Evidence map›Paper›PMID 37382076›Full record

ArticleSarcoidosis, vasculitis, and diffuse lung diseases : official journal of WASOG2023

The factors predicting development of serious infections in ANCA-associated vasculitis.

Emine Uslu Yurteri, Serdar Sezer, Murat Torgutalp, Müçteba Enes Yayla, Didem Sahin Eroglu, Ilyas Ercan Okatan, Ayse Bahar Kelesoglu Dincer, Emine Gozde Aydemir Guloksuz, Mehmet Levent Yuksel, Tahsin Murat Turgay and 2 more

Open access · greenAbstract read
In one paragraph

Article in Sarcoidosis, vasculitis, and diffuse lung diseases : official journal of WASOG, 2023. 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
0.3field-weighted citation impact, top 37% 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, 1 citations in OpenAlex.

  1. Article
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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 2 institutions in 2 countries.

Emine Uslu YurteriDepartment of Rheumatology, Ankara University Faculty of Medicine, Ankara, Turkey. drusluemine@gmail.com.
Serdar SezerDepartment of Rheumatology, Ankara University Faculty of Medicine, Ankara, Turkey. serdarsezer1987@hotmail.com.
Murat TorgutalpDepartment of Rheumatology, Ankara University Faculty of Medicine, Ankara, Turkey; Department of Gastroenterology, Infectiology and Rheumatology, Charite Universitatsmedizin Berlin Campus Benjamin Franklin, Berlin, Germany. mtorgutalp@gmail.com.
Müçteba Enes YaylaDepartment of Rheumatology, Ankara University Faculty of Medicine, Ankara, Turkey. enesyayla@hotmail.com.
Didem Sahin ErogluDepartment of Rheumatology, Ankara University Faculty of Medicine, Ankara, Turkey. dr.didemsa@gmail.com.
Ilyas Ercan OkatanDepartment of Rheumatology, Ankara University Faculty of Medicine, Ankara, Turkey. ilyas.okatan@gmail.com.
Ayse Bahar Kelesoglu DincerDepartment of Rheumatology, Ankara University Faculty of Medicine, Ankara, Turkey. abaharkelesoglu@hotmail.com.
Emine Gozde Aydemir GuloksuzDepartment of Rheumatology, Ankara University Faculty of Medicine, Ankara, Turkey. gzd_aydemir@hotmail.com.
Mehmet Levent YukselDepartment of Rheumatology, Ankara University Faculty of Medicine, Ankara, Turkey. Leventyuksel_52@hotmail.com.
Tahsin Murat TurgayDepartment of Rheumatology, Ankara University Faculty of Medicine, Ankara, Turkey. tmturgay@hotmail.com.
Askin AtesDepartment of Rheumatology, Ankara University Faculty of Medicine, Ankara, Turkey. askinates1970@hotmail.com.
Gulay KinikliDepartment of Rheumatology, Ankara University Faculty of Medicine, Ankara, Turkey. gkinikli@gmail.com.
Ankara University · TRFranklin University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAnti-neutrophil cytoplasmic antibody (ANCA)-associated vasculitis (AAV) is a rare autoimmune disease usually involving small vessels and progressing with necrotizing inflammation. Treatment requires long-term use of immunosuppressive agents to inhibit disease activity. Serious infections (SIs) are a common complication in AAV.

objectiveThe aim of this study was to identify the risk factors for serious infections which required hospitalization in patients with AAV.

methodsIn this retrospective cohort study., we included 84 patients admitted to the Ankara University Faculty of Medicine in the last 10 years with a diagnosis of AAV.

resultsIn 42 (50%) of 84 patients followed up with the diagnosis of AAV, an infection requiring hospitalization was identified. The patients' total corticosteroid dose, use of pulse steroids, induction regimen, levels of C-reactive protein (CRP) and the presence of pulmonary and renopulmonary involvement were found to be associated with the frequency of infection (p=0.015, p=0.016, p=0.010, p=0.03, p= 0.026 and p=0.029, respectively). In multivariable analysis, it was found that renopulmonary involvement (p=0.002, HR=4.95, 95% CI= 1.804-13.605), age of over 65 (p=0.049, HR=3.37, 95% CI=1.004-11.369) and high CRP levels (p=0.043, HR=1.006, 95% CI=1.000-1.011) constituted independent predictors of serious infection risk.

conclusionThe frequency of infection is known to be increased in ANCA-associated vasculitis. Our study showed that renopulmonary involvement, age and elevated CRP levels on admission are independent risk factors of infection.

Identifiers

PMID37382076
PMCPMC10494754
OpenAlexW4382502426

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LicenceCC BY-NC-SA
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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.