Evidence map›Paper›PMID 34472643›Full record

ReviewAlimentary pharmacology & therapeutics2021

Review Article: vaccination for patients with inflammatory bowel disease during the COVID-19 pandemic.

Jayne Doherty, Sean Fennessy, Roisin Stack, Neil O' Morain, Garret Cullen, Elizabeth J Ryan, Cillian De Gascun, Glen A Doherty

Open access · hybridAbstract readReview
In one paragraph

Review in Alimentary pharmacology & therapeutics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
1.8field-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

11 citing papers in PubMed, 1 synthesis or guideline pooled it, 30 citations in OpenAlex.

  1. Safety of SARS-CoV-2 vaccination in patients with inflammatory bowel disease: A systematic review and meta-analysis.Digestive and liver disease : official journal of the Italian Society of Gastroenterology and the Italian Association for the Study of the Liver · 2022
    Pooled it
  2. Review
  3. Article
  4. Article
  5. Review
  6. Article
  7. COVID-19 induces gastrointestinal symptoms and affects patients' prognosis.The Journal of international medical research · 2022
    Review
  8. Article
  9. Article
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  11. Review
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

8 authors at 2 institutions in 1 country.

Jayne DohertyCentre for Colorectal Disease, St. Vincent's University Hospital & School of Medicine, University College Dublin, Dublin, Ireland.ORCID 0000-0002-1599-1447
Sean FennessyCentre for Colorectal Disease, St. Vincent's University Hospital & School of Medicine, University College Dublin, Dublin, Ireland.
Roisin StackCentre for Colorectal Disease, St. Vincent's University Hospital & School of Medicine, University College Dublin, Dublin, Ireland.
Neil O' MorainCentre for Colorectal Disease, St. Vincent's University Hospital & School of Medicine, University College Dublin, Dublin, Ireland.ORCID 0000-0003-2542-9455
Garret CullenCentre for Colorectal Disease, St. Vincent's University Hospital & School of Medicine, University College Dublin, Dublin, Ireland.
Elizabeth J RyanDepartment of Biological Sciences, Health Research Institute, University of Limerick, Limerick, Ireland.
Cillian De GascunNational Virus Reference Laboratory, University College Dublin, Dublin, Ireland.
Glen A DohertyCentre for Colorectal Disease, St. Vincent's University Hospital & School of Medicine, University College Dublin, Dublin, Ireland.
University College Dublin · IEUniversity of Limerick · IE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPoor immune responses are frequently observed in patients with inflammatory bowel disease (IBD) receiving established vaccines; risk factors include immunosuppressants and active disease.

aimsTo summarise available information regarding immune responses achieved in patients with IBD receiving established vaccines. Using this information, to identify risk factors in the IBD population related to poor vaccine-induced immunity that may be applicable to vaccines against COVID-19.

methodsWe undertook a literature review on immunity to currently recommended vaccines for patients with IBD and to COVID-19 vaccines and summarised the relevant literature.

resultsPatients with IBD have reduced immune responses following vaccination compared to the general population. Factors including the use of immunomodulators and anti-TNF agents reduce response rates. Patients with IBD should be vaccinated against COVID-19 at the earliest opportunity as recommended by International Advisory Committees, and vaccination should not be deferred because a patient is receiving immune-modifying therapies. Antibody titres to COVID-19 vaccines appear to be reduced in patients receiving anti-TNF therapy, especially in combination with immunomodulators after one vaccination. Therefore, we should optimise any established risk factors that could impact response to vaccination in patients with IBD before vaccination.

conclusionsIdeally, patients with IBD should be vaccinated at the earliest opportunity against COVID-19. Patients should be in remission and, if possible, have their corticosteroid dose minimised before vaccination. Further research is required to determine the impact of different biologics on vaccine response to COVID-19 and the potential for booster vaccines or heterologous prime-boost vaccinations in the IBD population.

Indexed as

COVID-19Inflammatory Bowel DiseasesCOVID-19 VaccinesHumansPandemicsSARS-CoV-2Tumor Necrosis Factor InhibitorsVaccinationCOVID-19 VaccinesTumor Necrosis Factor Inhibitors

Identifiers

PMID34472643
PMCPMC8653045
OpenAlexW3198593273

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.