Evidence map›Paper›PMID 37597603›Full record

ReviewAutoimmunity reviews2023

Persistent aortic inflammation in patients with giant cell arteritis.

Mahmut S Kaymakci, Nicholas A Boire, Melanie C Bois, Mohanad M Elfishawi, Hannah E Langenfeld, Andrew C Hanson, Cynthia S Crowson, Matthew J Koster, Yuki Sato, Cornelia M Weyand and 1 more

Open access · greenAbstract readReview
In one paragraph

Review in Autoimmunity reviews, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
7.8field-weighted citation impact, top 2% 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

15 citing papers in PubMed, 30 citations in OpenAlex.

  1. Review
  2. Immune responses in aging adults.The Journal of clinical investigation · 2026
    Review
  3. Article
  4. Review
  5. Review
  6. Article
  7. Review
  8. Article
  9. Article
  10. Article
  11. Review
  12. Immune checkpoints in autoimmune vasculitis.Best practice & research. Clinical rheumatology · 2024
    Review
  13. Review
  14. Article
  15. Cardiovascular magnetic resonance detects subclinical cardiac involvement in giant cell arteritis.Journal of cardiovascular magnetic resonance : official journal of the Society for Cardiovascular Magnetic Resonance
    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

11 authors at 2 institutions in 1 country.

Mahmut S KaymakciDivision of Rheumatology, Department of Medicine, Mayo Clinic, Rochester, MN, USA. Electronic address: kaymakci.mahmut@mayo.edu.
Nicholas A BoireDepartment of Laboratory Medicine and Pathology, Mayo Clinic, Rochester, MN, USA.
Melanie C BoisDepartment of Laboratory Medicine and Pathology, Mayo Clinic, Rochester, MN, USA; Department of Cardiovascular Medicine, Mayo Clinic, Rochester, MN, USA.
Mohanad M ElfishawiDivision of Rheumatology, Department of Medicine, Mayo Clinic, Rochester, MN, USA.
Hannah E LangenfeldDepartment of Quantitative Health Sciences, Mayo Clinic, Rochester, MN, USA.
Andrew C HansonDepartment of Quantitative Health Sciences, Mayo Clinic, Rochester, MN, USA.
Cynthia S CrowsonDivision of Rheumatology, Department of Medicine, Mayo Clinic, Rochester, MN, USA; Department of Quantitative Health Sciences, Mayo Clinic, Rochester, MN, USA.
Matthew J KosterDivision of Rheumatology, Department of Medicine, Mayo Clinic, Rochester, MN, USA.
Yuki SatoDivision of Rheumatology, Department of Medicine, Mayo Clinic, Rochester, MN, USA.
Cornelia M WeyandDivision of Rheumatology, Department of Medicine, Mayo Clinic, Rochester, MN, USA; Department of Cardiovascular Medicine, Mayo Clinic, Rochester, MN, USA.
Kenneth J WarringtonDivision of Rheumatology, Department of Medicine, Mayo Clinic, Rochester, MN, USA.
Mayo Clinic in Arizona · USMayo Clinic in Florida · US

Funding

The NOTCH Signaling Pathway in Large Vessel VasculitisR01HL117913 · NHLBI · STANFORD UNIVERSITY · PI WEYAND, CORNELIA M. · 2014 to 2025
$5.0M
Oligoclonal T Cell Expansion &Rheumatoid ArthritisR01AR042527 · NIAMS · STANFORD UNIVERSITY · PI WEYAND, CORNELIA M. · 1993 to 2022
$4.8M
Telomere Damage Responses and Immune AgingR01AI108906 · NIAID · STANFORD UNIVERSITY · PI WEYAND, CORNELIA M. · 2014 to 2024
$4.0M
T Cell Immunity in Giant Cell ArteritisR01HL142068 · NHLBI · STANFORD UNIVERSITY · PI Cornelia M. Weyand · 2018 to 2026
$3.3M
NHLBI NIH HHS R01 HL117913NHLBI NIH HHS R01 HL142068NIAID NIH HHS R01 AI108906NIAMS NIH HHS R01 AR042527
6 · The paper itself

Abstract

objectivesTo investigate the clinicopathologic features of patients with giant cell arteritis (GCA) who had thoracic aorta aneurysm or dissection surgery.

methodsPatients who had thoracic aorta surgery between January 1, 2000, and December 31, 2021, at the Mayo Clinic, Rochester, Minnesota, were identified with current procedural terminology (CPT) codes. The identified patients were screened for a prior diagnosis of GCA with diagnostic codes and electronic text search. The available medical records of all the patients of interest were manually reviewed. Thoracic aorta tissues obtained during surgery were re-evaluated in detail by pathologists. The clinicopathologic features of these patients were analyzed. Overall observed survival was compared with lifetable rates from the United States population.

resultsOf the 4621 patients with a CPT code for thoracic aorta surgery, 49 had a previous diagnosis of GCA. Histopathologic evaluation of the aortic tissue revealed active aortitis in most patients with GCA (40/49, 82%) after a median (IQR) of 6.0 (2.6-10.3) years from GCA diagnosis. All patients were considered in clinical remission at the time of aortic surgery. The overall mortality compared to age and sex-matched general population was significantly increased with a standardized mortality ratio of 1.55 (95% CI, 1.05-2.19).

conclusionHistopathologic evaluation of the thoracic aorta obtained during surgery revealed active aortitis in most patients with GCA despite being considered in clinical remission several years after GCA diagnosis. Chronic, smoldering aortic inflammation likely contributes to the development of aortic aneurysm and dissection in GCA.

Indexed as

AortitisGiant Cell ArteritisAortaHumansInflammationAortitisChronic diseaseGiant cell arteritisHistopathologyLarge vessel vasculitis

Identifiers

PMID37597603
PMCPMC10528001
OpenAlexW4385988065

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

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.