Evidence map›Paper›PMID 39190002›Full record

ArticleRheumatology (Oxford, England)2025

The use of intravenous methylprednisolone in giant cell arteritis: a population-based study.

Hampus Henningson, Björn Hammar, Aladdin J Mohammad

Abstract read
In one paragraph

Article in Rheumatology (Oxford, England), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed.

  1. Observational
  2. Article
  3. Article
  4. Article
  5. Review
  6. Article
  7. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Hampus HenningsonDepartment of Clinical Sciences, Rheumatology, Lund University, Lund, Sweden.ORCID 0009-0008-3534-8484
Björn HammarDepartment of Clinical Sciences, Ophthalmology, Lund, Lund, Sweden.ORCID 0000-0003-0415-0535
Aladdin J MohammadDepartment of Clinical Sciences, Rheumatology, Lund University, Lund, Sweden.ORCID 0000-0002-7169-6936

Funding

Alfred Österlund's FoundationKing Gustaf V's 80-year foundationSkåne University HospitalSwedish Research CouncilThe Swedish Medical SocietyThe Swedish Rheumatism Association
6 · The paper itself

Abstract

objectivesTo determine clinical characteristics, outcome and occurrence of comorbidities in patients with biopsy-confirmed giant cell arteritis (GCA) treated with intravenous methylprednisolone (IVMP) vs those receiving oral glucocorticoids (OGC) only.

methodsA retrospective study included patients with GCA diagnosed from 2004 through 2019. Clinical and laboratory characteristics, and cumulative GC dose were compared in patients receiving IVMP vs OGCs. Changes in visual acuity (VA), occurrence of comorbidities after GCA diagnosis, and mortality were analysed.

resultsA total of 419 patients (69% female) were included. In total, 111 patients were initially treated with IVMP, 104 (94%) of whom showed visual manifestations at onset and 308 received OGCs only. Ninety patients (21.5%) exhibited visual involvement at onset, verified by an ophthalmologist. Compared with OGC, patients receiving IVMP exhibited lower inflammatory response at presentation. There was a tendency for improvement in VA with the use of IVMP, but the results were not statistically significant (OR 1.19, 95% CI 0.35-4.01). Patients treated with IVMP had a higher risk of newly diagnosed diabetes mellitus within a year of GCA diagnosis (OR 2.59, 95% CI 1.19-5.63). This risk remained elevated after adjusting for cumulative OGC dose at three months (adjusted OR 3.30, 95% CI 1.29-8.43). There was no difference in survival between treatment groups.

conclusionsOur study found no evidence supporting any benefit of using IVMP in improving VA or survival. IVMP may increase diabetes risk within a year of GCA diagnosis. Further studies are needed to evaluate the value of IVMP in GCA.

Indexed as

Giant Cell ArteritisGlucocorticoidsMethylprednisoloneAdministration, IntravenousAdministration, OralAgedAged, 80 and overDiabetes MellitusFemaleHumansMaleMiddle AgedRetrospective StudiesTreatment OutcomeVisual AcuityGlucocorticoidsMethylprednisolonecomorbiditiesgiant cell arteritisintravenous methylprednisoloneoutcomesurvivalvisual manifestations

Identifiers

PMID39190002
PMCPMC11962881

What Socratic holds

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LicenceCC BY-NC
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.