Evidence map›Paper›PMID 37011036›Full record

ArticleArthritis & rheumatology (Hoboken, N.J.)2023

Comparative Effectiveness of Rituximab- Versus Cyclophosphamide-Based Remission Induction Strategies in Antineutrophil Cytoplasmic Antibody-Associated Vasculitis for the Risk of Kidney Failure and Mortality.

Zachary S Wallace, Xiaoqing Fu, Claire Cook, Catherine Ahola, Zachary Williams, Brett Doliner, Jennifer S Hanberg, John H Stone, Yuqing Zhang, Hyon K Choi

Open access · greenAbstract read
In one paragraph

Article in Arthritis & rheumatology (Hoboken, N.J.), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
3.4field-weighted citation impact, top 7% 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

10 citing papers in PubMed, 13 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

10 authors at 2 institutions in 1 country.

Zachary S WallaceRheumatology Unit, and Clinical Epidemiology Program, Division of Rheumatology, Allergy, and Immunology, Massachusetts General Hospital, Boston.ORCID 0000-0003-4708-7038
Xiaoqing FuClinical Epidemiology Program, Division of Rheumatology, Allergy, and Immunology, and Mongan Institute, Massachusetts General Hospital, Boston.
Claire CookClinical Epidemiology Program, Division of Rheumatology, Allergy, and Immunology, and Mongan Institute, Massachusetts General Hospital, Boston.
Catherine AholaClinical Epidemiology Program, Division of Rheumatology, Allergy, and Immunology, and Mongan Institute, Massachusetts General Hospital, Boston.
Zachary WilliamsClinical Epidemiology Program, Division of Rheumatology, Allergy, and Immunology, and Mongan Institute, Massachusetts General Hospital, Boston.
Brett DolinerDepartment of Medicine, Massachusetts General Hospital, Boston.
Jennifer S HanbergDepartment of Medicine, Massachusetts General Hospital, Boston.
John H StoneRheumatology Unit, Division of Rheumatology, Allergy, and Immunology, Massachusetts General Hospital, Boston, and Department of Medicine, Massachusetts General Hospital, Boston, and Harvard Medical School, Boston, Massachusetts.ORCID 0000-0001-6588-9435
Yuqing ZhangRheumatology Unit, Division of Rheumatology, Allergy, and Immunology, Massachusetts General Hospital, Boston, and Clinical Epidemiology Program, Division of Rheumatology, Allergy, and Immunology, Massachusetts General Hospital, Boston, and Mongan Institute, Massachusetts General Hospital, Boston, and Department of Medicine, Massachusetts General Hospital, Boston, and Harvard Medical School, Boston, Massachusetts.ORCID 0000-0001-7638-0888
Hyon K ChoiRheumatology Unit, Division of Rheumatology, Allergy, and Immunology, Massachusetts General Hospital, Boston, and Clinical Epidemiology Program, Division of Rheumatology, Allergy, and Immunology, Massachusetts General Hospital, Boston, and Mongan Institute, Massachusetts General Hospital, Boston, and Department of Medicine, Massachusetts General Hospital, Boston, and Harvard Medical School, Boston, Massachusetts.ORCID 0000-0002-2862-0442
Massachusetts General Hospital · USHarvard University · US

Funding

Impact of ANCA Type and Rituximab vs. Cyclophosphamide on Cardiovascular Risk, Mortality, and Quality-Adjusted Life Years inANCA-Associated VasculitisK23AR073334 · NIAMS · MASSACHUSETTS GENERAL HOSPITAL · PI WALLACE, ZACHARY SCOTT · 2018 to 2022
$948k
Personalizing AAV Management by Leveraging Big Data: Targeting Complication ClustersR03AR078938 · NIAMS · MASSACHUSETTS GENERAL HOSPITAL · PI WALLACE, ZACHARY SCOTT · 2021 to 2022
$189k
NIAMS NIH HHS K23 AR073334NIAMS NIH HHS L30 AR070520NIAMS NIH HHS R03 AR078938
6 · The paper itself

Abstract

objectiveTo compare rituximab- versus cyclophosphamide-based remission induction strategies for the long-term risks of kidney failure and death in antineutrophil cytoplasmic antibody (ANCA)-associated vasculitis (AAV) in a real-world cohort.

methodsWe performed a cohort study using the Mass General Brigham AAV Cohort, which includes proteinase 3-ANCA+ and myeloperoxidase (MPO)-ANCA+ AAV patients diagnosed from January 1, 2002 to December 31, 2019. We included cases in which the initial remission induction strategy was based either on rituximab or cyclophosphamide. The primary outcome was the composite outcome of kidney failure or death. We used multivariable Cox proportional hazards models and propensity score-matched analyses to assess the association of rituximab- versus cyclophosphamide-based treatment strategies with the composite outcome of kidney failure or death.

resultsOf 595 included patients, 352 patients (~60%) received rituximab-based and 243 patients (~40%) received cyclophosphamide-based regimens. The mean age was 61 years, 58% of patients were female, 70% of patients were MPO-ANCA+, and 69% of patients had renal involvement (median estimated glomerular filtration rate 37.3 ml/minute/1.73 m

conclusionRituximab- and cyclophosphamide-based remission induction strategies for AAV are associated with similar risks of kidney failure and death.

Indexed as

Anti-Neutrophil Cytoplasmic Antibody-Associated VasculitisRenal InsufficiencyAntibodies, Antineutrophil CytoplasmicCohort StudiesCyclophosphamideFemaleHumansImmunosuppressive AgentsMaleMiddle AgedRemission InductionRituximabAntibodies, Antineutrophil CytoplasmicCyclophosphamideImmunosuppressive AgentsRituximab

Identifiers

PMID37011036
PMCPMC10523845
OpenAlexW4362505794

What OpenQuestion holds

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LicenceTDM
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Registered trials

None linked

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.