful correlate of reduced immunocompetence.

Indexed as

Anti-Neutrophil Cytoplasmic Antibody-Associated VasculitisTrimethoprim, Sulfamethoxazole Drug CombinationAntibodies, Monoclonal, Murine-DerivedAzathioprineCyclophosphamideHumansRemission InductionRisk FactorsRituximabTreatment OutcomeAntibodies, Monoclonal, Murine-DerivedAzathioprineCyclophosphamideRituximabTrimethoprim, Sulfamethoxazole Drug CombinationANCAcyclophosphamideInfectionsrituximabVasculitis

Identifiers

PMID36702528
PMCPMC10176387
OpenAlexW4318150371

What OpenQuestion holds

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LicenceCC BY
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.