Plasma Exchange and Glucocorticoids in Severe ANCA-Associated Vasculitis

Among patients with severe antineutrophil cytoplasmic antibody–associated vasculitis, plasma exchange did not reduce the incidence of death or end-stage kidney disease. A reduced-dose regimen of oral glucocorticoids was noninferior to a standard-dose regimen with respect to death or ESKD.

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Veröffentlicht in:The New England journal of medicine 2020-02, Vol.382 (7), p.622-631
Hauptverfasser: Walsh, Michael, Merkel, Peter A, Peh, Chen-Au, Szpirt, Wladimir M, Puéchal, Xavier, Fujimoto, Shouichi, Hawley, Carmel M, Khalidi, Nader, Floßmann, Oliver, Wald, Ron, Girard, Louis P, Levin, Adeera, Gregorini, Gina, Harper, Lorraine, Clark, William F, Pagnoux, Christian, Specks, Ulrich, Smyth, Lucy, Tesar, Vladimir, Ito-Ihara, Toshiko, de Zoysa, Janak Rashme, Szczeklik, Wojciech, Flores-Suárez, Luis Felipe, Carette, Simon, Guillevin, Loïc, Pusey, Charles D, Casian, Alina L, Brezina, Biljana, Mazzetti, Andrea, McAlear, Carol A, Broadhurst, Elizabeth, Reidlinger, Donna, Mehta, Samir, Ives, Natalie, Jayne, David R.W
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container_end_page 631
container_issue 7
container_start_page 622
container_title The New England journal of medicine
container_volume 382
creator Walsh, Michael
Merkel, Peter A
Peh, Chen-Au
Szpirt, Wladimir M
Puéchal, Xavier
Fujimoto, Shouichi
Hawley, Carmel M
Khalidi, Nader
Floßmann, Oliver
Wald, Ron
Girard, Louis P
Levin, Adeera
Gregorini, Gina
Harper, Lorraine
Clark, William F
Pagnoux, Christian
Specks, Ulrich
Smyth, Lucy
Tesar, Vladimir
Ito-Ihara, Toshiko
de Zoysa, Janak Rashme
Szczeklik, Wojciech
Flores-Suárez, Luis Felipe
Carette, Simon
Guillevin, Loïc
Pusey, Charles D
Casian, Alina L
Brezina, Biljana
Mazzetti, Andrea
McAlear, Carol A
Broadhurst, Elizabeth
Reidlinger, Donna
Mehta, Samir
Ives, Natalie
Jayne, David R.W
description Among patients with severe antineutrophil cytoplasmic antibody–associated vasculitis, plasma exchange did not reduce the incidence of death or end-stage kidney disease. A reduced-dose regimen of oral glucocorticoids was noninferior to a standard-dose regimen with respect to death or ESKD.
doi_str_mv 10.1056/NEJMoa1803537
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issn 0028-4793
1533-4406
language eng
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source MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; SWEPUB Freely available online; New England Journal of Medicine
subjects Administration, Oral
Adult
Aged
Anti-Neutrophil Cytoplasmic Antibody-Associated Vasculitis
Anti-Neutrophil Cytoplasmic Antibody-Associated Vasculitis - complications
Anti-Neutrophil Cytoplasmic Antibody-Associated Vasculitis - drug therapy
Anti-Neutrophil Cytoplasmic Antibody-Associated Vasculitis - mortality
Anti-Neutrophil Cytoplasmic Antibody-Associated Vasculitis - therapy
Antineutrophil cytoplasmic antibodies
Apheresis
Clinical trials
Combined Modality Therapy
Cyclophosphamide
Cyclophosphamide - therapeutic use
Death
Dose-Response Relationship, Drug
End-stage renal disease
Female
Glomerular filtration rate
Glucocorticoids
Glucocorticoids - administration & dosage
Glucocorticoids - adverse effects
Hemorrhage
Human health and pathology
Humans
Immunosuppressive Agents
Immunosuppressive Agents - therapeutic use
Incidence
Induction Chemotherapy
Kidney Diseases
Kidney Diseases - complications
Kidney Failure, Chronic
Kidney Failure, Chronic - epidemiology
Kidney Failure, Chronic - etiology
Kidney Failure, Chronic - prevention & control
Life Sciences
Male
Middle Aged
Patients
Plasma
Plasma Exchange
Plasma Exchange - adverse effects
Quality of life
Rituximab
Rituximab - therapeutic use
Statistical analysis
Urology and Nephrology
Vasculitis
title Plasma Exchange and Glucocorticoids in Severe ANCA-Associated Vasculitis
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