Evidence map›Paper›PMID 34493645›Full record

ArticleRMD open2021

Early experience of COVID-19 vaccination in adults with systemic rheumatic diseases: results from the COVID-19 Global Rheumatology Alliance Vaccine Survey.

Sebastian Eduardo Sattui, Jean W Liew, Kevin Kennedy, Emily Sirotich, Michael Putman, Tarin T Moni, Akpabio Akpabio, Deshiré Alpízar-Rodríguez, Francis Berenbaum, Inita Bulina and 40 more

Open access · goldAbstract read
In one paragraph

Article in RMD open, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 85 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
85citing papers in PubMed, 3 pooled it
33.7field-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

85 citing papers in PubMed, 3 syntheses or guidelines pooled it, 169 citations in OpenAlex.

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25 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

50 authors at 20 institutions in 15 countries.

Sebastian Eduardo Sattui *Division of Rheumatology, Hospital for Special Surgery, New York, New York, USA.ORCID 0000-0002-3945-6828
Jean W Liew *Section of Rheumatology, Boston University School of Medicine, Boston, Massachusetts, USA.
Kevin KennedyHealth Research Methods, Evidence, and Impact, McMaster University, Hamilton, Ontario, Canada.ORCID 0000-0001-8230-091X
Emily SirotichMedicine, McMaster University, Hamilton, Ontario, Canada.ORCID 0000-0002-7087-8543
Michael PutmanDepartment of Medicine, Medical College of Wisconsin, Milwaukee, Wisconsin, USA.
Tarin T MoniDepartment of Biochemistry & Biomedical Sciences, McMaster University Faculty of Science, Hamilton, Ontario, Canada.
Akpabio AkpabioRheumatology, Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield, UK.ORCID 0000-0002-4920-6494
Deshiré Alpízar-RodríguezResearch Unit, Mexican College of Rheumatology, Coyoacan, Ciudad de México, Mexico.ORCID 0000-0002-6930-0517
Francis BerenbaumRheumatology, Sorbonne Université, Paris, France.ORCID 0000-0001-8252-7815
Inita BulinaDepartment of Internal Diseases, Rheumatology Centre, Paul Stradins Clinical University Hospital, Riga, Latvia.
Richard ConwayRheumatology, Saint James's Hospital, Dublin, Ireland.ORCID 0000-0003-2538-3362
Aman Dev SinghCommunity Medicine, GMC Patiala, Punjab, India.
Eimear DuffDepartment of Rheumatology, Saint James's Hospital, Dublin, Ireland.
Karen L DurrantAutoinflammatory Alliance, San Francisco, California, USA.
Tamer A GheitaRheumatology and Clinical Immunology, Faculty of Medicine, Cairo University, Cairo, Egypt.
Catherine L HillRheumatology Department, The Queen Elizabeth Hospital, Adelaide, South Australia, Australia.
Richard A HowardSpondylitis Association of America, Van Nuys, California, USA.
Bimba F HoyerMedical Department I, Department for Rheumatology and Clinical Immunology, University Hospital Schleswig-Holstein Campus Kiel, Kiel, Schleswig-Holstein, Germany.
Evelyn HsiehSection of Rheumatology, Allergy & Immunology, Yale School of Medicine, New Haven, Connecticut, USA.
Lina El KibbiRheumatology, Specialized Medical Center Hospital, Riyadh, Saudi Arabia.
Adam KilianDepartment of Internal Medicine, Division of Rheumatology, Saint Louis University, Saint Louis, Missouri, USA.
Alfred Hyoungju KimMedicine/Rheumatology, Washington University in Saint Louis School of Medicine, Saint Louis, Missouri, USA.ORCID 0000-0003-4074-0516
David F L LiewRheumatology, Austin Health, Heidelberg West, Victoria, Australia.
Chieh LoI-Shou University College of Medicine, Yanchau Sheng, Taiwan.
Bruce MillerMedicine, University of California San Diego, La Jolla, California, USA.
Serena MingollaItalian National Patient Association for Rehumatoid and Rare Disease (APMARR), Rome, Italy.
Michal NudelThe Israeli Association for RMD Patients "Mifrakim Tz'eirim", Haifa, Israel.
Candace A PalmerleeRelapsing Polychondritis Foundation, International Relapsing Polychondritis Research Network, Walnut Creek, California, USA.
Jasvinder A SinghDepartment of Medicine, University of Alabama at Birmingham, Birmingham, Alabama, USA.ORCID 0000-0003-3485-0006
Namrata SinghMedicine, Division of Rheumatology, University of Washington, Seattle, Washington, USA.
Manuel Francisco Ugarte-GilDepartment of Rheumatology, Universidad Cientifica del Sur, Lima, Peru.ORCID 0000-0003-1728-1999
John WallaceAutoinflammatory UK, Edinburgh, UK.
Kristen J YoungDivision of Rheumatology, University of Texas Southwestern Medical School, Dallas, Texas, USA.
Suleman BhanaCrystal Run Healthcare, Middletown, New York, USA.
Wendy CostelloIrish Children's Arthritis Network (iCAN), Tipperary, Ireland.
Rebecca GraingerDepartment of Medicine, Malaghan Institute of Medical Research, Wellington, New Zealand.
Pedro M MachadoMRC Centre for Neuromuscular Diseases, University College London, London, UK.ORCID 0000-0002-8411-7972
Philip C RobinsonFaculty of Medicine, The University of Queensland, Herston, Queensland, Australia.ORCID 0000-0002-3156-3418
Paul SufkaHealthpartners, St Paul, Minnesota, USA.
Zachary S WallaceClinical Epidemiology Program and Rheumatology Unit, Division of Rheumatology,Allergy, and Immunology, Massachusetts General Hospital, Boston, Massachusetts, USA.
Jinoos YazdanyMedicine/Rheumatology, University of California, San Francisco, California, USA.
Carly HarrisonLupusChat, New York, New York, USA.
Maggie LarchéDivision of Clinical Immunology and Allergy, McMaster University Department of Medicine, Hamilton, Ontario, Canada.
Mitchell LevineDepartment of Health Research Methods, Evidence and Impact (HEI), McMaster University Faculty of Health Sciences, Hamilton, Ontario, Canada.
Gary FosterDepartment of Health Research Methods, Evidence, and Impact (HEI); Medicine, McMaster University, Hamilton, Ontario, Canada.
Lehana ThabaneDepartment of Health Research Methods, Evidence and Impact (HEI), McMaster University Faculty of Health Sciences, Hamilton, Ontario, Canada.
Lisa G RiderEnvironmental Autoimmunity Group, NIEHS/NIH/DHHS, Bethesda, Maryland, USA.
Jonathan S Hausmann *Department of Medicine, Harvard Medical School, Boston, Massachusetts, USA.ORCID 0000-0003-0786-8788
Julia F Simard *Epidemiology and Population Health and Department of Medicine, Division of Immunology & Rheumatology, Stanford School of Medicine, Stanford, California, USA.ORCID 0000-0001-5735-9856
Jeffrey A Sparks *Department of Medicine, Harvard Medical School, Boston, Massachusetts, USA jsparks@bwh.harvard.edu.ORCID 0000-0002-5556-4618
Impact · CAMcMaster University · CASt. James's Hospital · IEAustin Health · AUBoston Children's Hospital · USBoston University · USBrigham and Women's Hospital · USCairo University · EGCrystal Run Healthcare · USGovernment Medical College · INHarvard University · USHealthPartners · USHospital for Special Surgery · USI-Shou University · TWItalian Association for Cancer Research · ITLupusChat · USMalaghan Institute of Medical Research · NZMedical College of Wisconsin · USPauls Stradiņš Clinical University Hospital · LVQueen Elizabeth Hospital · AU

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
Environmental/genetic Risk Factors and Pathogenesis of Autoimmune DiseaseZIAES101074 · NIEHS · NATIONAL INSTITUTE OF ENVIRONMENTAL HEALTH SCIENCES · PI RIDER, LISA · 2009 to 2025
$34.6M
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
Can hydroxychloroquine prevent preeclampsia and preterm delivery in lupus pregnancy?R01AR077103 · NIAMS · STANFORD UNIVERSITY · PI SIMARD, JULIA F · 2020 to 2024
$2.4M
Implicit Bias in the Evidence: An Evaluation of Female-Predominant DiseaseR01AI154533 · NIAID · STANFORD UNIVERSITY · PI SIMARD, JULIA F · 2020 to 2023
$2.1M
Intramural NIH HHS ZIA ES101074NCATS NIH HHS UL1 TR001863NIAID NIH HHS R01 AI154533NIAMS NIH HHS P30 AR070155NIAMS NIH HHS R01 AR077103
6 · The paper itself

Abstract

backgroundWe describe the early experiences of adults with systemic rheumatic disease who received the COVID-19 vaccine.

methodsFrom 2 April to 30 April 2021, we conducted an online, international survey of adults with systemic rheumatic disease who received COVID-19 vaccination. We collected patient-reported data on clinician communication, beliefs and intent about discontinuing disease-modifying antirheumatic drugs (DMARDs) around the time of vaccination, and patient-reported adverse events after vaccination.

resultsWe analysed 2860 adults with systemic rheumatic diseases who received COVID-19 vaccination (mean age 55.3 years, 86.7% female, 86.3% white). Types of COVID-19 vaccines were Pfizer-BioNTech (53.2%), Oxford/AstraZeneca (22.6%), Moderna (21.3%), Janssen/Johnson & Johnson (1.7%) and others (1.2%). The most common rheumatic disease was rheumatoid arthritis (42.3%), and 81.2% of respondents were on a DMARD. The majority (81.9%) reported communicating with clinicians about vaccination. Most (66.9%) were willing to temporarily discontinue DMARDs to improve vaccine efficacy, although many (44.3%) were concerned about rheumatic disease flares. After vaccination, the most reported patient-reported adverse events were fatigue/somnolence (33.4%), headache (27.7%), muscle/joint pains (22.8%) and fever/chills (19.9%). Rheumatic disease flares that required medication changes occurred in 4.6%.

conclusionAmong adults with systemic rheumatic disease who received COVID-19 vaccination, patient-reported adverse events were typical of those reported in the general population. Most patients were willing to temporarily discontinue DMARDs to improve vaccine efficacy. The relatively low frequency of rheumatic disease flare requiring medications was reassuring.

Indexed as

COVID-19Rheumatic DiseasesRheumatologyAdultCOVID-19 VaccinesFemaleHumansMaleMiddle AgedSARS-CoV-2Surveys and QuestionnairesVaccinationCOVID-19 Vaccinesautoimmune diseasesCOVID-19vaccination

Identifiers

PMID34493645
PMCPMC8424419
OpenAlexW3196332529

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.