Vasculitis & polymyalgia rheumatica

Clinical outcomes of subglottic stenosis in granulomatosis with polyangiitis: results of an international multicentre observational study

Rheumatology (Oxford)Published Retrospective cohort study

Main finding · SGS relapse by treatmentResult — go to the resultHazard ratio 0.33

Authors' conclusion

Systemic immunosuppressive therapy, particularly CYC-based induction, was associated with fewer SGS relapses and prolonged relapse-free survival, while glucocorticoid monotherapy was less effective.

Study context

Population
Granulomatosis with polyangiitis (GPA) patients with subglottic stenosis (SGS)30% male
Participants
89 patients
Exposure
Higher relapsers (≥2 flares) vs lower relapsers (≤1 flare); treatment regimens compared for relapse
  • Higher relapsersn = 48
Outcome
Relapse of SGS (predictors of relapse and multiple flares; time-to-relapse across regimens)
Methodological detailsmulticentre, international
  • Multicentre
  • International

Main finding

SGS relapse by treatment

Hazard ratio

0.33

P = 0.049

As reported in the abstract

Observational data: associations, not effects.

Further findings

Higher relapsers and time-to-relapse
54% · 48
Higher relapsers and time-to-relapse — Median time-to-relapse
36 months

Original publication

Clinical outcomes of subglottic stenosis in granulomatosis with polyangiitis: results of an international multicentre observational study. Rheumatology (Oxford). Published 24 February 2026. doi:10.1093/rheumatology/keag107

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