Inflammatory myopathies

Management and outcomes of interstitial lung disease associated with anti-synthetase syndrome: a systematic literature review

Rheumatology (Oxford)Published Systematic review and meta-analysis

Authors' conclusion

Our SLR, the first to summarize management and outcomes of ASS-ILD, found no conclusive difference between effectiveness of treatments.

Study context

Population
Patients with interstitial lung disease (ILD) associated with anti-synthetase syndrome (ASS-ILD); articles published 1946-September 202310 articles
Participants
514 patients
Comparison
Rituximab vs CYC
Outcome
Post-treatment change in pulmonary function tests (FVC, DLCO)
Follow-up
1 year
Methodological detailsrandom effects model, paired t-tests
  • Random effects model
  • Paired t-tests

Pooled result

As reported in the abstract

Pooled improvement from baseline in pulmonary function

Pooled improvement in forced vital capacity (FVC) from baseline (s.e. 3.1); paired t-test P = 0.007

14.1%

Pooled improvement in DLCO (s.e. 2.8); paired t-test P = 0.002

15.1%

Further pooled results

FVC improvement and DLCO increase by treatment · 1 year · value = FVC improvement

DLCO increase

Baseline pulmonary function, pooled estimate

FVC, % predicted (s.e. 2.1)
60.8%
DLCO (s.e. 3.5)
49.8%

Baseline HRCT pattern: non-specific interstitial pneumonia

NSIP among 447 patients with baseline HRCT (n = 220)
49.2%

Autoantibodies

Anti-Jo1
48%
Associated anti-Ro52
27.8%

Deaths

Deaths reported
28

Original publication

Management and outcomes of interstitial lung disease associated with anti-synthetase syndrome: a systematic literature review. Rheumatology (Oxford). Published 31 July 2024. doi:10.1093/rheumatology/keae403

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