Evidence map›Paper›PMID 28732148›Full record

ArticleArthritis care & research2018

Trends in Hospitalizations for Serious Infections in Patients With Rheumatoid Arthritis in the US Between 1993 and 2013.

Sadao Jinno, Na Lu, S Reza Jafarzadeh, Maureen Dubreuil

Abstract read
In one paragraph

Article in Arthritis care & research, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
3.8field-weighted citation impact, top 7% 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

19 citing papers in PubMed, 30 citations in OpenAlex.

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  16. The increase of sepsis-related mortality in Italy: a nationwide study, 2003-2015.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2019
    Article
  17. The Burden of Frailty Among U.S. Veterans and Its Association With Mortality, 2002-2012.The journals of gerontology. Series A, Biological sciences and medical sciences · 2019
    Article
  18. Review
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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

4 authors at 2 institutions in 1 country.

Sadao JinnoBoston University School of Medicine, Boston, Massachusetts.
Na LuBoston University School of Medicine, Boston, Massachusetts.
S Reza JafarzadehBoston University School of Medicine, Boston, Massachusetts.
Maureen DubreuilBoston University School of Medicine and VA Boston Healthcare System, Boston, Massachusetts.
Boston University · USVA Boston Healthcare System · US

Funding

WORK DISABILITY-- PERSONS WITH RHEUMATOID ARTHRITISP60AR047785 · NIAMS · BOSTON UNIVERSITY MEDICAL CAMPUS · PI FELSON, DAVID TOBIN · 2001 to 2016
$18.0M
Establishing the Value of Treatment Strategies in SpondyloarthritisK23AR069127 · NIAMS · BOSTON UNIVERSITY MEDICAL CAMPUS · PI DUBREUIL, MAUREEN · 2016 to 2020
$848k
NIAMS NIH HHS K23 AR069127NIAMS NIH HHS P60 AR047785
6 · The paper itself

Abstract

objectiveThe epidemiology of hospitalizations with infections among patients with rheumatoid arthritis (RA) is unknown, despite an increase in RA treatments that confer a risk of infection.

methodsWe examined National Inpatient Sample data from 1993-2013. We identified hospitalizations among adults with RA, defined by International Classification of Diseases, Ninth Revision, Clinical Modification codes (714.xx) in any secondary diagnosis field. We evaluated 5 infections as the primary diagnosis: pneumonia, sepsis, urinary tract infection (UTI), skin and soft tissue infections (SSTIs), and opportunistic infections (OIs). The primary outcome was the proportion of hospitalizations for each infection among all hospitalizations with a secondary diagnosis of RA.

resultsThere were 792,921 hospitalizations for infection with a secondary diagnosis of RA, with the rates increasing from 90 to 206 per 100,000 persons from 1993-2013. The proportion of hospitalizations decreased for pneumonia (from 5.4% to 4.6%), UTI (from 0.4% to 0.38%), and OIs (from 0.44% to 0.26%). The proportion of hospitalizations for SSTIs increased slightly (from 2.3% to 2.5%), while hospitalizations for sepsis more than tripled (from 1.9% to 6.4%).

conclusionBetween 1993 and 2013, the proportion of hospitalizations for infections among RA patients appeared to decline for pneumonia and OIs, with a slight decrease in UTI, a slight increase in SSTIs, and a substantial increase in hospitalizations with sepsis. Our results are consistent with previous reports that the sensitivity of sepsis coding has increased over time.

Indexed as

Antirheumatic AgentsArthritis, RheumatoidCross-Sectional StudiesDatabases, FactualFemaleHospitalizationHospital MortalityHumansImmunocompromised HostIncidenceMaleMiddle AgedOpportunistic InfectionsRisk FactorsTime FactorsUnited StatesAntirheumatic Agents

Identifiers

PMID28732148
PMCPMC5776053
OpenAlexW2744719251

What OpenQuestion holds

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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 OpenQuestion graph.