Evidence mapPaperPMID 41156544Full record

ArticleNutrients2025

Can Vitamin D Reduce Glucocorticoid-Induced Adverse Effects in Patients with Giant Cell Arteritis? Results from 1568 Patients in the Spanish ARTESER Registry.

Gastón A Ghio, Marta Domínguez-Álvaro, Iñigo Hernández Rodríguez, Elisa Fernández-Fernández, Maite Silva-Díaz, Joaquín M Belzunegui, Clara Moriano, Julio Sánchez Martín, Javier Narváez, Eva Galíndez Agirregoikoa and 12 more

Abstract read
In one paragraph

Article in Nutrients, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Review
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

22 authors.

Gastón A GhioRheumatology Department, Hospital Universitari Mùtua de Terrassa, 08221 Barcelona, Spain.ORCID 0000-0001-6363-1465
Marta Domínguez-ÁlvaroResearch Unit, Sociedad Española de Reumatología, 28001 Madrid, Spain.ORCID 0000-0002-4057-5971
Iñigo Hernández RodríguezRheumatology Department, Complejo Hospitalario Universitario de Vigo, 36312 Galicia, Spain.
Elisa Fernández-FernándezRheumatology Department, Hospital Universitario La Paz, 28046 Madrid, Spain.
Maite Silva-DíazRheumatology Department, Complejo Hospitalario Universitario de A Coruña, 15006 La Coruna, Spain.ORCID 0000-0003-1904-011X
Joaquín M BelzuneguiRheumatology Department, Hospital Universitario Donosti, 20014 Donostia, Spain.
Clara MorianoRheumatology Department, Hospital Universitario de León, 24071 León, Spain.ORCID 0000-0001-5084-9764
Julio Sánchez MartínRheumatology Department, IDIVAL Immunopathology Group, Hospital Universitario Marqués de Valdecilla, 39008 Santander, Spain.
Javier NarváezRheumatology Department, Hospital Universitario Bellvitge, Hospitalet de Llobregat, 08907 Barcelona, Spain.ORCID 0000-0002-1614-8064
Eva Galíndez AgirregoikoaRheumatology Department, Hospital Universitario de Basurto, 48013 Bilbao, Spain.
Anne Riveros FrutosRheumatology Department, Hospital Germans Trias i Pujol, 08916 Badalona, Spain.
Francisco Ortiz SanjuánRheumatology Department, Hospital Universitario La Fe, 46026 València, Spain.ORCID 0000-0002-3964-7851
Tarek C Salman MonteRheumatology Department, Hospital del Mar, 08003 Barcelona, Spain.
Margarida Vasques RochaRheumatology Department, Hospital Universitario Araba, 01009 Vitoria-Gasteiz, Spain.
Carlota L IñiguezRheumatology Department, Hospital Universitario Lucus Augusti, 27003 Lugo, Spain.ORCID 0000-0002-3051-389X
Alicia García DortaRheumatology Department, Hospital Universitario de Canarias, 38320 La Laguna, Spain.
Clara Molina AlmelaRheumatology Department, Consorci Hospital General Universitari de Valencia, 46014 València, Spain.ORCID 0000-0003-2556-2512
María Alcalde VillarRheumatology Department, Hospital Universitario Severo Ochoa Leganés, 28914 Leganés, Spain.ORCID 0009-0003-7629-085X
José L HernándezInternal Medicine Department, Hospital Universitario Marqués de Valdecilla, 39008 Santander, Spain.ORCID 0000-0002-6585-8847
Santos CastañedaRheumatology Department, IIS-Princesa, Hospital Universitario de La Princesa, Universidad Autónoma de Madrid, 28049 Madrid, Spain.ORCID 0000-0002-7748-853X
Ricardo BlancoRheumatology Department, IDIVAL Immunopathology Group, Hospital Universitario Marqués de Valdecilla, 39008 Santander, Spain.ORCID 0000-0003-2344-2285
ARTESER Project Collaborative Group

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo determine whether oral vitamin D supplementation reduces the risk of glucocorticoid (GC)-associated severe adverse events (SAEs) in patients with giant cell arteritis (GCA) included in the Spanish ARTESER registry.

methodsThe ARTESER registry collected data from patients diagnosed with GCA across 26 Spanish public hospitals between June 2013 and March 2019. SAEs were defined as fatal, life-threatening, or requiring hospitalization. Patients were categorized according to the use or non-use of oral vitamin D supplements. Incidence rates (IRs) of SAEs were expressed per person-year with 95% confidence intervals (CIs). Cox proportional hazards models assessed vitamin D supplementation and its interaction with cumulative glucocorticoid dose.

resultsOf 1568 patients (mean age 76.9 ± 8.1 years; 70.1% women) receiving GC, 120 (7.6%) experienced SAEs (IR 0.039; 95% CI 0.033-0.047). Vitamin D supplementation was documented in 1186 (75.6%) compared with 382 (24.4%) non-supplemented patients. SAE incidence was similar in supplemented (n = 89; 7.5%; IR 0.038, 95% CI 0.030-0.046) and non-supplemented patients (n = 31; 8.1%; IR 0.045, 95% CI 0.031-0.064) (

conclusionsVitamin D supplementation was not independently associated with a lower incidence of GC-related SAEs, likely due to residual confounding factors. However, the interaction with cumulative GC exposure suggests a modulatory effect. Prospective studies incorporating stratified baseline vitamin D assessments are warranted.

Indexed as

Dietary SupplementsGiant Cell ArteritisGlucocorticoidsVitamin DAgedAged, 80 and overFemaleHumansIncidenceMaleMiddle AgedProportional Hazards ModelsRegistriesSpainGlucocorticoidsVitamin Dadverse drug reactionsgiant cell arteritisglucocorticoidssupplementationvitamin D

Identifiers

PMID41156544
PMCPMC12567256

What Socratic holds

Textmetadata
LicenceCC BY
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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.