Evidence map›Paper›PMID 34807517›Full record

SynthesisArthritis & rheumatology (Hoboken, N.J.)2022

SARS-CoV-2 Infection and COVID-19 Outcomes in Rheumatic Diseases: A Systematic Literature Review and Meta-Analysis.

Richard Conway, Alyssa A Grimshaw, Maximilian F Konig, Michael Putman, Alí Duarte-García, Leslie Yingzhijie Tseng, Diego M Cabrera, Yu Pei Eugenia Chock, Huseyin Berk Degirmenci, Eimear Duff and 29 more

Open access · hybridAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Arthritis & rheumatology (Hoboken, N.J.), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 86 papers.

0numbers the graph read from it
0cells of the map it votes in
86citing papers in PubMed
28.1field-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

86 citing papers in PubMed, 180 citations in OpenAlex.

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26 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

39 authors at 20 institutions in 9 countries.

Richard ConwaySt. James's Hospital and Trinity College, Dublin, Ireland.ORCID 0000-0003-2538-3362
Alyssa A GrimshawYale University, New Haven, Connecticut.ORCID 0000-0003-3985-0056
Maximilian F KonigThe Johns Hopkins University School of Medicine, Baltimore, Maryland.ORCID 0000-0001-5045-5255
Michael PutmanThe Medical College of Wisconsin, Milwaukee.ORCID 0000-0001-9699-4000
Alí Duarte-GarcíaMayo Clinic, Rochester, Minnesota.ORCID 0000-0003-1749-5719
Leslie Yingzhijie TsengYale School of Medicine, New Haven, Connecticut.
Diego M CabreraYale School of Medicine, New Haven, Connecticut.ORCID 0000-0002-3987-9433
Yu Pei Eugenia ChockYale School of Medicine, New Haven, Connecticut.
Huseyin Berk DegirmenciTufts University School of Medicine, Boston, Massachusetts.
Eimear DuffSt. James's Hospital, Dublin, Ireland.
Bugra Han EgeliBoston University School of Medicine, Boston, Massachusetts and University of Southern California, Los Angeles.
Elizabeth R GraefBoston University School of Medicine, Boston, Massachusetts.ORCID 0000-0001-5973-3477
Akash GuptaYale School of Medicine, New Haven, Connecticut.
Patricia HarkinsSt. James's Hospital, Dublin, Ireland.
Bimba F HoyerUniversity Hospital Schleswig-Holstein, Campus Kiel, Germany.ORCID 0000-0002-5252-1719
Arundathi JayatillekeTemple University, Philadelphia, Pennsylvania.ORCID 0000-0003-0875-4280
Shangyi JinChinese Academy of Medical Sciences and Peking Union Medical College and National Clinical Research Center for Dermatologic and Immunologic Diseases, Beijing, China.
Christopher KasiaThe Medical College of Wisconsin, Milwaukee.
Aneka KhilnaniGeorge Washington University School of Medicine and Health Sciences, Washington, DC.
Adam KilianSaint Louis University School of Medicine, St. Louis, Missouri.ORCID 0000-0002-5710-7859
Alfred H J KimWashington University School of Medicine, St. Louis, Missouri.ORCID 0000-0003-4074-0516
Chung Mun Alice LinNational Institute of Health Research and Newcastle University, Newcastle-upon-Tyne, UK.ORCID 0000-0002-3075-8344
Candice LowSt. Vincent's University Hospital, Dublin, Ireland.
Laurie ProulxCanadian Arthritis Patient Alliance, Ottawa, Ontario, Canada.ORCID 0000-0003-1656-0371
Sebastian E SattuiUniversity of Pittsburgh Medical Center, Pittsburgh, Pennsylvania.ORCID 0000-0002-3945-6828
Namrata SinghUniversity of Washington, Seattle.ORCID 0000-0001-7149-363X
Jeffrey A SparksBrigham and Women's Hospital and Harvard Medical School, Boston, Massachusetts.ORCID 0000-0002-5556-4618
Herman TamStollery Children's Hospital and University of Alberta, Edmonton, Alberta, Canada.
Manuel F Ugarte-GilUniversidad Cientifica del Sur and Hospital Guillermo Almenara Irigoyen, Seguro Social de Salud del Peru, Lima, Peru.ORCID 0000-0003-1728-1999
Natasha UngCampbelltown Hospital, Campbelltown and University of Western Sydney, New South Wales, Australia.
Kaicheng WangYale School of Medicine and Yale School of Public Health, New Haven, Connecticut.ORCID 0000-0003-2519-2670
Leanna M WiseUniversity of Southern California, Los Angeles.ORCID 0000-0002-6172-9474
Ziyi YangChinese Academy of Medical Sciences and Peking Union Medical College and National Clinical Research Center for Dermatologic and Immunologic Diseases, Beijing, China.
Kristen J YoungUniversity of Texas Southwestern, Dallas.ORCID 0000-0001-8570-2228
Jean W LiewBoston University School of Medicine, Boston, Massachusetts.ORCID 0000-0002-8104-2450
Rebecca GraingerUniversity of Otago, Wellington, New Zealand.ORCID 0000-0001-9201-8678
Zachary S WallaceHarvard Medical School, Boston, Massachusetts.ORCID 0000-0003-4708-7038
Evelyn HsiehVA Connecticut Healthcare System, West Haven, Connecticut.ORCID 0000-0001-5018-8409
COVID-19 Global Rheumatology Alliance
Yale University · USBoston University · USChinese Academy of Medical Sciences & Peking Union Medical College · CNMedical College of Wisconsin · USSt. James's Hospital · IEBrigham and Women's Hospital · USCamden and Campbelltown Hospitals · AUCanadian Arthritis Patient Alliance · CAGeorge Washington University · USHarvard University · USJohns Hopkins University · USMayo Clinic · USNewcastle University · GBSaint Louis University · USSt. Vincent's University Hospital · IETemple University · USThe University of Texas Southwestern Medical Center · USTrinity College Dublin · IETufts University · USUniversidad Científica del Sur · PE

Funding

Washington University Rheumatic DiseasesResearch Resource-based CenterP30AR073752 · NIAMS · WASHINGTON UNIVERSITY · PI David W Piston · 2018 to 2026
$7.6M
Multidisciplinary Rheumatology Training ProgramT32AR048522 · NIAMS · JOHNS HOPKINS UNIVERSITY · PI CLIFTON O BINGHAM, LIVIA A CASCIOLA-ROSEN · 2003 to 2026
$6.4M
Impact of ANCA Type and Rituximab vs. Cyclophosphamide on Cardiovascular Risk, Mortality, and Quality-Adjusted Life Years inANCA-Associated VasculitisK23AR073334 · NIAMS · MASSACHUSETTS GENERAL HOSPITAL · PI WALLACE, ZACHARY SCOTT · 2018 to 2022
$948k
NIAMS NIH HHS K23 AR073334NIAMS NIH HHS P30 AR073752NIAMS NIH HHS T32 AR048522
6 · The paper itself

Abstract

objectiveThe relative risk of SARS-CoV-2 infection and COVID-19 disease severity among people with rheumatic and musculoskeletal diseases (RMDs) compared to those without RMDs is unclear. This study was undertaken to quantify the risk of SARS-CoV-2 infection in those with RMDs and describe clinical outcomes of COVID-19 in these patients.

methodsWe conducted a systematic literature review using 14 databases from January 1, 2019 to February 13, 2021. We included observational studies and experimental trials in RMD patients that described comparative rates of SARS-CoV-2 infection, hospitalization, oxygen supplementation/intensive care unit (ICU) admission/mechanical ventilation, or death attributed to COVID-19. Methodologic quality was evaluated using the Joanna Briggs Institute critical appraisal tools or the Newcastle-Ottawa scale. Risk ratios (RRs) and odds ratios (ORs) with 95% confidence intervals (95% CIs) were calculated, as applicable for each outcome, using the Mantel-Haenszel formula with random effects models.

resultsOf the 5,799 abstracts screened, 100 studies met the criteria for inclusion in the systematic review, and 54 of 100 had a low risk of bias. Among the studies included in the meta-analyses, we identified an increased prevalence of SARS-CoV-2 infection in patients with an RMD (RR 1.53 [95% CI 1.16-2.01]) compared to the general population. The odds of hospitalization, ICU admission, and mechanical ventilation were similar in patients with and those without an RMD, whereas the mortality rate was increased in patients with RMDs (OR 1.74 [95% CI 1.08-2.80]). In a smaller number of studies, the adjusted risk of outcomes related to COVID-19 was assessed, and the results varied; some studies demonstrated an increased risk while other studies showed no difference in risk in patients with an RMD compared to those without an RMD.

conclusionPatients with RMDs have higher rates of SARS-CoV-2 infection and an increased mortality rate.

Indexed as

COVID-19Rheumatic DiseasesHospitalizationHumansMuscular DiseasesRespiration, ArtificialSARS-CoV-2

Identifiers

PMID34807517
PMCPMC9011807
OpenAlexW3215402239

What OpenQuestion holds

Textmetadata
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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.