Evidence map›Paper›PMID 33142843›Full record

ArticleJournal of clinical medicine2020

Patients with Inflammatory Bowel Disease Are Not at Increased Risk of COVID-19: A Large Multinational Cohort Study.

Mariangela Allocca, María Chaparro, Haidee Aleman Gonzalez, Marta Maia Bosca-Watts, Carolina Palmela, Ferdinando D'Amico, Eirini Zacharopoulou, Uri Kopylov, Pierre Ellul, Giorgos Bamias and 14 more

Open access · goldAbstract read
In one paragraph

Article in Journal of clinical medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 2 pooled it
0.8field-weighted citation impact, top 16% 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

22 citing papers in PubMed, 2 syntheses or guidelines pooled it, 34 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Review
  5. Article
  6. COVID-19 and Inflammatory Bowel Disease.Gastroenterology clinics of North America · 2023
    Review
  7. Article
  8. The Impact of Inflammatory Bowel Diseases and Related Medications on COVID-19 Severity and Outcome: A Tertiary Referral Center Experience from Turkey.The Turkish journal of gastroenterology : the official journal of Turkish Society of Gastroenterology · 2022
    Article
  9. Clinical Features and Outcomes of Coronavirus Disease 2019 in Patients with Inflammatory Bowel Disease and Spondyloarthropathies.The Turkish journal of gastroenterology : the official journal of Turkish Society of Gastroenterology · 2022
    Article
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  11. Review
  12. Article
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  15. Article
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  17. Observational
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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

24 authors at 12 institutions in 9 countries.

Mariangela AlloccaHumanitas Clinical and Research Center-IRCCS-, via Manzoni 56, 20089 Rozzano, Milan, Italy.
María ChaparroGastroenterology Unit, Hospital Universitario de La Princesa, Instituto de Investigación Sanitaria Princesa (IIS-IP), Universidad Autónoma de Madrid, Centro de Investigación Biomédica en Red de Enfermedades Hepáticas y Digestivas (CIBEREHD), 28001 Madrid, Spain.
Haidee Aleman GonzalezIBD Unit, Hull University Hospitals NHS Trust, Hull HU1, UK.
Marta Maia Bosca-WattsIBD Unit, Digestive Disease Department, University of Valencia, University Clinic Hospital of Valencia, 46010 València, Spain.
Carolina PalmelaDivision of Gastroenterology, Hospital Beatriz Ângelo, 2620 Loures, Portugal.
Ferdinando D'AmicoDepartment of Biomedical Sciences, Humanitas University, Via Rita Levi Montalcini 4, 20090 Pieve Emanuele, Milan, Italy.
Eirini ZacharopoulouHumanitas Clinical and Research Center-IRCCS-, via Manzoni 56, 20089 Rozzano, Milan, Italy.ORCID 0000-0001-8154-0444
Uri KopylovDepartment of Gastroenterology, Sheba Medical Center, Ramat Gan and Sackler School of Medicine, Tel Aviv University, Jaffa 59623, Israel.
Pierre EllulDivision of Gastroenterology, Mater Dei Hospital, MT-34 Msida, Malta.
Giorgos BamiasGI-Unit, 3rd Academic Department of Internal Medicine, Sotiria Hospital, Medical School, National and Kapodistrian University of Athens, 210 Athens, Greece.
Vassilios NtelisG.Gennimatas General Hospital, 210 Athens, Greece.
Adi LahatDepartment of Gastroenterology, Sheba Medical Center, Ramat Gan and Sackler School of Medicine, Tel Aviv University, Jaffa 59623, Israel.
Gerassimos J MantzarisDepartment of Gastroenterology, GHA Evaggelismos-Ophthalmiatreion Athinon-Polykliniki, 210 Athens, Greece.
Ioannis Papaconstantinou2nd Academic Department of Surgery, Aretaieion Hospital, Medical School, National and Kapodistrian University of Athens, 210 Athens, Greece.ORCID 0000-0002-4614-9041
Konstantinos KatsanosDivision of Gastroenterology, University Hospital and University of Ioannina, 440 Ioannina, Greece.
Yulia UspenskayaMedical Center "Ne Bolit" LTT, Leninsky Prospect, 66 Moscow, Russia.
Dimitrios ChristodoulouDivision of Gastroenterology, University Hospital and University of Ioannina, 440 Ioannina, Greece.ORCID 0000-0001-9694-1160
Shomron Ben HorinDepartment of Gastroenterology, Sheba Medical Center, Ramat Gan and Sackler School of Medicine, Tel Aviv University, Jaffa 59623, Israel.
Laurent Peyrin-BirouletDepartment of Gastroenterology, Inserm U1256 NGERE, Nancy University Hospital, Lorraine University, 54500 Vandoeuvre-les-Nancy, France.
Joanna TorresDivision of Gastroenterology, Hospital Beatriz Ângelo, 2620 Loures, Portugal.ORCID 0000-0003-2895-5821
Shaji SebastianIBD Unit, Hull University Hospitals NHS Trust, Hull HU1, UK.
Javier P GisbertGastroenterology Unit, Hospital Universitario de La Princesa, Instituto de Investigación Sanitaria Princesa (IIS-IP), Universidad Autónoma de Madrid, Centro de Investigación Biomédica en Red de Enfermedades Hepáticas y Digestivas (CIBEREHD), 28001 Madrid, Spain.ORCID 0000-0003-2090-3445
Silvio DaneseHumanitas Clinical and Research Center-IRCCS-, via Manzoni 56, 20089 Rozzano, Milan, Italy.
Gionata FiorinoDepartment of Biomedical Sciences, Humanitas University, Via Rita Levi Montalcini 4, 20090 Pieve Emanuele, Milan, Italy.ORCID 0000-0001-5623-2968
Humanitas University · ITTel Aviv University · ILHospital Beatriz Ângelo · PTHospital Universitario de La Princesa · ESNational and Kapodistrian University of Athens · GRUniversity of Hull · GBUniversity of Ioannina · GRGeneral Hospital of Athens G. Genimatas · GRInserm · FRMater Dei Hospital · MTNational University of Science and Technology · RUUniversitat de València · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The impact of COVID-19 on inflammatory bowel disease (IBD) patients under pharmacological immunosuppression is still not clearly understood. We investigated the incidence of COVID-19 and the impact of immunosuppression and containment measures on the risk of SARS-CoV-2 infection in a large IBD cohort, from a multicenter cohort from 21st of February to 30th of June, 2020. Ninety-seven patients with IBD (43 UC, 53 CD, one unclassified IBD) and concomitant COVID-19 over a total of 23,879 patients with IBD were enrolled in the study. The cumulative incidence of SARS-CoV-2 infection in patients with IBD vs. the general population was 0.406% and 0.402% cases, respectively. Twenty-three patients (24%) were hospitalized, 21 (22%) had pneumonia, four (4%) were admitted to the Intensive Care Unit, and one patient died. Lethality in our cohort was 1% compared to 9% in the general population. At multivariable analysis, age > 65 years was associated with increased risk of pneumonia and hospitalization (OR 11.6, 95% CI 2.18-62.60; OR 5.1, 95% CI 1.10-23.86, respectively), treatment with corticosteroids increased the risk of hospitalization (OR 7.6, 95% CI 1.48-40.05), whereas monoclonal antibodies were associated with reduced risk of pneumonia and hospitalization (OR 0.1, 95% CI 0.04-0.52; OR 0.3, 95% CI 0.10-0.90, respectively). The risk of COVID-19 in patients with IBD is similar to the general population. National lockdown was effective in preventing infection in our cohort. Advanced age and treatment with corticosteroids impacted negatively on the outcome of COVID-19, whereas monoclonal antibodies did not seem to have a detrimental effect.

Indexed as

COVID-19drugsimmunosuppressioninflammatory bowel disease

Identifiers

PMID33142843
PMCPMC7693947
OpenAlexW3097365855

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.