Evidence map›Paper›PMID 31673420›Full record

ArticleRMD open2019

Incidence and prevalence of vaccine preventable infections in adult patients with autoimmune inflammatory rheumatic diseases (AIIRD): a systemic literature review informing the 2019 update of the EULAR recommendations for vaccination in adult patients with AIIRD.

Victoria Furer, Christien Rondaan, Marloes Heijstek, Sander van Assen, Marc Bijl, Nancy Agmon-Levin, Ferdinand C Breedveld, Raffaele D'Amelio, Maxime Dougados, Meliha Crnkic Kapetanovic and 11 more

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in RMD open, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06738082 (Influenza Vaccine Elicited Immune Response in Immunocompromised Patients), which is not on this map. Cited by 83 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
83citing papers in PubMed, 6 pooled it
17.1field-weighted citation impact, top 1% 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.

NCT06738082 completednot on this mapstarted 2024, after this paper: background citation

Influenza Vaccine Elicited Immune Response in Immunocompromised Patients

TypeobservationalSponsorInsel Gruppe AG, University Hospital BernRan2024 to 2025Enrolled147ConditionsInfluenza Vaccine, Immunocompromised PatientsArmsInfluenza vaccine
3 · Its place in the literature

Who cites it

83 citing papers in PubMed, 6 syntheses or guidelines pooled it, 155 citations in OpenAlex.

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  18. Vaccination Update and Specific Concerns for RA.Current rheumatology reports · 2025
    Review
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23 more citing papers are in PubMed but not listed here.

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

21 authors at 15 institutions in 11 countries.

Victoria FurerDepartment of Rheumatology, Tel Aviv Sourasky Medical Center, Tel Aviv, Israel.ORCID 0000-0001-5193-4207
Christien RondaanMedical Microbiology and Infection Prevention, UMCG, Groningen, The Netherlands.ORCID 0000-0002-4558-1270
Marloes HeijstekInternal Medicine and Allergology, Rheumatology and Clinical Immunology, UMC Utrecht, Utrecht, The Netherlands.
Sander van AssenInternal Medicine (Infectious Diseases), Treant Care Group, Hoogeveen, The Netherlands.
Marc BijlInternal Medicine, Martini Hospital, Groningen, The Netherlands.
Nancy Agmon-LevinSackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.ORCID 0000-0001-9514-3677
Ferdinand C BreedveldDepartment of Rheumatology, Leiden University Medical Center, Leiden, The Netherlands.
Raffaele D'AmelioDipartimento di Medicina Clinica e Molecolare, Sapienza University of Rome, Roma, Italy.
Maxime DougadosDepartment of Rheumatology, Hôpital Cochin, Université Paris Descartes, Paris, France.ORCID 0000-0003-3009-6229
Meliha Crnkic KapetanovicDepartment of Clinical Sciences Lund, Section for Rheumatology, Lund University and Skåne University Hospital, Lund, Sweden.ORCID 0000-0002-7853-514X
Jacob M van LaarDepartment of Rheumatology and Clinical Immunology, University Medical Center Utrecht and Utrecht University, Utrecht, The Netherlands.ORCID 0000-0001-5544-5785
Annette Ladefoged de ThurahInstitute of Clinical Medicine, Section of Rheumatology, Aarhus University Hospital, Aarhus, Denmark.ORCID 0000-0003-0103-4328
Robert LandewéClinical Immunology and Rheumatology, Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands.ORCID 0000-0002-0577-6620
Anna MoltoDepartment of Rheumatology, Hôpital Cochin, Université Paris Descartes, Paris, France.ORCID 0000-0003-2246-1986
Ulf Müller-LadnerDepartment of Rheumatology and Clinical Immunology, Justus-Liebig-University, Giessen, Germany.
Karen SchreiberDepartment of Rheumatology, King Christian X's Hospital for Rheumatic Diseases, Graasten, Denmark.
Leo SmolarTel Aviv, Israel.
Jim WalkerElgin, UK.
Klaus WarnatzCenter for Chronic Immunodeficiency, Faculty of Medicine, University of Freiburg, University Medical Center Freiburg, Freiburg, Germany.
Nico M WulffraatDepartment of Pediatric Rheumatology, Wilhelmina Children's Hospital, University Medical Center Utrecht, Utrecht, The Netherlands.
Ori ElkayamDepartment of Rheumatology, Tel Aviv Sourasky Medical Center, Tel Aviv, Israel.ORCID 0000-0001-9329-3639
Tel Aviv University · ILUniversité Paris Cité · FRUtrecht University · NLAarhus University Hospital · DKAmsterdam UMC Location University of Amsterdam · NLBiology of Infection · FRJustus-Liebig-Universität Gießen · DELeiden University Medical Center · NLLund University · SEMartini Ziekenhuis · NLSapienza University of Rome · ITSt Thomas' Hospital · GBTreant Zorggroep · NLUniversity Medical Center Utrecht · NLUniversity of Freiburg · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objectives: The aims of this study were to update the evidence on the incidence and prevalence rates of vaccine preventable infections (VPI) in patients with autoimmune inflammatory rheumatic diseases (AIIRD) and compare the data to the general population when available. Methods: A literature search was performed using Medline, Embase and Cochrane library (October 2009 to August 2018). The primary outcome was the incidence or prevalence of VPI in the adult AIIRD population. Meta-analysis was performed when appropriate. Results: Sixty-three publications out of 3876 identified records met the inclusion criteria: influenza (n=4), pneumococcal disease (n=7), hepatitis B (n=10), herpes zoster (HZ) (n=29), human papillomavirus (HPV) infection (n=13). An increased incidence of influenza and pneumococcal disease was reported in patients with AIIRD. HZ infection-pooled incidence rate ratio (IRR) was 2.9 (95% CI 2.4 to 3.3) in patients with AIIRD versus general population. Among AIIRD, inflammatory myositis conferred the highest incidence rate (IR) of HZ (pooled IRR 5.1, 95% CI 4.3 to 5.9), followed by systemic lupus erythematosus (SLE) (pooled IRR 4.0, 95% CI 2.3 to 5.7) and rheumatoid arthritis (pooled IRR 2.3, 95% CI 2.1 to 2.6). HPV infection-pooled prevalence ratio was 1.6, 95% CI 0.7 to 3.4 versus general population, based on studies mainly conducted in the SLE population in Latin America and Asia. Pooled prevalence of hepatitis B surface antigen and hepatitis B core antibody in patients with AIIRD was similar to the general population, 3%, 95% CI 1% to 5% and 15%, 95% CI 7% to 26%, respectively. Conclusion: Current evidence shows an increased risk of VPI in patients with AIIRD, emphasising that prevention of infections is essential in these patients.

Indexed as

Communicable Disease ControlAutoimmune DiseasesCommunicable DiseasesFemaleHumansIncidenceOdds RatioPrevalenceRheumatic DiseasesVaccinationVaccinesVaccinesautoimmune diseasesepidemiologyinfectionsvaccination

Identifiers

PMID31673420
PMCPMC6803008
OpenAlexW2974826704

What OpenQuestion holds

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LicenceCC BY-NC
Read underepoch 390

Registered trials

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.