Evidence map›Paper›PMID 34727197›Full record

ArticleRheumatology international2022

Impact of the COVID-19 pandemic on the frequency of the pediatric rheumatic diseases.

Ummusen Kaya Akca, Erdal Atalay, Muserref Kasap Cuceoglu, Zeynep Balik, Seher Sener, Yasemin Ozsurekci, Ozge Basaran, Ezgi Deniz Batu, Yelda Bilginer, Seza Ozen

Open access · bronzeAbstract read
In one paragraph

Article in Rheumatology international, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 2 pooled it
4.2field-weighted citation impact, top 5% 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

18 citing papers in PubMed, 2 syntheses or guidelines pooled it, 33 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
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  5. New Diagnoses of Juvenile Idiopathic Arthritis Early in the COVID-19 Pandemic: Analysis of a Large United States Commercial Insurance Database.Journal of clinical rheumatology : practical reports on rheumatic & musculoskeletal diseases · 2025
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  9. Immunoglobulin A vasculitis: The clinical features and pathophysiology.The Kaohsiung journal of medical sciences · 2024
    Review
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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

10 authors at 1 institution in 1 country.

Ummusen Kaya AkcaDepartment of Pediatrics, Division of Rheumatology, Hacettepe University School of Medicine, Ankara, Turkey.ORCID 0000-0002-0426-9432
Erdal AtalayDepartment of Pediatrics, Division of Rheumatology, Hacettepe University School of Medicine, Ankara, Turkey.
Muserref Kasap CuceogluDepartment of Pediatrics, Division of Rheumatology, Hacettepe University School of Medicine, Ankara, Turkey.
Zeynep BalikDepartment of Pediatrics, Division of Rheumatology, Hacettepe University School of Medicine, Ankara, Turkey.
Seher SenerDepartment of Pediatrics, Division of Rheumatology, Hacettepe University School of Medicine, Ankara, Turkey.
Yasemin OzsurekciDepartment of Pediatric Infectious Diseases, Hacettepe University School of Medicine, Ankara, Turkey.
Ozge BasaranDepartment of Pediatrics, Division of Rheumatology, Hacettepe University School of Medicine, Ankara, Turkey.
Ezgi Deniz BatuDepartment of Pediatrics, Division of Rheumatology, Hacettepe University School of Medicine, Ankara, Turkey.
Yelda BilginerDepartment of Pediatrics, Division of Rheumatology, Hacettepe University School of Medicine, Ankara, Turkey.
Seza OzenDepartment of Pediatrics, Division of Rheumatology, Hacettepe University School of Medicine, Ankara, Turkey. sezaozen@gmail.com.ORCID 0000-0002-2389-7282
Hacettepe University · TR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The impact of the COVID-19 pandemic, and implemented restrictions on the frequency of pediatric rheumatic diseases remain unknown, while they have probably prevented common infections in children. We present the effects of the COVID-19 on our pediatric rheumatology practice in a main referral center. We retrospectively reviewed the medical records of patients presenting to pediatric rheumatology department in 4 years before March 2020 and compared it to the pandemic year (March 2020-March 2021). Since there was an overall decrease in patient numbers, we calculated the percentage according to the total number of that year. A total of 32,333 patients were evaluated. The mean annual number of patients decreased by 42% during the COVID-19 pandemic. When follow-up visits (25,156) were excluded, there were 2818 new diagnoses of rheumatic diseases. In the pre-pandemic period, familial Mediterranean fever (FMF) (n = 695, 28.1%) was the most frequent, whereas in the pandemic period multisystem inflammatory syndrome in children (MIS-C) (n = 68, 19.2%) was the most common diagnosis. There were no significant differences in the percentages of juvenile idiopathic arthritis, autoimmune diseases, rare autoinflammatory diseases, and other vasculitides. However, there was a significant decrease in patients diagnosed with FMF, IgA vasculitis (IgAV), acute rheumatic fever (ARF), classic Kawasaki disease (KD), and macrophage activation syndrome (MAS) (all p < 0.05). During the pandemic year, the percentage of most common diseases did not differ. On the other hand, we suggest that the decreases in IgAV, KD (classic), and MAS, which parallels the decrease in ARF, confirm the role of infections in the pathogenesis for these diseases.

Indexed as

COVID-19AdolescentChildChild, PreschoolFemaleHumansMalePandemicsPrevalenceRetrospective StudiesRheumatic DiseasesChildrenCoronavirus diseaseCOVID‐19Rheumatic disease

Identifiers

PMID34727197
PMCPMC8561687
OpenAlexW3208661713

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.