Evidence map›Paper›PMID 33075408›Full record

Trial reportThe Journal of allergy and clinical immunology2021

Factors associated with adverse COVID-19 outcomes in patients with psoriasis-insights from a global registry-based study.

Satveer K Mahil, Nick Dand, Kayleigh J Mason, Zenas Z N Yiu, Teresa Tsakok, Freya Meynell, Bola Coker, Helen McAteer, Lucy Moorhead, Teena Mackenzie and 27 more

Open access · bronzeAbstract readClinical TrialMulticenter Study
In one paragraph

Trial report in The Journal of allergy and clinical immunology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 88 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
88citing papers in PubMed, 5 pooled it
11.3field-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.

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

88 citing papers in PubMed, 5 syntheses or guidelines pooled it, 158 citations in OpenAlex.

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  17. Clinical presentation and pulmonary function tests in post-acute COVID-19 patients.Biomedical papers of the Medical Faculty of the University Palacky, Olomouc, Czechoslovakia · 2023
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28 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

37 authors at 20 institutions in 9 countries.

Satveer K MahilSt John's Institute of Dermatology, Guy's and St Thomas' NHS Foundation Trust and King's College London, London, United Kingdom.
Nick DandDepartment of Medical and Molecular Genetics, School of Basic and Medical Biosciences, Faculty of Life Sciences and Medicine, King's College London, London, United Kingdom; Health Data Research UK, London, United Kingdom.
Kayleigh J MasonDermatology Centre, Salford Royal NHS Foundation Trust, The University of Manchester, Manchester Academic Health Science Centre, National Institute for Health Research Manchester Biomedical Research Centre, Manchester, United Kingdom.
Zenas Z N YiuDermatology Centre, Salford Royal NHS Foundation Trust, The University of Manchester, Manchester Academic Health Science Centre, National Institute for Health Research Manchester Biomedical Research Centre, Manchester, United Kingdom.
Teresa TsakokSt John's Institute of Dermatology, Guy's and St Thomas' NHS Foundation Trust and King's College London, London, United Kingdom.
Freya MeynellSt John's Institute of Dermatology, Guy's and St Thomas' NHS Foundation Trust and King's College London, London, United Kingdom.
Bola CokerNational Institute for Health Research Biomedical Research Centre at Guy's and St Thomas' NHS Foundation Trust, London, United Kingdom.
Helen McAteerThe Psoriasis Association, Northampton, United Kingdom.
Lucy MoorheadSt John's Institute of Dermatology, Guy's and St Thomas' NHS Foundation Trust and King's College London, London, United Kingdom.
Teena MackenzieDermatology Department, Churchill Hospital, Oxford, United Kingdom.
Maria Teresa RossiDermatology Department, Spedali Civili Hospital, Brescia, Italy.
Raquel RiveraDermatology Department, Hospital Universitario 12 de Octubre, Universidad Complutense de Madrid, Madrid, Spain.
Emmanuel MaheDepartment of Dermatology, Hôpital Victor Dupouy, Argenteuil, France; Groupe de recherche sur le psoriasis (GrPso) de la Société Française de Dermatologie, Paris, France.
Andrea CarugnoDermatology Unit, ASST Papa Giovanni XXIII Hospital, Bergamo, Italy.
Michela MagnanoDermatology Unit, Santa Chiara Hospital, Trento, Italy.
Giulia RechDermatology Unit, Santa Chiara Hospital, Trento, Italy.
Esther A BaloghCenter for Dermatology Research, Department of Dermatology, Wake Forest School of Medicine, Winston-Salem, NC.
Steven R FeldmanCenter for Dermatology Research, Department of Dermatology, Wake Forest School of Medicine, Winston-Salem, NC.
Claudia De La CruzClinica Dermacross, Santiago, Chile.
Siew Eng ChoonJeffrey Cheah School Of Medicine and Health Sciences, Monash University, Subang Jaya, Selangor.
Luigi NaldiCentro Studi GISED, Bergamo, Italy.
Jo LambertDepartment of Dermatology, Ghent University, Ghent, Belgium.
Phyllis SpulsDepartment of Dermatology, Amsterdam Public Health/Infection and Immunology, Amsterdam University Medical Centers, Location AMC, Amsterdam, The Netherlands.
Denis JullienGroupe de recherche sur le psoriasis (GrPso) de la Société Française de Dermatologie, Paris, France; Department of Dermatology, Edouard Herriot Hospital, Hospices Civils de Lyon, Lyon, France.
Hervé BachelezDepartment of Dermatology, AP-HP Hôpital Saint-Louis, Paris, France; INSERM U1163, Imagine Institute for Human Genetic Diseases, Université de Paris, Paris, France.
Devon E McMahonHarvard Medical School, Boston, Mass.
Esther E FreemanDepartment of Dermatology, Massachusetts General Hospital, Harvard Medical School, Boston, Mass.
Paolo GisondiSection of Dermatology and Venereology, University of Verona, Verona, Italy.
Luis PuigDepartment of Dermatology, Hospital de la Santa Creu i Sant Pau, Universitat Autònoma de Barcelona, Barcelona, Spain.
Richard B WarrenDermatology Centre, Salford Royal NHS Foundation Trust, The University of Manchester, Manchester Academic Health Science Centre, National Institute for Health Research Manchester Biomedical Research Centre, Manchester, United Kingdom.
Paola Di MeglioSt. John's Institute of Dermatology, School of Basic & Medical Biosciences, Faculty of Life Sciences & Medicine, King's College London, London, United Kingdom.
Sinéad M LanganSt John's Institute of Dermatology, Guy's and St Thomas' NHS Foundation Trust and King's College London, London, United Kingdom; Faculty of Epidemiology, and Population Health, London School of Hygiene and Tropical Medicine, London, United Kingdom.
Francesca CaponDepartment of Medical and Molecular Genetics, School of Basic and Medical Biosciences, Faculty of Life Sciences and Medicine, King's College London, London, United Kingdom.
Christopher E M GriffithsDermatology Centre, Salford Royal NHS Foundation Trust, The University of Manchester, Manchester Academic Health Science Centre, National Institute for Health Research Manchester Biomedical Research Centre, Manchester, United Kingdom.
Jonathan N BarkerSt. John's Institute of Dermatology, School of Basic & Medical Biosciences, Faculty of Life Sciences & Medicine, King's College London, London, United Kingdom.
Catherine H SmithSt John's Institute of Dermatology, Guy's and St Thomas' NHS Foundation Trust and King's College London, London, United Kingdom. Electronic address: catherine.smith@kcl.ac.uk.
PsoProtect study group
King's College London · GBGuy's and St Thomas' NHS Foundation Trust · GBGroupe de Recherche sur le Psoriasis · FRHarvard University · USOspedale Santa Chiara · ITUniversity of Manchester · GBWake Forest University · USAmsterdam University Medical Centers · NLAzienda Socio Sanitaria Territoriale degli Spedali Civili di Brescia · ITCentre Hospitalier Victor Dupouy · FRCentro Studi GISED · ITChurchill Hospital · GBDermacross · CLGhent University Hospital · BEHealth Data Research UK · GBHôpital Saint-Louis · FRHospital de Sant Pau · ESInstitut des Maladies Génétiques Imagine · FRLondon School of Hygiene & Tropical Medicine · GBManchester Academic Health Science Centre · GB

Funding

Medical Research Council MR/S003126/1Medical Research Council MR/T02383X/1Wellcome Trust 205039/Z/16/Z
6 · The paper itself

Abstract

backgroundThe multimorbid burden and use of systemic immunosuppressants in people with psoriasis may confer greater risk of adverse outcomes of coronavirus disease 2019 (COVID-19), but the data are limited.

objectiveOur aim was to characterize the course of COVID-19 in patients with psoriasis and identify factors associated with hospitalization.

methodsClinicians reported patients with psoriasis with confirmed/suspected COVID-19 via an international registry, Psoriasis Patient Registry for Outcomes, Therapy and Epidemiology of COVID-19 Infection. Multiple logistic regression was used to assess the association between clinical and/or demographic characteristics and hospitalization. A separate patient-facing registry characterized risk-mitigating behaviors.

resultsOf 374 clinician-reported patients from 25 countries, 71% were receiving a biologic, 18% were receiving a nonbiologic, and 10% were not receiving any systemic treatment for psoriasis. In all, 348 patients (93%) were fully recovered from COVID-19, 77 (21%) were hospitalized, and 9 (2%) died. Increased hospitalization risk was associated with older age (multivariable-adjusted odds ratio [OR] = 1.59 per 10 years; 95% CI = 1.19-2.13), male sex (OR = 2.51; 95% CI = 1.23-5.12), nonwhite ethnicity (OR = 3.15; 95% CI = 1.24-8.03), and comorbid chronic lung disease (OR = 3.87; 95% CI = 1.52-9.83). Hospitalization was more frequent in patients using nonbiologic systemic therapy than in those using biologics (OR = 2.84; 95% CI = 1.31-6.18). No significant differences were found between classes of biologics. Independent patient-reported data (n = 1626 across 48 countries) suggested lower levels of social isolation in individuals receiving nonbiologic systemic therapy than in those receiving biologics (OR = 0.68; 95% CI = 0.50-0.94).

conclusionIn this international case series of patients with moderate-to-severe psoriasis, biologic use was associated with lower risk of COVID-19-related hospitalization than with use of nonbiologic systemic therapies; however, further investigation is warranted on account of potential selection bias and unmeasured confounding. Established risk factors (being older, being male, being of nonwhite ethnicity, and having comorbidities) were associated with higher hospitalization rates.

Indexed as

COVID-19HospitalizationPsoriasisRegistriesSARS-CoV-2AdultAge FactorsFemaleHumansMaleMiddle AgedRisk FactorsSex FactorsbiologicsCOVID-19hospitalizationimmunosuppressantspsoriasisrisk factors

Identifiers

PMID33075408
PMCPMC7566694
OpenAlexW3093149116

What OpenQuestion holds

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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.