Vasculitis & polymyalgia rheumatica

First-year cumulative myeloperoxidase-ANCA titres are associated with all-cause mortality in patients with microscopic polyangiitis

Clin Exp RheumatolPublished Retrospective cohort study

Main finding · All-cause mortality during follow-up in MPAResult — go to the resultRelative risk 13.250

Authors' conclusion

This is the first study to demonstrate the association between first-year cumulative MPO-ANCA titres and all-cause mortality during follow-up in patients with MPA.

Study context

Population
Patients with microscopic polyangiitis (MPA) and GPA74 MPA, 40 GPA
Exposure
MPA patients with first-year cumulative MPO-ANCA titres ≥720.8 IU/mL vs those without
Outcome
All-cause mortality during follow-up

Main finding

All-cause mortality during follow-up in MPA

Relative risk

13.250

As reported in the abstract

Optimal cut-off for all-cause mortality (ROC analysis)
720.8 IU/mL

Observational data: associations, not effects.

Further findings

Cumulative patients' survival rate in MPA

Significantly lower in MPO-ANCA ≥720.8 IU/mL than those without

Antineutrophil cytoplasmic antibody (ANCA) titres at diagnosis vs concurrent MPA and GPA activity or inflammatory burden

No significant correlation

Original publication

First-year cumulative myeloperoxidase-ANCA titres are associated with all-cause mortality in patients with microscopic polyangiitis. Clin Exp Rheumatol. Published 14 December 2023. doi:10.55563/clinexprheumatol/jui6xj

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