Evidence map›Paper›PMID 32945944›Full record

Observational studyRheumatology international2020

High rates of severe disease and death due to SARS-CoV-2 infection in rheumatic disease patients treated with rituximab: a descriptive study.

Jesús Loarce-Martos, Antía García-Fernández, Fernando López-Gutiérrez, Verónica García-García, Laura Calvo-Sanz, Iván Del Bosque-Granero, M Andreína Terán-Tinedo, Alina Boteanu, Javier Bachiller-Corral, Mónica Vázquez-Díaz

Registry-linked trialOpen access · bronzeAbstract readObservational Study
In one paragraph

Observational study in Rheumatology international, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05716334 (Biosimilars of Rituximab in ANCA-associated Vasculitis Compared to the Originator), which is not on this map. Cited by 69 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
69citing papers in PubMed, 2 pooled it
15.8field-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.

NCT05716334 completednot on this mapstarted 2021, after this paper: background citation

Biosimilars of Rituximab in ANCA-associated Vasculitis Compared to the Originator (BRAVO): a CanVasc Multicentre Study

TypeobservationalSponsorMcGill University Health Centre/Research Institute of the McGill University Health CentreRan2021 to 2025Enrolled201ConditionsANCA-associated Vasculitis, Granulomatosis With Polyangiitis, Microscopic Polyangiitis
3 · Its place in the literature

Who cites it

69 citing papers in PubMed, 2 syntheses or guidelines pooled it, 117 citations in OpenAlex.

  1. Pooled it
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  16. Systemic sclerosis.Lancet (London, England) · 2023
    Review
  17. Review
  18. Modifiable contributing factors to COVID-19: A comprehensive review.Food and chemical toxicology : an international journal published for the British Industrial Biological Research Association · 2023
    Review
  19. Article
  20. Review

9 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors at 1 institution in 1 country.

Jesús Loarce-MartosRheumatology Department, Hospital Universitario Ramón y Cajal, Carretera de Colmenar Viejo, 9, 1 km, 28043, Madrid, Spain. jesus.loarce@gmail.com.ORCID 0000-0003-1352-9539
Antía García-FernándezRheumatology Department, Hospital Universitario Ramón y Cajal, Carretera de Colmenar Viejo, 9, 1 km, 28043, Madrid, Spain.
Fernando López-GutiérrezRheumatology Department, Hospital Universitario Ramón y Cajal, Carretera de Colmenar Viejo, 9, 1 km, 28043, Madrid, Spain.
Verónica García-GarcíaRheumatology Department, Hospital Universitario Ramón y Cajal, Carretera de Colmenar Viejo, 9, 1 km, 28043, Madrid, Spain.ORCID 0000-0003-0126-0229
Laura Calvo-SanzRheumatology Department, Hospital Universitario Ramón y Cajal, Carretera de Colmenar Viejo, 9, 1 km, 28043, Madrid, Spain.
Iván Del Bosque-GraneroRheumatology Department, Hospital Universitario Ramón y Cajal, Carretera de Colmenar Viejo, 9, 1 km, 28043, Madrid, Spain.
M Andreína Terán-TinedoRheumatology Department, Hospital Universitario Ramón y Cajal, Carretera de Colmenar Viejo, 9, 1 km, 28043, Madrid, Spain.
Alina BoteanuRheumatology Department, Hospital Universitario Ramón y Cajal, Carretera de Colmenar Viejo, 9, 1 km, 28043, Madrid, Spain.
Javier Bachiller-CorralRheumatology Department, Hospital Universitario Ramón y Cajal, Carretera de Colmenar Viejo, 9, 1 km, 28043, Madrid, Spain.ORCID 0000-0001-8954-209X
Mónica Vázquez-DíazRheumatology Department, Hospital Universitario Ramón y Cajal, Carretera de Colmenar Viejo, 9, 1 km, 28043, Madrid, Spain.
Hospital Universitario Ramón y Cajal · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The objective of this study is to describe the characteristics and outcomes of rheumatic and musculoskeletal disease (RMD) patients who were treated with rituximab and had suspected or confirmed severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection. In this descriptive study, RMD patients who were treated with rituximab in the last 12 months at the Rheumatology Department of our hospital were screened for SARS-CoV-2 infection via telephone interview and a comprehensive review of clinical health records (01/02/2020-26/05/2020). Those with probable or confirmed SARS-CoV-2 infection were included. In total, 76 patients were screened. Of these, 13 (17.1%) had suspected or confirmed SARS-CoV-2 infection. With regard to these 13 patients, the median age at coronavirus disease (COVID-19) diagnosis was 68 years (range 28-76 years) and 8 (61.5%) were female. Five patients had rheumatoid arthritis, three had systemic vasculitis, two had Sjögren syndrome, and two had systemic lupus erythematosus. Additionally, seven patients (53.8%) had pulmonary involvement secondary to RMD. Eight patients (61.5%) developed severe disease leading to hospitalization, and seven developed bilateral pneumonia and respiratory insufficiency. Of the eight hospitalized patients, five (62.5%) fulfilled the acute respiratory distress syndrome criteria and three developed a critical disease and died. Our cohort had a high rate of severe disease requiring hospitalization (61.5%), with bilateral pneumonia and hyperinflammation leading to a high mortality rate (23.1%). Treatment with rituximab should be considered a possible risk factor for unfavorable outcomes in COVID-19 patients with RMD. However, further study is required to confirm this association.

Indexed as

AdultAgedArthritis, RheumatoidBetacoronavirusContraindications, DrugCoronavirus InfectionsCOVID-19FemaleHumansImmunologic FactorsLupus Erythematosus, SystemicMaleMiddle AgedPandemicsPneumonia, ViralRetrospective StudiesImmunologic FactorsRituximabCOVID-19Rheumatic diseasesRituximabSARS-CoV-2

Identifiers

PMID32945944
PMCPMC7499013
OpenAlexW3087755275

What OpenQuestion holds

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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.