Evidence map›Paper›PMID 33483259›Full record

Observational studyDigestive and liver disease : official journal of the Italian Society of Gastroenterology and the Italian Association for the Study of the Liver2021

Risk of COVID 19 in patients with inflammatory bowel diseases compared to a control population.

Giovanni Maconi, Cristina Bosetti, Alberta De Monti, Ray Kiran Boyapati, Edward Shelton, Nicole Piazza, Anna Maria Carvalhas Gabrielli, Marco Vincenzo Lenti, Cristina Bezzio, Chiara Ricci and 14 more

Open access · bronzeAbstract readObservational Study
In one paragraph

Observational study in Digestive and liver disease : official journal of the Italian Society of Gastroenterology and the Italian Association for the Study of the Liver, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 3 pooled it
0.6field-weighted citation impact, top 18% 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

20 citing papers in PubMed, 3 syntheses or guidelines pooled it, 26 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Article
  5. Review
  6. Review
  7. 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
  8. Review
  9. Review
  10. 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
  11. Review
  12. Review
  13. Observational
  14. Article
  15. Article
  16. Observational
  17. Review
  18. COVID-19 and its effects on the digestive system.World journal of gastroenterology · 2021
    Review
  19. Article
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

24 authors at 11 institutions in 2 countries.

Giovanni MaconiGastroenterology Unit, ASST Fatebenefratelli Sacco, Department of Biomedical and Clinical Sciences "L.Sacco" University of Milan, Italy. Electronic address: giovanni.maconi@unimi.it.
Cristina BosettiDepartment of Oncology, Istituto di Ricerche Farmacologiche Mario Negri IRCCS, Milan, Italy.
Alberta De MontiGastroenterology Unit, ASST Fatebenefratelli Sacco, Department of Biomedical and Clinical Sciences "L.Sacco" University of Milan, Italy.
Ray Kiran BoyapatiDepartment of Gastroenterology, Monash Health. Faculty of Medicine, Nursing & Health Sciences, Monash University, Clayton, Victoria, Australia.
Edward SheltonDepartment of Gastroenterology, Monash Health. Faculty of Medicine, Nursing & Health Sciences, Monash University, Clayton, Victoria, Australia.
Nicole PiazzaGastroenterology Unit, IRCCS Policlinico San Donato, San Donato Milanese, Italy; Department of Biomedical Sciences for Health, University of Milan, Milan, Italy.
Anna Maria Carvalhas GabrielliGastroenterology Unit, ASST Fatebenefratelli Sacco, Department of Biomedical and Clinical Sciences "L.Sacco" University of Milan, Italy.
Marco Vincenzo LentiDepartment of Internal Medicine, Fondazione IRCCS Policlinico San Matteo, Università degli Studi di Pavia, Pavia, Lombardia, Italy.
Cristina BezzioGastroenterology Unit, Rho Hospital, Rho (MI), ASST Rhodense, Garbagnate Milanese, Italy.
Chiara RicciDepartment of Clinical and Experimental Sciences, University of Brescia, Brescia, Italy; Division of Gastroenterology, ASST Spedali Civili, Brescia, Italy.
Salvatore GrecoPapa Giovanni XXIII Hospital, Gastroenterology and Digestive Endoscopy Units, Bergamo, Italy.
Samanta RomeoDepartment of Gastroenterology and Endoscopy, Maggiore Hospital, ASST Crema, Crema, Italy.
Francesco GiangregorioInternal Medicine and Gastroenterology, Codogno Hospital, Italy.
Daniele GridavillaGastroenterology Unit, ASST Fatebenefratelli Sacco, Department of Biomedical and Clinical Sciences "L.Sacco" University of Milan, Italy.
Fabio TaglianiGastroenterology Unit, ASST Fatebenefratelli Sacco, Department of Biomedical and Clinical Sciences "L.Sacco" University of Milan, Italy.
Alessandro MassariGastroenterology Unit, ASST Fatebenefratelli Sacco, Department of Biomedical and Clinical Sciences "L.Sacco" University of Milan, Italy.
Luca PastorelliDepartment of Biomedical Sciences for Health, University of Milan, Milan, Italy.
Antonio Di SabatinoDepartment of Internal Medicine, Fondazione IRCCS Policlinico San Matteo, Università degli Studi di Pavia, Pavia, Lombardia, Italy.
Simone SaibeniGastroenterology Unit, Rho Hospital, Rho (MI), ASST Rhodense, Garbagnate Milanese, Italy.
Saverio AlicanteDepartment of Gastroenterology and Endoscopy, Maggiore Hospital, ASST Crema, Crema, Italy.
Francesca FerrettiGastroenterology Unit, ASST Fatebenefratelli Sacco, Department of Biomedical and Clinical Sciences "L.Sacco" University of Milan, Italy.
Giuliano RizzardiniI Division of Infectious Diseases, ASST Fatebenefratelli-Sacco, L. Sacco Hospital, Milan, Italy.
Massimo GalliIII Division of Infectious Diseases, ASST Fatebenefratelli-Sacco, Department of Biomedical and Clinical Sciences, University of Milan, Italy.
Sandro ArdizzoneGastroenterology Unit, ASST Fatebenefratelli Sacco, Department of Biomedical and Clinical Sciences "L.Sacco" University of Milan, Italy.
University of Milan · ITASST Fatebenefratelli Sacco · ITAzienda Ospedaliera Ospedale Maggiore · ITAziende Socio Sanitaria Territoriale RhodenseUniversity of Pavia · ITIRCCS Policlinico San Donato · ITMario Negri Institute for Pharmacological Research · ITMonash Health · AUMonash University · AUOspedale Papa Giovanni XXIII · ITUniversity of Brescia · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIt is unclear whether patients with inflammatory bowel disease (IBD) are at increased risk of COVID-19.

objectivesThis observational study compared the prevalence of COVID-19 symptoms, diagnosis and hospitalization in IBD patients with a control population with non-inflammatory bowel disorders.

methodsThis multicentre study, included 2733 outpatients (1397 IBD patients and 1336 controls), from eight major gastrointestinal centres in Lombardy, Italy. Patients were invited to complete a web-based questionnaire regarding demographic, historical and clinical features over the previous 6 weeks. The prevalence of COVID-19 symptoms, diagnosis and hospitalization for COVID-19 was assessed.

results1810 patients (64%) responded to the questionnaire (941 IBD patients and 869 controls). IBD patients were significantly younger and of male sex than controls. NSAID use and smoking were more frequent in controls. IBD patients were more likely treated with vitamin-D and vaccinated for influenza. Highly probable COVID-19 on the basis of symptoms and signs was less frequent in the IBD group (3.8% vs 6.3%; OR:0.45, 95%CI:0.28-0.75). IBD patients had a lower rate of nasopharyngeal swab-PCR confirmed diagnosis (0.2% vs 1.2%; OR:0.14, 95%CI:0.03-0.67). There was no difference in hospitalization between the groups (0.1% vs 0.6%; OR:0.14, 95%CI:0.02-1.17).

conclusionIBD patients do not have an increased risk of COVID-19 specific symptoms or more severe disease compared with a control group of gastroenterology patients.

Indexed as

AdultCase-Control StudiesCOVID-19FemaleGastrointestinal DiseasesHospitalizationHumansInflammatory Bowel DiseasesItalyMaleMiddle AgedPrevalenceRisk FactorsSARS-CoV-2COVID-19Inflammatory bowel diseaseSymptoms

Identifiers

PMID33483259
PMCPMC7762705
OpenAlexW3116559136

What OpenQuestion holds

Textmetadata
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.