Evidence map›Paper›PMID 28112068›Full record

ArticleEpidemiology and infection2017

Coeliac disease and invasive pneumococcal disease: a population-based cohort study.

A Röckert Tjernberg, J Bonnedahl, M Inghammar, A Egesten, G Kahlmeter, P Nauclér, B Henriques-Normark, J F Ludvigsson

Open access · greenAbstract read
In one paragraph

Article in Epidemiology and infection, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
2.0field-weighted citation impact, top 14% of its field
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

9 citing papers in PubMed, 26 citations in OpenAlex.

  1. Article
  2. From Villi to Alveoli: Lung Involvement in Celiac Disease - A Narrative Review.Journal of community hospital internal medicine perspectives · 2026
    Review
  3. Article
  4. Review
  5. Review
  6. Article
  7. Article
  8. Article
  9. Immune response to vaccines in children with celiac disease.World journal of gastroenterology · 2017
    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

8 authors at 6 institutions in 2 countries.

A Röckert TjernbergDepartment of Paediatrics,Kalmar County Hospital,Kalmar,Sweden.ORCID 0000-0001-8126-9738
J BonnedahlDepartment of Infectious Diseases,Kalmar County Hospital,Kalmar,Sweden.
M InghammarLund University,Department of Clinical Sciences Lund,Section for Infection Medicine,Lund,Sweden.
A EgestenRespiratory Medicine and Allergology,Department of Clinical sciences,Lund University,Lund,Sweden.
G KahlmeterDepartment of Clinical Microbiology,Central Hospital,Växjö,Sweden.
P NauclérDepartment of Infectious Diseases,Karolinska University Hospital,Stockholm,Sweden.
B Henriques-NormarkDepartment of Clinical Microbiology,Karolinska University Hospital,Stockholm,Sweden.
J F LudvigssonDepartment of Medical Epidemiology and Biostatistics,Karolinska Institutet,Stockholm,Sweden.
Karolinska University Hospital · SELund University · SELinnaeus University · SEÖrebro University · SEUniversity of Nottingham · GBVäxjö Kommun · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Severe infections are recognized complications of coeliac disease (CD). In the present study we aimed to examine whether individuals with CD are at increased risk of invasive pneumococcal disease (IPD). To do so, we performed a population-based cohort study including 29 012 individuals with biopsy-proven CD identified through biopsy reports from all pathology departments in Sweden. Each individual with CD was matched with up to five controls (n = 144 257). IPD events were identified through regional and national microbiological databases, including the National Surveillance System for Infectious Diseases. We used Cox regression analyses to estimate hazard ratios (HRs) for diagnosed IPD. A total of 207 individuals had a record of IPD whereas 45/29 012 had CD (0·15%) and 162/144 257 were controls (0·11%). This corresponded to a 46% increased risk for IPD [HR 1·46, 95% confidence interval (CI) 1·05-2·03]. The risk estimate was similar after adjustment for socioeconomic status, educational level and comorbidities, but then failed to attain statistical significance (adjusted HR 1·40, 95% CI 0·99-1·97). Nonetheless, our study shows a trend towards an increased risk for IPD in CD patients. The findings support results seen in earlier research and taking that into consideration individuals with CD may be considered for pneumococcal vaccination.

Indexed as

AdolescentAdultAgedAged, 80 and overCase-Control StudiesCeliac DiseaseChildChild, PreschoolCohort StudiesFemaleHumansInfantInfant, NewbornMaleMeningitisMiddle AgedCoeliac diseasepneumococcal infectionpneumococcisepticaemia

Identifiers

PMID28112068
PMCPMC9507833
OpenAlexW2582309748

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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 OpenQuestion graph.