Evidence map›Paper›PMID 38316490›Full record

ArticleRMD open2024

Epidemiology and clinical characteristics of biopsy-confirmed adult-onset IgA vasculitis in southern Sweden.

Michaela Thalen, Karl Gisslander, Mårten Segelmark, Jacob Sode, David Jayne, Aladdin J Mohammad

Abstract read
In one paragraph

Article in RMD open, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

6 citing papers in PubMed, 1 synthesis or guideline pooled it.

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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

6 authors.

Michaela ThalenDepartment of Clinical Sciences Lund, Rheumatology, Lund University, Lund, Sweden.
Karl GisslanderDepartment of Clinical Sciences Lund, Rheumatology, Lund University, Lund, Sweden.ORCID 0000-0003-1915-2656
Mårten SegelmarkDepartment of Clinical Sciences Lund, Nephrology, Lund University, Lund, Sweden.
Jacob SodeDepartment of Clinical Sciences Lund, Rheumatology, Lund University, Lund, Sweden.
David JayneDepartment of Medicine, University of Cambridge, Cambridge, UK.ORCID 0000-0002-1712-0637
Aladdin J MohammadDepartment of Clinical Sciences Lund, Rheumatology, Lund University, Lund, Sweden aladdin.mohammad@med.lu.se.ORCID 0000-0002-7169-6936

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveImmunoglobulin A vasculitis (IgAV) is the most prevalent primary childhood vasculitis in Sweden, but is considerably rarer in adults. This study aims to describe the epidemiology, clinical characteristics and renal outcome of adult-onset IgAV in Skåne, Sweden.

methodsThe study area consisted of Skåne, the southernmost region of Sweden, with a population ≥18 years of 990 464 on 31 December 2010. Adult patients assigned the International Classification of Diseases-10 code for IgAV (D69.0) from 2000 through 2019 were retrospectively identified in a population-based database. Medical records were reviewed to validate the diagnosis of IgAV and extract data. Only patients with clinical manifestations of IgAV and biopsy-confirmed disease were included. The annual incidence and point prevalence of biopsy-confirmed IgAV were estimated.

resultsFifty-nine patients (19 women) were classified as having adult-onset IgAV. The incidence was 3 per 1 000 000 and was higher among men than women (4 vs 2/1 000 000, p=0.004). Ninety-seven per cent of patients presented with non-thrombocytopenic purpura, 78% with renal involvement, 59% with arthritis/arthralgia and 39% with gastrointestinal symptoms. Fifteen per cent developed chronic kidney disease stage ≥G3 a and one patient progressed to end-stage kidney disease during follow-up.

conclusionAdult-onset IgAV is rare in southern Sweden with the incidence higher in men than in women. IgAV frequently affects the kidneys and leads to chronic kidney disease in adults, although the long-term renal outcome appears favourable compared with other small-vessel vasculitides affecting the kidneys.

Indexed as

IgA VasculitisRenal Insufficiency, ChronicVasculitisAdultBiopsyChildFemaleHumansImmunoglobulin AMaleRetrospective StudiesSwedenImmunoglobulin Aepidemiologyincidencesystemic vasculitis

Identifiers

PMID38316490
PMCPMC11148676

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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.