Vasculitis & polymyalgia rheumatica

Differences in phenotypes, treatments, and outcomes of ANCA-associated vasculitis across Europe, Japan and the USA in 2020

Rheumatology (Oxford)Published Multinational cohort study

Authors' conclusion

Although the kidney failure-free survival was comparable across continents, regional differences existed in clinical phenotypes and therapeutic patterns.

Study context

Population
Patients with newly diagnosed or relapsing granulomatosis with polyangiitis (GPA) or microscopic polyangiitis (MPA) in Europe, Japan and the USA, January to July 2020
Participants
254 patients
Exposure
Europe vs Japan vs USA
  • Europen = 137
  • Japann = 73
  • USAn = 44
Outcome
Composite of:
  • Kidney failure
  • Death
Follow-up
52 weeks
Methodological detailsCox proportional hazard model, subgroup analyses
  • Cox proportional hazard model
  • Subgroup analyses

Main finding

As reported in the abstract

Observational data: associations, not effects.

Further findings

Kidney failure · 52 weeks

Death · 52 weeks

CYC use

RTX use

Phenotype

Japan: older, higher proportions of MPO-ANCA positivity and lung involvement vs Europe and USA
eGFR at diagnosis varied across regions; highest dialysis requirement in USA

Original publication

Differences in phenotypes, treatments, and outcomes of ANCA-associated vasculitis across Europe, Japan and the USA in 2020. Rheumatology (Oxford). Published 9 January 2025. doi:10.1093/rheumatology/keae661

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