Evidence map›Paper›PMID 33146001›Full record

ArticleArthritis & rheumatology (Hoboken, N.J.)2021

Association of Race and Ethnicity With COVID-19 Outcomes in Rheumatic Disease: Data From the COVID-19 Global Rheumatology Alliance Physician Registry.

Milena A Gianfrancesco, Liza A Leykina, Zara Izadi, Tiffany Taylor, Jeffrey A Sparks, Carly Harrison, Laura Trupin, Stephanie Rush, Gabriela Schmajuk, Patricia Katz and 18 more

Registry-linked trialOpen access · bronzeAbstract read
In one paragraph

Article in Arthritis & rheumatology (Hoboken, N.J.), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06469788 (Improving COVID-19 Vaccine Uptake Among Racial and Ethnic Minority Groups With Rheumatic Diseases), which is not on this map. Cited by 45 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
45citing papers in PubMed, 3 pooled it
2.0field-weighted citation impact, top 8% 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.

NCT06469788 narecruitingnot on this mapstarted 2024, after this paper: background citation

Improving COVID-19 Vaccine Uptake Among Racial and Ethnic Minority Groups With Rheumatic Diseases

TypeinterventionalSponsorUniversity of Alabama at BirminghamRan2024 to 2028Enrolled1,170ConditionsRheumatologic Disease, Autoimmune DiseasesArmsVideo comprised of AIRD patient narratives on COVID-19 vaccination thoughts and experiences, Video on the importance of good oral health for patients with AIRD, Brochure on COVID-19 vaccination in AIRD patients, Patient Navigation, Brochure on the importance of good oral health in AIRD patients
3 · Its place in the literature

Who cites it

45 citing papers in PubMed, 3 syntheses or guidelines pooled it, 94 citations in OpenAlex.

  1. Pooled it
  2. Guideline
  3. Guideline
  4. Trial
  5. Article
  6. Interventions to Improve COVID-19 Vaccine Hesitancy.Rheumatic diseases clinics of North America · 2025
    Review
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  12. 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

28 authors at 14 institutions in 6 countries.

Milena A GianfrancescoUniversity of California, San Francisco.ORCID 0000-0002-8351-4626
Liza A LeykinaUniversity of California, San Francisco.
Zara IzadiUniversity of California, San Francisco.ORCID 0000-0002-1867-0905
Tiffany TaylorUniversity of California San Francisco, and University of California Berkeley.
Jeffrey A SparksBrigham and Women's Hospital and Harvard Medical School, Boston, Massachusetts.ORCID 0000-0002-5556-4618
Carly HarrisonLupusChat, New York, New York.
Laura TrupinUniversity of California, San Francisco.
Stephanie RushUniversity of California, San Francisco.
Gabriela SchmajukUniversity of California and San Francisco VA Healthcare System, San Francisco.ORCID 0000-0003-2687-5043
Patricia KatzUniversity of California, San Francisco.ORCID 0000-0002-8146-2519
Lindsay JacobsohnUniversity of California, San Francisco.
Tiffany Y HsuBrigham and Women's Hospital and Harvard Medical School, Boston, Massachusetts.
Kristin M D'SilvaMassachusetts General Hospital and Harvard Medical School, Boston, Massachusetts.
Naomi Serling-BoydMassachusetts General Hospital and Harvard Medical School, Boston, Massachusetts.ORCID 0000-0002-6038-0346
Rachel WallworkMassachusetts General Hospital and Harvard Medical School, Boston, Massachusetts.
Derrick J ToddBrigham and Women's Hospital and Harvard Medical School, Boston, Massachusetts.
Suleman BhanaCrystal Run Health, Middletown, New York.
Wendy CostelloIrish Children's Arthritis Network (iCAN), Tipperary, Ireland.
Rebecca GraingerUniversity of Otago, Wellington, New Zealand.ORCID 0000-0001-9201-8678
Jonathan S HausmannBoston Children's Hospital, Beth Israel Deaconess Medical Center, and Harvard Medical School, Boston, Massachusetts.
Jean W LiewBoston University School of Medicine, Boston, Massachusetts.ORCID 0000-0002-8104-2450
Emily SirotichMcMaster University, Hamilton, Ontario, Canada, and Canadian Arthritis Patient Alliance, Toronto, Ontario, Canada.
Paul SufkaHealthpartners, St. Paul, Minnesota.
Zachary S WallaceMassachusetts General Hospital and Harvard Medical School, Boston, Massachusetts.ORCID 0000-0003-4708-7038
Pedro M MachadoUniversity College London, University College London Hospitals NHS Foundation Trust, Northwick Park Hospital, London North West University Healthcare NHS Trust, London, UK.ORCID 0000-0002-8411-7972
Philip C RobinsonUniversity of Queensland, Brisbane, Queensland, Australia, and Royal Brisbane and Women's Hospital, Metro North Hospital & Health Service, Herston, Queensland, Australia.ORCID 0000-0002-3156-3418
Jinoos YazdanyUniversity of California, San Francisco.ORCID 0000-0002-3508-4094
COVID-19 Global Rheumatology Alliance
University of California, San Francisco · USHarvard University · USBrigham and Women's Hospital · USBoston Children's Hospital · USBoston University · USCanadian Arthritis Patient Alliance · CACrystal Run Healthcare · USHealthPartners · USLupusChat · USSan Francisco VA Health Care System · USSouth Tipperary General Hospital · IEThe University of Queensland · AUUniversity College London Hospitals NHS Foundation Trust · GBUniversity of Otago · NZ

Funding

VERITY: Value and Evidence in Rheumatology using bioInformaTics, and advanced analYticsP30AR072577 · NIAMS · BRIGHAM AND WOMEN'S HOSPITAL · PI Daniel Hal Solomon · 2017 to 2026
$9.8M
Joint Biology Consortium Resource-based CenterP30AR070253 · NIAMS · BRIGHAM AND WOMEN'S HOSPITAL · PI Peter A Nigrovic, Jeffrey Andrew Sparks · 2016 to 2026
$9.4M
RESOURCE-BASED CENTER FOR THE ADVANCEMENT OF PRECISION MEDICINE IN RHEUMATOLOGYP30AR070155 · NIAMS · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI Mary C Nakamura · 2016 to 2026
$8.2M
Research Training in Rheumatology at Massachusetts General HospitalT32AR007258 · NIAMS · MASSACHUSETTS GENERAL HOSPITAL · PI ANDREW D LUSTER · 1986 to 2026
$6.9M
Advancing Quality and Outcomes Measurement in RheumatologyK24AR074534 · NIAMS · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI Jinoos Yazdany · 2019 to 2026
$1.5M
Rheumatoid Arthritis and Respiratory Outcomes in Prospective CohortsK23AR069688 · NIAMS · BRIGHAM AND WOMEN'S HOSPITAL · PI SPARKS, JEFFREY ANDREW · 2016 to 2020
$766k
Computational methods using electronic health records and registry data to detect and predict clinical outcomes in rheumatic diseaseK01AR075085 · NIAMS · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI GIANFRANCESCO, MILENA ANNE · 2019 to 2022
$458k
Respiratory Diseases, Genetics, and Rheumatoid Arthritis RiskR03AR075886 · NIAMS · BRIGHAM AND WOMEN'S HOSPITAL · PI SPARKS, JEFFREY ANDREW · 2019 to 2020
$179k
Examining the causal effect of sociodemographic and genetic factors on patient safety outcomes in individuals prescribed high-risk immunosuppressive medicationsF32AR070585 · NIAMS · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI GIANFRANCESCO, MILENA ANNE · 2017 to 2018
$125k
NIAMS NIH HHS F32 AR070585NIAMS NIH HHS K01 AR075085NIAMS NIH HHS K23 AR069688NIAMS NIH HHS K24 AR074534NIAMS NIH HHS L30 AR066953NIAMS NIH HHS P30 AR070155NIAMS NIH HHS P30 AR070253NIAMS NIH HHS P30 AR072577NIAMS NIH HHS R03 AR075886NIAMS NIH HHS T32 AR007258
6 · The paper itself

Abstract

objectiveRacial/ethnic minorities experience more severe outcomes of coronavirus disease 2019 (COVID-19) in the general US population. This study was undertaken to examine the association between race/ethnicity and COVID-19 hospitalization, ventilation status, and mortality in people with rheumatic disease.

methodsUS patients with rheumatic disease and COVID-19 were entered into the COVID-19 Global Rheumatology Alliance physician registry between March 24, 2020 and August 26, 2020 were included. Race/ethnicity was defined as White, African American, Latinx, Asian, or other/mixed race. Outcome measures included hospitalization, requirement for ventilatory support, and death. Multivariable regression models were used to estimate odds ratios (ORs) and 95% confidence intervals (95% CIs) adjusted for age, sex, smoking status, rheumatic disease diagnosis, comorbidities, medication use prior to infection, and rheumatic disease activity.

resultsA total of 1,324 patients were included, of whom 36% were hospitalized and 6% died; 26% of hospitalized patients required mechanical ventilation. In multivariable models, African American patients (OR 2.74 [95% CI 1.90-3.95]), Latinx patients (OR 1.71 [95% CI 1.18-2.49]), and Asian patients (OR 2.69 [95% CI 1.16-6.24]) had higher odds of hospitalization compared to White patients. Latinx patients also had 3-fold increased odds of requiring ventilatory support (OR 3.25 [95% CI 1.75-6.05]). No differences in mortality based on race/ethnicity were found, though power to detect associations may have been limited.

conclusionSimilar to findings in the general US population, racial/ethnic minorities with rheumatic disease and COVID-19 had increased odds of hospitalization and ventilatory support. These results illustrate significant health disparities related to COVID-19 in people with rheumatic diseases. The rheumatology community should proactively address the needs of patients currently experiencing inequitable health outcomes during the pandemic.

Indexed as

AdolescentAdultAgedCOVID-19Cross-Sectional StudiesEthnicityFemaleHospitalizationHumansMaleMiddle AgedOdds RatioRacial GroupsRegistriesRespiration, ArtificialRheumatic Diseases

Identifiers

PMID33146001
PMCPMC8467766
OpenAlexW3096223642

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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.