Vasculitis & polymyalgia rheumatica

Patient‐Reported Sinonasal Symptoms and Risk of Relapse in Antineutrophil Cytoplasmic Antibody–Associated Vasculitis

Arthritis Care Res (Hoboken)Published Prospective cohort study

Main finding · Risk of relapse with higher SNOT-22 scores (all AAV)Result — go to the resultHazard ratio 2.7 95% CI 1.2–6.2

Authors' conclusion

A patient-reported outcome measure of sinonasal disease, the SNOT-22, not only changes with disease activity in AAV, but also is associated with a higher risk of relapse within two years.

Study context

Population
Individuals with antibody-associated vasculitis (AAV) and healthy individuals773 visits (106 active disease)
Participants
168 vs 51
Exposure
Patients with AAV vs healthy controls; SinoNasal Outcome Test (SNOT-22) scores and risk of relapse
  • AAVn = 168
  • Controlsn = 51reference
Outcome
Association between SNOT-22 and relapse (BVAS for Wegener's Granulomatosis score >0)
Methodological detailslongitudinal, generalized estimating equation and Cox proportional hazard models
  • Longitudinal
  • Generalized estimating equation and Cox proportional hazard models

Main finding

As reported in the abstract

Risk of relapse with higher SNOT-22 scores (all AAV)

Hazard ratio

2.7

95% CI 1.2–6.2

P = 0.02

Higher SNOT-22
HR 2.7 (95% CI 1.2–6.2); P = 0.02

Observational data: associations, not effects.

Further findings

Median

OutcomeAAVControlsP value
Median SNOT-22 at remission205P < 0.001

SNOT-22 during active disease vs remission

Higher during active disease vs remission
P < 0.001

Patients with vs without sinonasal disease; after removing ENT-limited relapses

Similar findings

Original publication

Patient‐Reported Sinonasal Symptoms and Risk of Relapse in Antineutrophil Cytoplasmic Antibody–Associated Vasculitis. Arthritis Care Res (Hoboken). Published 15 April 2024. doi:10.1002/acr.25329

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