Evidence map›Paper›PMID 30581616›Full record

ArticleJournal of advanced research2019

Risk of serious infection among patients receiving biologics for chronic inflammatory diseases: Usefulness of administrative data.

Luca Quartuccio, Alen Zabotti, Stefania Del Zotto, Loris Zanier, Salvatore De Vita, Francesca Valent

Open access · goldAbstract read
In one paragraph

Article in Journal of advanced research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 41 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
41citing papers in PubMed, 1 pooled it
6.5field-weighted citation impact, top 3% 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

41 citing papers in PubMed, 1 synthesis or guideline pooled it, 78 citations in OpenAlex.

  1. Pooled it
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  15. Darier disease: Current insights and challenges in pathogenesis and management.Journal of the European Academy of Dermatology and Venereology : JEADV · 2025
    Review
  16. Systematic Review of Adverse Events of IL-1 and IL-6 Inhibitor Use in Pediatrics.The journal of pediatric pharmacology and therapeutics : JPPT : the official journal of PPAG · 2025
    Article
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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

6 authors at 2 institutions in 1 country.

Luca QuartuccioRheumatology Clinic, Department of Medical Area, Academic Hospital Santa Maria della Misericordia, Udine, Italy.
Alen ZabottiRheumatology Clinic, Department of Medical Area, Academic Hospital Santa Maria della Misericordia, Udine, Italy.
Stefania Del ZottoService of Epidemiology, Central Direction of Health, Regione Friuli Venezia Giulia, Italy.
Loris ZanierService of Epidemiology, Central Direction of Health, Regione Friuli Venezia Giulia, Italy.
Salvatore De VitaRheumatology Clinic, Department of Medical Area, Academic Hospital Santa Maria della Misericordia, Udine, Italy.
Francesca ValentInstitute of Epidemiology, Academic Hospital Santa Maria della Misericordia, Udine, Italy.
Ospedale Santa Maria della Misericordia di Udine · ITRegione Puglia · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Risk of hospitalized infections under biologics among patients suffering from chronic inflammatory autoimmune diseases such as rheumatoid arthritis (RA), ankylosing spondylitis (AS), psoriatic arthritis (PSA), or psoriasis was investigated using administrative data. The hospital discharge records database, the medical prescription database, and the database of exemptions from medical charges were linked at the individual patient level. A cohort of patients diagnosed with RA, SA, PSA, and severe psoriasis from 2006 to 2017 was identified and followed-up to either the end of 2017 or hospitalization with the main discharge diagnosis of infection, death, or they moved out of the region. Multiple Cox regression was used to estimate the hazard ratio (HR) of hospitalization associated with bDMARDs and adjusting for age, sex, Charlson's Comorbidity Index, calendar year, prescription of steroids, and use of csDMARDs. Use of bDMARDs was treated as a time-dependent variable. A total of 5596 patients diagnosed with RA, AS, or PSA/severe psoriasis were included in the cohort. Overall, 289 (4.2%) were hospitalized due to infection. Time to first use of biological drugs was significantly associated with a 55% increased risk of hospitalization for infections. Thus, large cohorts from administrative databases are useful to support observations from registries and clinical trials. Patients with chronic autoimmune inflammatory diseases are at risk of serious infections when starting biologics. This risk is higher in the elderly or those with comorbidities. Upper and lower respiratory tract infections are the most common infections. Our findings support prevention policies such as vaccination.

Indexed as

ArthritisBiologic drugInfectionPsoriasisRheumatoidTumor necrosis factor

Identifiers

PMID30581616
PMCPMC6300460
OpenAlexW2890189002

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.