Evidence map›Paper›PMID 38553624›Full record

ArticleInternal and emergency medicine2024

Unveiling cancer risk in ANCA-associated vasculitis: result from the Turkish Vasculitis Study Group (TRVaS).

Emre Bilgin, Tuba Demirci Yıldırım, Bahar Özdemir Ulusoy, Tahir Saygın Öğüt, Murat Karabacak, Öznur Sadioğlu Çağdaş, Reşit Yıldırım, Deniz Can Güven, Cansu Akleylek, Elif Ediboğlu and 29 more

Erratum issuedOpen access · hybridAbstract readMulticenter Study
In one paragraph

Article in Internal and emergency medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 5 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 2 pooled it
1.7field-weighted citation impact, top 16% 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

5 citing papers in PubMed, 2 syntheses or guidelines pooled it, 4 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Review
  4. Article
  5. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

39 authors at 13 institutions in 1 country.

Emre BilginFaculty of Medicine, Division of Rheumatology, Hacettepe University, Ankara, Turkey.ORCID 0000-0002-2260-4660
Tuba Demirci YıldırımFaculty of Medicine, Division of Rheumatology, Dokuz Eylul University, İzmir, Turkey.
Bahar Özdemir UlusoyDivision of Rheumatology, Ankara City Hospital, Ankara, Turkey.
Tahir Saygın ÖğütFaculty of Medicine, Division of Rheumatology, Akdeniz University, Antalya, Turkey.
Murat KarabacakFaculty of Medicine, Division of Rheumatology, Marmara University, Istanbul, Turkey.
Öznur Sadioğlu ÇağdaşFaculty of Medicine, Division of Rheumatology, Kocaeli University, Kocaeli, Turkey.
Reşit YıldırımFaculty of Medicine, Division of Rheumatology, Eskişehir Osmangazi University, Eskişehir, Turkey.
Deniz Can GüvenDivision of Medical Oncology, Elazığ Fethi Sekin City Hospital, Elazığ, Turkey.
Cansu AkleylekFaculty of Medicine, Division of Rheumatology, Demiroğlu Bilim University, Istanbul, Turkey.
Elif EdiboğluFaculty of Medicine, Division of Rheumatology, Katip Çelebi University, İzmir, Turkey.
Muhammet Emin KutuDivision of Rheumatology, Bakırköy Sadi Konuk City Hospital, Istanbul, Turkey.
Duygu ÖzgürDivision of Rheumatology, Başakşehir Çam Sakura City Hospital, Istanbul, Turkey.
Rıza Can KardaşFaculty of Medicine, Division of Rheumatology, Gazi University, Ankara, Turkey.
Ertuğrul Çağrı BölekFaculty of Medicine, Division of Rheumatology, Hacettepe University, Ankara, Turkey.
Güllü Sandal UzunFaculty of Medicine, Division of Rheumatology, Hacettepe University, Ankara, Turkey.
Zehra ÖzsoyFaculty of Medicine, Division of Rheumatology, Hacettepe University, Ankara, Turkey.
Emine SarıyıldızFaculty of Medicine, Division of Rheumatology, Hacettepe University, Ankara, Turkey.
Gizem AyanFaculty of Medicine, Division of Rheumatology, Hacettepe University, Ankara, Turkey.
Berkan ArmağanDivision of Rheumatology, Ankara City Hospital, Ankara, Turkey.
Abdulsamet ErdenFaculty of Medicine, Division of Rheumatology, Gazi University, Ankara, Turkey.
Levent KılıçFaculty of Medicine, Division of Rheumatology, Hacettepe University, Ankara, Turkey.
Funda ErbasanFaculty of Medicine, Division of Rheumatology, Akdeniz University, Antalya, Turkey.
Fatma Alibaz-ÖnerFaculty of Medicine, Division of Rheumatology, Marmara University, Istanbul, Turkey.
Ebru AşıcıoğluFaculty of Medicine, Division of Rheumatology, Marmara University, Istanbul, Turkey.
Ayten YazıcıFaculty of Medicine, Division of Rheumatology, Kocaeli University, Kocaeli, Turkey.
Nazife Şule BilgeFaculty of Medicine, Division of Rheumatology, Eskişehir Osmangazi University, Eskişehir, Turkey.
Hamit KüçükFaculty of Medicine, Division of Rheumatology, Gazi University, Ankara, Turkey.
Selda ÇelikDivision of Rheumatology, Bakırköy Sadi Konuk City Hospital, Istanbul, Turkey.
Cemal BesDivision of Rheumatology, Başakşehir Çam Sakura City Hospital, Istanbul, Turkey.
Servet AkarFaculty of Medicine, Division of Rheumatology, Katip Çelebi University, İzmir, Turkey.
Neslihan YılmazFaculty of Medicine, Division of Rheumatology, Demiroğlu Bilim University, Istanbul, Turkey.
Timucin KaşifogluFaculty of Medicine, Division of Rheumatology, Eskişehir Osmangazi University, Eskişehir, Turkey.
Ayse CefleFaculty of Medicine, Division of Rheumatology, Kocaeli University, Kocaeli, Turkey.
Haner DireskeneliFaculty of Medicine, Division of Rheumatology, Marmara University, Istanbul, Turkey.
Veli YazısızFaculty of Medicine, Division of Rheumatology, Akdeniz University, Antalya, Turkey.
Ömer DizdarFaculty of Medicine, Division of Medical Oncology, Hacettepe University, Ankara, Turkey.
Ahmet OmmaDivision of Rheumatology, Ankara City Hospital, Ankara, Turkey.
Fatoş ÖnenFaculty of Medicine, Division of Rheumatology, Dokuz Eylul University, İzmir, Turkey.
Ömer KaradağFaculty of Medicine, Division of Rheumatology, Hacettepe University, Ankara, Turkey. drokaradag@gmail.com.
Hacettepe University · TRMarmara University · TRAkdeniz University · TREskişehir Osmangazi University · TRGazi University · TRKocaeli Üniversitesi · TRMemorial Ankara Hospital · TRBakırköy Dr.Sadi Konuk Eğitim ve Araştırma Hastanesi · TRDokuz Eylül University · TRIstanbul Bilim University · TRIstanbul Metropolitan Municipality · TRIzmir Kâtip Çelebi University · TRElazığ Eğitim ve Araştırma Hastanesi · TR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

To investigate cancer incidence in patients with ANCA-associated vasculitis (AAV), compare it with the age/sex-specific cancer risk of the Turkish population, and explore independent risk factors associated with cancer. This multicenter, incidence case-control study was conducted using the TRVaS registry. AAV patients without cancer history before AAV diagnosis were included. Demographic and AAV-related data of patients with and without an incident cancer were compared. Standardized cancer incidence rates were calculated using age-/sex-specific 2017 Turkish National Cancer Registry data for cancers (excluding non-melanoma skin cancers). Cox regression was performed to find factors related to incident cancers in AAV patients. Of 461 AAV patients (236 [51.2%] male), 19 had incident cancers after 2022.8 patient-years follow-up. Median (IQR) disease duration was 3.4 (5.5) years, and 58 (12.6%) patients died [7 with cancer and one without cancer (log-rank, p = 0.04)]. Cancer-diagnosed patients were older, mostly male, and more likely to have anti-PR3-ANCA positivity. The cumulative cyclophosphamide dose was similar in patients with and without cancer. Overall cancer risk in AAV was 2.1 (SIR) ((1.3-3.2), p = 0.004); lung and head-neck [primary target sites for AAV] cancers were the most common. In Cox regression, male sex and ≥ 60 years of age at AAV diagnosis were associated with increased cancer risk, while receiving rituximab was associated with decreased cancer risk. Cancer risk was 2.1 times higher in AAV patients than the age-/sex-specific cancer risk of the Turkish population population, despite a high rate of rituximab use and lower dose of cyclophosphamide doses. Vigilance in cancer screening for AAV patients covering lung, genitourinary, and head-neck regions, particularly in males and the elderly, is vital.

Indexed as

Anti-Neutrophil Cytoplasmic Antibody-Associated VasculitisNeoplasmsAdultAgedCase-Control StudiesFemaleHumansIncidenceMaleMiddle AgedRegistriesRisk FactorsTurkeyANCA-associated vasculitisCancerCyclophosphamideGranulomatous polyangiitisHead–neck cancersLung cancerRituximab

Identifiers

PMID38553624
PMCPMC11186896
OpenAlexW4393305039

What OpenQuestion holds

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LicenceCC BY
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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.