Evidence map›Paper›PMID 38343337›Full record

Observational studyArthritis & rheumatology (Hoboken, N.J.)2024

Clinical Characteristics and Outcomes of Polyarteritis Nodosa: An International Study.

Omer Karadag, Ertugrul Cagri Bolek, Gizem Ayan, Aladdin J Mohammad, Peter C Grayson, Christian Pagnoux, Eduardo Martín-Nares, Sara Monti, Yoshiyuki Abe, Federico Alberici and 21 more

Open access · greenAbstract readObservational StudyMulticenter Study
In one paragraph

Observational study in Arthritis & rheumatology (Hoboken, N.J.), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
10.5field-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

15 citing papers in PubMed, 1 synthesis or guideline pooled it, 25 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Review
  5. Article
  6. Article
  7. Review
  8. Article
  9. Article
  10. New avenues in childhood vasculitis.Pediatric rheumatology online journal · 2025
    Review
  11. Article
  12. Review
  13. Article
  14. Article
  15. Diagnostic delays in systemic vasculitides.Rheumatology international · 2024
    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

31 authors at 20 institutions in 10 countries.

Omer KaradagHacettepe University, Ankara, Turkey.ORCID https://orcid.org/0000-0002-3443-3117
Ertugrul Cagri BolekHacettepe University, Ankara, Turkey.ORCID https://orcid.org/0000-0003-3886-2813
Gizem AyanHacettepe University, Ankara, Turkey.ORCID https://orcid.org/0000-0003-1889-9619
Aladdin J MohammadSkåne University Hospital, Lund, Sweden, and University of Cambridge, Cambridge, UK.ORCID https://orcid.org/0000-0002-7169-6936
Peter C GraysonNational Institute of Arthritis and Musculoskeletal and Skin Diseases, NIH, Bethesda, Maryland.ORCID https://orcid.org/0000-0002-8269-9438
Christian PagnouxMount Sinai Hospital, Toronto, Ontario, Canada.ORCID https://orcid.org/0000-0001-6287-9549
Eduardo Martín-NaresInstituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Mexico City, Mexico.ORCID https://orcid.org/0000-0002-7911-1269
Sara MontiUniversità di Pavia, Pavia, Italy.ORCID https://orcid.org/0000-0002-1800-6772
Yoshiyuki AbeJuntendo University School of Medicine, Tokyo, Japan.ORCID https://orcid.org/0000-0002-1014-2868
Federico AlbericiUniversity of Brescia and Spedali Civili Hospital, Azienda Socio Sanitaria Territoriale Spedali Civili di Brescia, Brescia, Italy.
Fatma Alibaz-OnerMarmara University School of Medicine Hospital, Istanbul, Turkey.ORCID https://orcid.org/0000-0002-6653-1758
David CuthbertsonUniversity of South Florida, Tampa, Florida.ORCID https://orcid.org/0000-0002-3785-9834
Lorenzo DagnaIRCCS San Raffaele Hospital and Vita-Salute San Raffaele University, Milan, Italy.
Haner DireskeneliMarmara University School of Medicine Hospital, Istanbul, Turkey.ORCID https://orcid.org/0000-0003-2598-5806
Nader A KhalidiMcMaster University, Hamilton, Ontario, Canada.ORCID https://orcid.org/0000-0002-8270-2617
Curry KoeningUniversity of Texas Health Austin.
Carol A LangfordCleveland Clinic, Cleveland, Ohio.
Carol A McAlearUniversity of Pennsylvania, Philadelphia.ORCID https://orcid.org/0000-0002-0016-6866
Paul A MonachBrigham and Women's Hospital, Boston, Massachusetts.
Luca MoroniIRCCS San Raffaele Hospital and Vita-Salute San Raffaele University, Milan, Italy.
Roberto PadoanUniversity of Padua, Padua, Italy.
Phillip SeoJohns Hopkins University, Baltimore, Maryland.
Kenneth J WarringtonMayo Clinic, Rochester, Minnesota.ORCID https://orcid.org/0000-0001-7708-2487
Alojzija HocevarUniversity Medical Centre Ljubljana and University of Ljubljana, Ljubljana, Slovenia.ORCID https://orcid.org/0000-0002-7361-6549
Andrea Hinojosa-AzaolaInstituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Mexico City, Mexico.ORCID https://orcid.org/0000-0002-4001-3995
Shunsuke FurutaChiba University Hospital, Chiba, Japan.
Giacomo EmmiUniversity of Florence, Florence, Italy.
Seza OzenHacettepe University, Ankara, Turkey.ORCID https://orcid.org/0000-0003-2883-7868
David JayneUniversity of Cambridge, Cambridge Biomedical Campus, Cambridge, UK.ORCID https://orcid.org/0000-0002-1712-0637
Peter A MerkelUniversity of Pennsylvania, Philadelphia.ORCID https://orcid.org/0000-0001-9284-7345
GLOBAL‐PAN Collaborators
Hacettepe University · TRInstituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán · MXMarmara University · TRUniversity of Cambridge · GBUniversity of Pennsylvania · USVita-Salute San Raffaele University · ITAzienda Socio Sanitaria Territoriale degli Spedali Civili di Brescia · ITBrigham and Women's Hospital · USChiba University Hospital · JPCleveland Clinic · USJohns Hopkins University · USJuntendo University · JPMayo Clinic · USMcMaster University · CAMount Sinai Hospital · CANational Institute of Arthritis and Musculoskeletal and Skin Diseases · USTexas Health and Science University · USUniversity of Florence · ITUniversity of Ljubljana · SIUniversity of Padua · IT

Funding

Vasculitis and Translational MedicineZIAAR041204 · NIAMS · NATIONAL INSTITUTE OF ARTHRITIS AND MUSCULOSKELETAL AND SKIN DISEASES · PI GRAYSON, PETER · 2015 to 2025
$15.4M
VCRC-VF FellowshipU54AR057319 · NIAMS · UNIVERSITY OF PENNSYLVANIA · PI MERKEL, PETER A · 2009 to 2020
$12.5M
VASCULITIS CLINICAL RESEARCH NETWORK (VCRN): RARE DISEASEU54RR019497 · NCRR · BOSTON UNIVERSITY MEDICAL CAMPUS · PI MERKEL, PETER A · 2003 to 2008
$6.1M
Intramural NIH HHS ZIA AR041204National Center for Advancing Translational Science, the National Institute of Arthritis and Musculoskeletal and Skin Diseases U54-AR-057319National Institute for Health Research Cambridge Biomedical Research CentreNCRR NIH HHS U54 RR019497NCRR NIH HHS U54-RR-019497NIAMS NIH HHS U54 AR057319
6 · The paper itself

Abstract

objectiveWe describe the demographics, clinical features, disease course, and survival of polyarteritis nodosa (PAN) through an international collaboration (GLOBAL-PAN).

methodsPatients with PAN were recruited between 1990 and 2020 from observational cohorts of nine countries across Europe, Japan, and North America. Eligibility was retrospectively defined using the European Medicines Agency classification algorithm. Patients with PAN related to hepatitis B virus (n = 12) and two monogenic diseases mimicking PAN, deficiency of adenosine deaminase 2 enzyme (n = 16) or familial Mediterranean fever (n = 11), were excluded. Data regarding organ involvement, relapse, disease-related damage, and survival were analyzed.

resultsThree hundred fifty-eight patients (female:male ratio 174:184), including those with systemic PAN (sPAN, n = 282) and cutaneous PAN (n = 76), were included. Twenty-five were pediatric onset. Mean ± SD age at diagnosis was 44.3 ± 18.1 years. Constitutional symptoms (71.5%), cutaneous involvement (70.5%), musculoskeletal findings (69.1%), and neurologic features (48.0%) were common manifestations. Among patients with sPAN, gastrointestinal involvement and proteinuria over 400 mg/day were reported in 52.2% and 11.2%, respectively. During a median (interquartile range) 59.6 (99.5) months of follow-up, relapse occurred in 48.5% of patients. One, 5- and 10-year survival rates for sPAN were 97.1%, 94.0%, and 89.0%, respectively. Predictors of death for sPAN included age ≥65 years at diagnosis, serum creatinine at diagnosis >140 μmol/L, gastrointestinal manifestations, and central nervous system (CNS) involvement.

conclusionThe spectrum of PAN remains a complex, multifaceted disease. Relapse is common. Age ≥65 years and serum creatinine >140 μmol/L at diagnosis, as well as gastrointestinal and CNS involvement, are independent predictors of death in sPAN.

Indexed as

Polyarteritis NodosaAdultAgedEuropeFemaleHumansJapanMaleMiddle AgedNorth AmericaProteinuriaRecurrenceRetrospective StudiesSurvival RateYoung Adult

Identifiers

PMID38343337
PMCPMC11213674
OpenAlexW4391748883

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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.