Vasculitis & polymyalgia rheumatica

Earliest total vascular damage index scores independently predict all-cause mortality in patients with antineutrophil cytoplasmic antibody (ANCA)-associated vasculitis

Clin Exp RheumatolPublished Retrospective cohort study

Main finding · All-cause mortalityResult — go to the resultRelative risk 6.090

Authors' conclusion

This study was the first to demonstrate that the earliest total VDI score could predict all-cause mortality during follow-up in AAV patients.

Study context

Population
AAV patients first diagnosed at one hospital, 2001–2022 (median age 60.0 years; 35.5% men)39 (13.3%) died
Exposure
Earliest total Vasculitis Damage Index (VDI) score ≥3.0 vs <3.0
Outcome
All-cause mortality during follow-up
Methodological detailssingle-centre, ROC-derived cut-off, multivariable Cox hazards model
  • Single-centre
  • ROC-derived cut-off
  • Multivariable Cox hazards model

Main finding

All-cause mortality

Relative risk

6.090

As reported in the abstract

Optimal cut-off of earliest total VDI score 3.0: sensitivity
64.1%
Optimal cut-off of earliest total VDI score 3.0: specificity
75.2%

Observational data: associations, not effects.

Further findings

Cumulative patients' survival

Significantly lower in VDI ≥3.0 than in those without

Earliest VDI score and damaged system

Median earliest VDI score
3.0
Most common damaged system: pulmonary
55.3%

Original publication

Earliest total vascular damage index scores independently predict all-cause mortality in patients with ANCA-associated vasculitis. Clin Exp Rheumatol. Published 27 April 2023. doi:10.55563/clinexprheumatol/6r9eus

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