Evidence map›Paper›PMID 40694069›Full record

ArticleZeitschrift fur Rheumatologie2025

[Immunoadsorption in rheumatic autoimmune diseases: an alternative treatment option : Retrospective insights on the clinical application from the Rhineland-Palatinate Rheumatology Center].

Konstantinos Triantafyllias, Ann-Kathrin Dapper, Andreas Schwarting

Abstract readEnglish Abstract
In one paragraph

Article in Zeitschrift fur Rheumatologie, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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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

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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

3 authors.

Konstantinos TriantafylliasRheumazentrum Rheinland-Pfalz, Bad Kreuznach, Deutschland.
Ann-Kathrin DapperKlinik und Poliklinik für Neuroradiologie, Universitätsmedizin Mainz, Johannes Gutenberg-Universität, Mainz, Deutschland.
Andreas SchwartingRheumazentrum Rheinland-Pfalz, Bad Kreuznach, Deutschland. schwarting@uni-mainz.de.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSystemic inflammatory rheumatic diseases are frequently linked to significant morbidity and, in some cases, can lead to severe, chronic disease courses. Early and effective treatment strategies are required to prevent irreversible damage. Drug-based immunosuppression is not possible for all patients. In such cases the use of alternative treatment, such as immunoadsorption (IA) is of particular interest. Despite positive clinical experiences, the data on the use of IA in rheumatic diseases are limited.

objectiveThe aim was to analyze the application, efficacy and safety of IA under routine conditions. MATERIAL AND

methodsIn this retrospective study immunoadsorption (IA) treatment was performed 373 times in 31 patients with various rheumatic diseases. RESULTS AND DISCUSSION: The results show that IA was predominantly used in combination with other medicinal procedures, often as a bridging therapy or as a last resort in complex cases. The treatment showed a good safety profile: 25% of patients experienced mainly mild side effects such as a short-term drops in blood pressure. The use of IA led to a significant reduction in immunoglobulin levels. A positive clinical therapeutic effect was observed in 48% of the cases. Shorter intervals between treatments were associated with a better clinical response (p = 0.004). A correlation between a positive therapeutic effect and the concomitant glucocorticoid therapy could not be established (p = 0.611), which could potentially indicate an independent effect of IA.

conclusionThe use of IA can be a valuable addition to individualized treatment approaches and should be further evaluated in future studies.

Indexed as

Autoimmune DiseasesImmunosorbent TechniquesRheumatic DiseasesAdultAgedFemaleGermanyHumansMaleMiddle AgedPrevalenceRetrospective StudiesTreatment OutcomeYoung AdultBridging therapyImmunoglobulin levelIndividualized treatment approachesSafety profileSystemic inflammatory rheumatic diseases

Identifiers

PMID40694069
PMCPMC12367844

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