Evidence map›Paper›PMID 33029203›Full record

ArticleTherapeutic advances in musculoskeletal disease2020

Impact of COVID-19 outbreak in an Italian cohort of patients with systemic sclerosis.

Nicoletta Del Papa, Gianluca Sambataro, Antonina Minniti, Wanda Maglione, Francesca Pignataro, Antonella Caminati, Sergio Harari, Domenico Sambataro, Claudio Vitali, Roberto Felice Caporali

Open access · goldAbstract read
In one paragraph

Article in Therapeutic advances in musculoskeletal disease, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
2.2field-weighted citation impact, top 12% 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

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 16 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. [The impact of COVID-19 in a cohort of patients with systemic sclerosis].Revista medica del Instituto Mexicano del Seguro Social · 2023
    Article
  6. Review
  7. Systemic sclerosis in the time of COVID-19.The Lancet. Rheumatology · 2022
    Review
  8. Article
  9. Review
  10. Article
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

10 authors at 4 institutions in 1 country.

Nicoletta Del PapaDepartment of Rheumatology, G. Pini Hospital, Via Pini, Milano 9 - 20122, Italy.ORCID https://orcid.org/0000-0003-1549-8852
Gianluca SambataroDepartment of Clinical and Experimental Medicine, University of Catania, Regional Referral Centre for Rare Lung Disease, Catania, Italy.
Antonina MinnitiDepartment of Rheumatology, G. Pini Hospital, Milan, Italy.
Wanda MaglioneDepartment of Rheumatology, G. Pini Hospital, Milan, Italy.
Francesca PignataroDepartment of Rheumatology, G. Pini Hospital, Milan, Italy.
Antonella CaminatiDepartment of Medical Sciences, San Giuseppe Hospital MultiMedica IRCCS, and Department of Clinical Sciences and Community Health, Università degli Studi di Milano, Milan, Italy.
Sergio HarariDepartment of Medical Sciences, San Giuseppe Hospital MultiMedica IRCCS, and Department of Clinical Sciences and Community Health, Università degli Studi di Milano, Milan, Italy.
Domenico SambataroDepartment of Clinical and Experimental Medicine, University of Catania, Regional Referral Centre for Rare Lung Disease, Catania, Italy.
Claudio Vitali'Mater Domini' Humanitas Hospital, Rheumatology Outpatient Clinics, Castellanza, Italy.
Roberto Felice CaporaliDepartment of Rheumatology, G. Pini Hospital, Milan, Italy Department of Clinical Sciences and Community Health and Research Center for Pediatric and Adult Rheumatic Diseases (RECAP.RD), University of Milan, Milan, Italy.
Istituto Ortopedico Gaetano Pini · ITUniversity of Milan · ITUniversity of Catania · ITHumanitas Mater Domini · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMortality rate in patients infected by severe acute respiratory syndrome-coronavirus-2 (SARS-CoV-2) can be related to the presence of comorbidities like diabetes, cardiovascular and pulmonary diseases. On the contrary, few data exist on the impact of CoronaVirus Disease 2019 (COVID-19) on patients with rheumatic disorders, namely in those having pulmonary involvement and treated with immunosuppressive agents. The present survey is aimed at knowing the impact of COVID-19 in a cohort of patients with systemic sclerosis (SSc).

methodsTelephone interviews were carried out during the COVID-19 outbreak in patients with SSc followed in a Rheumatic Disease Unit in Italy. Patients were asked for confirmed SARS-CoV-2 infection, symptoms suggestive of COVID-19, and modification of their therapy.

resultsA total number of 526 patients with SSc were contacted and interviewed. Of them, 270 and 256 had limited cutaneous and diffuse cutaneous SSc, respectively. Interstitial lung disease (ILD) was present in 45% of patients and most of them (68.2%) were treated with immunosuppressive therapy. Only two patients were hospitalized for COVID-19-related pneumonia, and one of them died despite invasive ventilator support. An additional 11 patients reported flu-like symptoms compatible with a mild form of COVID-19. Nobody modified the therapy during the COVID-19 outbreak.

conclusionDespite the large prevalence of ILD and immunosuppressive therapies, which can be considered risk factors for the occurrence and severity of incidental viral infections, the impact of COVID-19, in terms of mortality rate and morbidity, does not appear particularly severe in this large cohort of patients with SSc. Possible mechanisms influencing this figure are discussed.

Indexed as

coronavirusinterstitial lung diseasemortalityoutbreakSARS 2systemic sclerosisviral infection

Identifiers

PMID33029203
PMCPMC7522815
OpenAlexW3089135696

What OpenQuestion holds

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LicenceCC BY-NC
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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.