Evidence map›Paper›PMID 40332571›Full record

Observational studyRheumatology international2025

Damage accrual and predictors of mortality in ANCA-associated vasculitis: a retrospective observational study.

Murat Bektaş, Burak Ince, Sibel Zaralı, Übeyde Ayşe Gülseren, Ece Ük, Besim Fazıl Ağargün, Damla Yenersu Güzey, Yasemin Yalçınkaya, Bahar Artım-Esen, Ahmet Gul and 1 more

Abstract readObservational Study
In one paragraph

Observational study in Rheumatology international, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing 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

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

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Observational
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.

Murat BektaşDepartment of Internal Medicine, Division of Rheumatology Istanbul Faculty of Medicine, Istanbul, Türkiye. bektas.murat1988@gmail.com.ORCID http://orcid.org/0000-0002-1788-3837
Burak InceDepartment of Internal Medicine, Division of Rheumatology Istanbul Faculty of Medicine, Istanbul, Türkiye.ORCID http://orcid.org/0000-0001-9813-2228
Sibel ZaralıDepartment of Internal Medicine, Istanbul Faculty of Medicine, Istanbul, Türkiye.ORCID http://orcid.org/0000-0002-0952-640X
Übeyde Ayşe GülserenDepartment of Internal Medicine, Istanbul Faculty of Medicine, Istanbul, Türkiye.ORCID http://orcid.org/0000-0003-4733-3585
Ece ÜkDepartment of Internal Medicine, Istanbul Faculty of Medicine, Istanbul, Türkiye.ORCID http://orcid.org/0000-0003-0343-4886
Besim Fazıl AğargünDepartment of Internal Medicine, Istanbul Faculty of Medicine, Istanbul, Türkiye.ORCID http://orcid.org/0000-0002-3933-1881
Damla Yenersu GüzeyIstanbul Faculty of Medicine, Istanbul, Türkiye.ORCID http://orcid.org/0000-0003-0340-1494
Yasemin YalçınkayaDepartment of Internal Medicine, Division of Rheumatology Istanbul Faculty of Medicine, Istanbul, Türkiye.ORCID http://orcid.org/0000-0002-9881-6694
Bahar Artım-EsenDepartment of Internal Medicine, Division of Rheumatology Istanbul Faculty of Medicine, Istanbul, Türkiye.ORCID http://orcid.org/0000-0002-5659-3955
Ahmet GulDepartment of Internal Medicine, Division of Rheumatology Istanbul Faculty of Medicine, Istanbul, Türkiye.ORCID http://orcid.org/0000-0001-8219-3720
Murat İnançDepartment of Internal Medicine, Division of Rheumatology Istanbul Faculty of Medicine, Istanbul, Türkiye.ORCID http://orcid.org/0000-0002-6376-5583

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

In this study, we aimed to evaluate the factors affecting the development of damage and mortality in patients with AAV treated at our tertiary referral center. This retrospective study included data on patients with AAV who fulfilled the Chapel Hill Consensus Conference (CHCC) criteria. Patients were divided into c-ANCA/PR3( +) and p-ANCA/MPO ( +) groups based on ANCA immunofluorescence and/or ELISA results, and relapse, damage, and mortality data were compared across the groups. Data from 254 patients (n = 136, 53.5% female) were included in the analysis. Clinical diagnosis was GPA in 186 (73.2%) and MPA in 68 (26.8%) patients. During the follow-up, 217 of 242 (89.7%) patients developed damage, and the median VDI score of the cohort was 2 (IQR: 2). VDI scores were higher in the first period (1997-2011) than in the second period (2011-2021) in the entire cohort (p = 0.012) and in patients with GPA compared with MPA (p = 0.034). Five-year and overall survival rates were 88.1% and 80.3% in the entire cohort; 87.8% and 81% in c-ANCA/PR3 ( +); 86.2% and 76% in p-ANCA/MPO ( +) (Log-Rank: p = 0.35); 91% and 84.5% in GPA; 81% and 67.2% in MPA patients (Log-Rank: p < 0.001). Development of malignancy, severe infection, and active/persistent disease after the induction phase were associated with higher mortality in patients with AAV. In our AAV cohort, permanent organ damage was detected in the majority of the patients. Although the median VDI score decreased over time, mortality did not change.

Indexed as

Anti-Neutrophil Cytoplasmic Antibody-Associated VasculitisGranulomatosis with PolyangiitisAdultAgedAntibodies, Antineutrophil CytoplasmicFemaleFollow-Up StudiesHumansMaleMiddle AgedRecurrenceRetrospective StudiesSeverity of Illness IndexAntibodies, Antineutrophil CytoplasmicAnti-Neutrophil Cytoplasmic Antibody (ANCA)Associated Vasculitis (AAV)Cardiovascular diseasesGranulomatous with polyangiitis (GPA)MalignancyMicroscopic polyangiitis (MPA)Vasculitis

Identifiers

PMID40332571
PMCPMC12058840

What OpenQuestion holds

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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.