Evidence map›Paper›PMID 40771150›Full record

ArticleArthritis care & research2026

Heterogeneity of Rheumatoid Arthritis-Associated Interstitial Lung Disease by Longitudinal Forced Vital Capacity Trajectory and Associations With Disease Outcomes.

Bryant R England, Yangyuna Yang, Punyasha Roul, Tate M Johnson, Scott M Matson, Grant W Cannon, Brian C Sauer, Jeffrey R Curtis, Joshua F Baker, Ted R Mikuls

Abstract read
In one paragraph

Article in Arthritis care & research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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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

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2 · The registry

The trial behind it

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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

2 citing papers in PubMed.

  1. Article
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4 · The record

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5 · Who and what money

Authors and funding

10 authors.

Bryant R EnglandVA Nebraska-Western Iowa Health Care System and University of Nebraska Medical Center, Omaha.ORCID 0000-0002-9649-3588
Yangyuna YangVA Nebraska-Western Iowa Health Care System and University of Nebraska Medical Center, Omaha.
Punyasha RoulVA Nebraska-Western Iowa Health Care System and University of Nebraska Medical Center, Omaha.
Tate M JohnsonVA Nebraska-Western Iowa Health Care System and University of Nebraska Medical Center, Omaha.ORCID 0000-0003-0335-4157
Scott M MatsonKansas University Medical Center, Kansas City.
Grant W CannonSalt Lake City VA Health Care System and University of Utah, Salt Lake City.ORCID 0000-0001-6640-9173
Brian C SauerSalt Lake City VA Health Care System and University of Utah, Salt Lake City.ORCID 0000-0002-3546-3051
Jeffrey R CurtisUniversity of Alabama at Birmingham.
Joshua F BakerCorporal Michael J. Crescenz VA Medical Center and University of Pennsylvania, Philadelphia.
Ted R MikulsVA Nebraska-Western Iowa Health Care System and University of Nebraska Medical Center, Omaha.ORCID 0000-0002-0897-2272

Funding

Tracking and Evaluation CoreU54GM115458 · NIGMS · UNIVERSITY OF NEBRASKA MEDICAL CENTER · PI GUDA, CHITTIBABU · 2016 to 2025
$42.8M
Using Integrated Omics to Identify Dysfunctional Genetic Mechanisms Influencing Schizophrenia and Sleep DisturbancesP20GM130423 · NIGMS · UNIVERSITY OF KANSAS MEDICAL CENTER · PI ANDREW K. GODWIN · 2019 to 2026
$21.5M
Methods and Health Informatics CoreP30AR072583 · NIAMS · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI JEFFREY R. CURTIS · 2020 to 2026
$5.7M
BLRD VA I01 BX003635Boehringer IngelheimCSRD VA IK2 CX002203NIAMS NIH HHS P30 AR072583NIGMS NIH HHS P20 GM130423NIGMS NIH HHS U54 GM115458Rheumatology Research FoundationU.S. Department of Defense PR200793U.S. Department of Veterans Affairs CX001703U.S. Department of Veterans Affairs RX003644
6 · The paper itself

Abstract

objectiveWe aimed to identify unique disease trajectories within rheumatoid arthritis-associated interstitial lung disease (RA-ILD) based on longitudinal forced vital capacity (FVC) values and their associated clinical outcomes.

methodsWe performed a cohort study of RA-ILD within the Veterans Health Administration from 1999 to 2021. Patients with RA-ILD were identified with validated algorithms. Group-based trajectory modeling was used to identify unique groups based on longitudinal FVC values in a primary cohort with baseline and follow-up FVC values and an overall cohort with at least one FVC value. Associations of group assignment with survival and respiratory hospitalization were tested in multivariable Cox regression models adjusting for initial FVC.

resultsWe derived three FVC trajectory groups in the primary cohort (n = 1,092) and eight in the overall cohort (n = 5,172). A total of 82.5% (primary cohort) and 54% (overall cohort) of patients with RA-ILD belonged to progressive groups with FVC percent predicted change ranging from -2.16 to -10.78 (primary) and -0.73 to -1.56 (overall) per year. Relative to the stable group, slow (adjusted hazard ratio [aHR] 1.55 and 1.38) and rapid (aHR 2.07 and 1.77) progressors in the primary cohort had an increased risk of death and respiratory hospitalization, respectively. In the overall cohort, patients with a progressive FVC trajectory also experienced an increased risk of death (aHR range 1.18-2.69) and respiratory hospitalization (aHR range 1.29-2.78).

conclusionUnique disease trajectories based on longitudinal FVC values are independently associated with the risk of death and respiratory-related hospitalization in RA-ILD. Recognition of these unique RA-ILD trajectories could inform management and monitoring.

Indexed as

Arthritis, RheumatoidLungLung Diseases, InterstitialAgedDisease ProgressionFemaleHospitalizationHumansLongitudinal StudiesMaleMiddle AgedPrognosisUnited StatesVital Capacity

Identifiers

PMID40771150
PMCPMC12919699

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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.