Table 3 Factors associated with Wegener granulomatosis (WG) relapse with level of evidence
Risk factorRisk of relapseLevel of evidenceReference
A fourfold rise in C ANCA/PR3 ANCA titreRR 42.5 (95% CI 9.48 to 180.8)3Boomsma et al 200029
Chronic nasal carriage of Staphylococcus aureus*RR 7.16 (95% CI 1.63 to 31.50); p = 0.0092BStegeman et al 199433
Creatinine clearance >60 ml/minRR 2.94 (95% CI 1.27 to 6.67); p = 0.013Stegeman et al 199433
The presence of ANCA at diagnosisRR 2.89 (95% CI 1.12 to 7.45)1BStegeman et al 199616
Cardiac involvement at diagnosisRH 2.87 (95% CI 1.09 to 7.58); p = 0.033Koldingsnes and Nossent 200323
Cumulative cyclophosphamide dose <10 g in the first 6 monthsRH 2.83 (95% CI 1.33 to 6.02); p = 0.0073Koldingsnes and Nossent 200323
Prednisolone ⩾20 mg/day for <2.75 monthsRH 2.41 (95% CI 1.12 to 5.21); p = 0.033Koldingsnes and Nossent 200323
Co-trimoxazole as adjuvant to remission maintenance therapyRR 0.32 (95% CI 0.13 to 0.79)1BStegeman et al 199616
  • *Nasal carriage of Staphylococcus aureus tended to decrease the relapse rate in Pavone et al;32 this was not statistically significant.

  • ANCA, antineutrophil cytoplasm antibody; C, cytoplasmic; PR3, proteinase 3; RH, relative hazard; RR, relative risk.