Evidence map›Paper›PMID 34874123›Full record

ArticleArthritis care & research2022

Increased Risk of COVID-19 in Patients With Rheumatoid Arthritis: A General Population-Based Cohort Study.

Yilun Wang, Kristin M D'Silva, April M Jorge, Xiaoxiao Li, Houchen Lyv, Jie Wei, Chao Zeng, Guanghua Lei, Yuqing Zhang

Open access · greenAbstract read
In one paragraph

Article in Arthritis care & research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
3.7field-weighted citation impact, top 6% 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

16 citing papers in PubMed, 1 synthesis or guideline pooled it, 28 citations in OpenAlex.

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  7. Vaccination Update and Specific Concerns for RA.Current rheumatology reports · 2025
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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

9 authors at 2 institutions in 2 countries.

Yilun WangXiangya Hospital, Central South University, Changsha, China.
Kristin M D'SilvaMassachusetts General Hospital, Harvard Medical School, Boston.
April M JorgeMassachusetts General Hospital, Harvard Medical School, Boston.ORCID 0000-0001-6935-880X
Xiaoxiao LiXiangya Hospital, Central South University, Changsha, China.
Houchen LyvXiangya Hospital, Central South University, Changsha, China, and General Hospital of Chinese PLA, Beijing, China.
Jie WeiXiangya Hospital, Central South University, Changsha, China.
Chao ZengXiangya Hospital, Central South University, Changsha, China.
Guanghua LeiXiangya Hospital, Central South University, Changsha, China.ORCID 0000-0003-2987-138X
Yuqing ZhangMassachusetts General Hospital, Harvard Medical School, Boston.ORCID 0000-0001-7638-0888
Central South University · CNHarvard University · US

Funding

A Personalized, Patient-Centered Approach to Optimizing Lupus CareK23AR079040 · NIAMS · MASSACHUSETTS GENERAL HOSPITAL · PI JORGE, APRIL · 2021 to 2025
$875k
NIAMS NIH HHS K23 AR079040
6 · The paper itself

Abstract

objectivePatients with rheumatoid arthritis (RA) are at an increased risk of acquiring infections owing to immunologic dysfunction and use of potent immunomodulatory medications; however, few data are available on their risk of COVID-19. We estimated the rate of COVID-19 among RA participants and compared it with that of the general population.

methodsUsing the Health Improvement Network, we identified RA patients before February 2020 and followed them to September 2020. We calculated the rate of COVID-19 among participants with RA and compared it with that of the general population using a Cox proportional hazards model, adjusting for potential confounders using overlap weighting of exposure score. We repeated the same analysis among participants with osteoarthritis, a nonautoimmune rheumatic disease, as a negative control exposure.

resultsWe identified 225 cases of suspected and confirmed COVID-19 among 17,268 RA patients, and 14,234 cases among 1,616,600 participants in the general population (1.4 versus 0.9/1,000 person-months), with the adjusted hazard ratio (HR

conclusionRA, but not osteoarthritis, was associated with an increased risk of COVID-19. Our findings provide timely evidence to support recommendations that booster vaccines and priority access to anti-SARS-CoV-2 monoclonal antibody treatments should be encouraged for RA patients.

Indexed as

Arthritis, RheumatoidCOVID-19OsteoarthritisCohort StudiesHumansProportional Hazards Models

Identifiers

PMID34874123
PMCPMC9011857
OpenAlexW4200041697

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.