Evidence map›Paper›PMID 40071428›Full record

ReviewRheumatology (Oxford, England)2025

Does plasma exchange have a role in ANCA-associated vasculitis? Viewpoint 1: plasma exchange should not be used indiscriminately.

Michael Walsh

Abstract readReview
In one paragraph

Review in Rheumatology (Oxford, England), 2025. 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
–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

2 citing papers in PubMed.

  1. Observational
  2. 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

1 author.

Michael WalshDepartment of Medicine, McMaster University, Hamilton, ON, Canada.ORCID 0000-0001-8292-2014

Funding

BayerBritish Heart FoundationCIHRDutch Kidney FoundationGlaxo-Smith KlineHamilton Academic Health Sciences OrganizationHealth Research CouncilMedical Research CouncilMedical Research Future FundNational Health and Medical Research CouncilNational Institute of Health ResearchNovo NorDiscOtsuka PharmaceuticalsVisterra and Alexion
6 · The paper itself

Abstract

ANCA-associated vasculitis (AAV) is a heterogeneous autoimmune disease marked by varying organ involvement and outcomes. Plasma exchange, a method of removing native plasma and replacing it with crystalloid, albumin or donor plasma, can deplete autoantibodies and may help control autoimmune diseases rapidly. In AAV, several randomized controlled trials have been performed but, individually, had mixed results. The best data available, through meta-analysis, suggest the effects of plasma exchange in AAV are limited to improving kidney outcomes with a low likelihood of other benefits but also an increase in the risk of serious infections. As such, the use of plasma exchange in AAV should be limited to patients at risk of a poor kidney outcome as all others are more likely to experience harm than benefit. By estimating the risk of kidney failure and serious infections with and without plasma exchange, healthcare providers can help patients with AAV make informed choices about the use of plasma exchange.

Indexed as

Anti-Neutrophil Cytoplasmic Antibody-Associated VasculitisPlasma ExchangeHumansapheresisdialysisinfectionkidney failurevasculitis

Identifiers

PMID40071428
PMCPMC11897699

What OpenQuestion holds

Textmetadata
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.