Evidence map›Paper›PMID 40391876›Full record

ArticleACR open rheumatology2025

Clinical Manifestations and Treatment in Patients With Relapsing Polychondritis: A Multicenter Observational Cohort Study.

Roger Yang, Rennie L Rhee, Kaitlin A Quinn, Naomi A Amudala, Carol A McAlear, Peter C Grayson, Peter A Merkel, Marcela Ferrada, Shubhasree Banerjee, Vasculitis Clinical Research Consortium

Abstract read
In one paragraph

Article in ACR open rheumatology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

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

  1. Pooled it
  2. Article
  3. Relapsing Polychondritis With Palmoplantar Pustulosis: A Case Report.Clinical medicine insights. Arthritis and musculoskeletal disorders · 2025
    Article
  4. Article
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

10 authors.

Roger YangUniversity of Pennsylvania, Philadelphia, and University of Montreal, Montreal, Canada.ORCID https://orcid.org/0000-0002-1138-0016
Rennie L RheeUniversity of Pennsylvania, Philadelphia.ORCID https://orcid.org/0000-0002-4907-0304
Kaitlin A QuinnNIAMS/NIH, Bethesda, Maryland.ORCID https://orcid.org/0000-0002-5794-194X
Naomi A AmudalaUniversity of Pennsylvania, Philadelphia.
Carol A McAlearUniversity of Pennsylvania, Philadelphia.
Peter C GraysonNIAMS/NIH, Bethesda, Maryland.ORCID https://orcid.org/0000-0002-8269-9438
Peter A MerkelUniversity of Pennsylvania, Philadelphia.
Marcela FerradaNIAMS/NIH and University of Maryland.
Shubhasree BanerjeeUniversity of Pennsylvania, Philadelphia.ORCID https://orcid.org/0000-0003-0903-1949
Vasculitis Clinical Research Consortium

Funding

Association des médecins rhumatologue du Québec (Visithan-Khy Grant)CIUSSS de l'Est-de-l'Ïle-de-Montréal Specialist Fellowship ProgramInstitute for Translational Medicine and Therapeutics at the University of PennsylvaniaPenn Vasculitis CenterVasculitis Clinical Research ConsortiumVasculitis Foundation
6 · The paper itself

Abstract

objectiveRelapsing polychondritis (RP) is a rare, heterogeneous, multisystem disease lacking standard treatment guidelines. This study describes clinical manifestations in association with approaches to treatment.

methodsAdults with physician-diagnosed RP were recruited into a multicenter observational cohort study. Clinical manifestations, organ damage, and medication history were recorded at the baseline study visit. Treatments received for RP at any time point before the initial visit were categorized into three groups: group 1 was treated with glucocorticoids (GCs) or no drugs, group 2 was treated with nonbiologic immunosuppressive (IS) drugs excluding JAK inhibitors (JAKis) with or without GCs, and group 3 was treated with JAKis or biologic IS drugs with or without nonbiologic IS drugs or GCs.

resultsIncluded in the study were 195 patients with RP who were predominantly female (167, 86%) and White (174, 89%), with a mean age of 49 ± 13years. All patients had ear, nose, or airway involvement, and 163 (83%) had musculoskeletal manifestations of RP. All patients had at least three clinical manifestations with median of 11 (range 3-19). GC treatment was given to 186 (95%) patients. Organ damage was seen in 80 (41%) patients. Treatment groups 1, 2, and 3 had 37 (19%), 55 (28%), and 103 (53%) patients, respectively. Patients in group 3 were more likely to have organ damage, arthritis, and subglottic stenosis.

conclusionPatients with RP have a high burden of clinical manifestations with resultant damage. Physicians typically treat RP with GCs, and the use of other immunosuppressive medications is variable. Absence of a consensus approach to treatment underscores the need for clinical trials and treatment guidelines for RP.

Identifiers

PMID40391876
PMCPMC12090363

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.