Vasculitis & polymyalgia rheumatica

Outcomes in anti-neutrophilic cytoplasmic antibody (ANCA)-associated vasculitis patients with end-stage kidney disease on renal replacement therapy—A meta-analysis

Semin Arthritis RheumPublished Systematic review and meta-analysis

Authors' conclusion

Patients with AAV and ESKD have a lower risk of relapse, but higher infection and mortality rates.

Study context

Population
Adult patients with AAV and end-stage kidney disease (ESKD) on haemodialysis or peritoneal dialysis
Participants
952 patients22 studies
Outcome
Mortality rate per 100 person-years (random-effects meta-analysis)
Methodological detailsrandom-effects meta-analysis
  • Random-effects meta-analysis

Pooled result

As reported in the abstract

Pooled mortality rate per 100 py

Pooled mortality rate per 100 py

10.90

95% CI

7.11 - 14.68

I2

90.8%

Further pooled results

Pooled 1-year survival

Pooled 1-year survival
80.9%
95% CI
75.6 - 86.1%
I2
86.1%

Pooled 5-year survival

Pooled 5-year survival
61.0%
95% CI
46.0 - 76.0%
I2
0.0%

Pooled relapse rate per 100 py

Pooled relapse rate per 100 py
6.22
95% CI
4.64 - 7.80
I2
46.6%

Mortality rate, paediatric study (1 study, 9 patients)

Deaths per 100 py (± as printed)
11.7 ± 1.9
95% CI
0.23 - 23.20
  • Only 1 paediatric study met the inclusion criteria

Safety

Pooled severe infection rate per 100 py
66.57
95% CI
13.64 - 119.50
I2
99.6%

Original publication

Outcomes in ANCA-associated vasculitis patients with end-stage kidney disease on renal replacement therapy—A meta-analysis. Semin Arthritis Rheum. Published 11 March 2023. doi:10.1016/j.semarthrit.2023.152189

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