Evidence map›Paper›PMID 35335008›Full record

ArticleVaccines2022

COVID-19 in Patients with Inflammatory Bowel Disease: The Israeli Experience.

Lev Lichtenstein, Benjamin Koslowsky, Ami Ben Ya'acov, Irit Avni-Biron, Baruch Ovadia, Ofer Ben-Bassat, Timna Naftali, Uri Kopylov, Yael Haberman, Hagar Banai Eran and 37 more

Open access · goldAbstract read
In one paragraph

Article in Vaccines, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.6field-weighted citation impact, top 30% 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

1 citing paper in PubMed, 3 citations in OpenAlex.

  1. Article
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

47 authors at 11 institutions in 1 country.

Lev LichtensteinClalit Health Services, Tel Aviv, Israel.
Benjamin KoslowskyDigestive Diseases Institute, Shaare Zedek Medical Center, Faculty of Medicine, Hebrew University of Jerusalem, Jerusalem, Israel.
Ami Ben Ya'acovDigestive Diseases Institute, Shaare Zedek Medical Center, Faculty of Medicine, Hebrew University of Jerusalem, Jerusalem, Israel.ORCID 0000-0001-7820-8299
Irit Avni-BironDivision of Gastroenterology, Rabin Medical Center, Petah Tikva, Israel.
Baruch OvadiaDepartment of Gastroenterology and Hepatology, Hillel Yaffe Medical Center, Hadera, Israel.
Ofer Ben-BassatBarzilai Medical Center, Ashkelon, Israel.
Timna NaftaliSackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
Uri KopylovSackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
Yael HabermanSackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.ORCID 0000-0003-2680-1570
Hagar Banai EranDivision of Gastroenterology, Rabin Medical Center, Petah Tikva, Israel.
Rami EliakimSackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
Adi Lahat-ZokSackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
Ayal HirschSackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.ORCID 0000-0002-3993-2548
Eran ZittanInflammatory Bowel Disease Unit, Ha'emek Medical Center, Faculty of Medicine, Israel Institute of Technology, Afula, Israel.
Nitsan MaharshakSackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.ORCID 0000-0002-9324-0024
Matti WatermanFaculty of Medicine, Israel Institute of Technology, Haifa, Israel.ORCID 0000-0003-4568-7128
Eran IsraeliSackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
Idan GorenDivision of Gastroenterology, Rabin Medical Center, Petah Tikva, Israel.ORCID 0000-0002-2162-2840
Jacob E OllechDivision of Gastroenterology, Rabin Medical Center, Petah Tikva, Israel.
Henit YanaiDivision of Gastroenterology, Rabin Medical Center, Petah Tikva, Israel.
Bella UngarSackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
Benjamin AvidanSackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
Dana Ben HurFaculty of Medicine, Israel Institute of Technology, Haifa, Israel.
Bernardo MelamudSackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
Ori SegolUnit of Gastroenterology, Lady Davis Carmel Medical Center, Haifa, Israel.
Zippora ShalemSackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
Iris DotanDivision of Gastroenterology, Rabin Medical Center, Petah Tikva, Israel.
Selwyn H OdesSackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
Shomron Ben-HorinSackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
Yf'at SnirDivision of Gastroenterology, Rabin Medical Center, Petah Tikva, Israel.
Yael MilgromHadassah Medical Center, Jerusalem, Israel.ORCID 0000-0002-1749-5383
Efrat BroideSackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
Eran GoldinDigestive Diseases Institute, Shaare Zedek Medical Center, Faculty of Medicine, Hebrew University of Jerusalem, Jerusalem, Israel.
Shmuel DelgadoAssuta Medical Center, Ben-Gurion University, Negev, Be'er Sheva, Israel.
Yulia RonSackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
Nathaniel Aviv CohenSackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
Eran MaozClalit Health Services, Tel Aviv, Israel.
Maya ZborovskyClalit Health Services, Tel Aviv, Israel.
Safwat OdehBnai Zion Medical Center, Haifa, Israel.
Naim Abu FrehaSoroka Medical Center, Be'er Sheva, Israel.
Eyal ShacharSackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
Yehuda ChowersFaculty of Medicine, Israel Institute of Technology, Haifa, Israel.
Tal EngelSackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
Hila Reiss-MintzSackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
Arie SegalSoroka Medical Center, Be'er Sheva, Israel.
Adar ZingerHadassah Medical Center, Jerusalem, Israel.
Ariella Bar-Gil ShitritDigestive Diseases Institute, Shaare Zedek Medical Center, Faculty of Medicine, Hebrew University of Jerusalem, Jerusalem, Israel.
Tel Aviv University · ILHebrew University of Jerusalem · ILClalit Health Services · ILHadassah Medical Center · ILSoroka Medical Center · ILAssuta Medical Center · ILBarzilai Medical Center · ILBnai Zion Medical Center · ILCarmel Medical Center · ILHillel Yaffe Medical Center · ILTechnion – Israel Institute of Technology · IL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCrohn's disease (CD) and ulcerative colitis (UC) are chronic, immune-mediated inflammatory bowel diseases (IBD) affecting millions of people worldwide. IBD therapies, designed for continuous immune suppression, often render patients more susceptible to infections. The effect of the immune suppression on the risk of coronavirus disease-19 (COVID-19) is not fully determined yet.

objectiveTo describe COVID-19 characteristics and outcomes and to evaluate the association between IBD phenotypes, infection outcomes and immunomodulatory therapies.

methodsIn this multi-center study, we prospectively followed IBD patients with proven COVID-19. De-identified data from medical charts were collected including age, gender, IBD type, IBD clinical activity, IBD treatments, comorbidities, symptoms and outcomes of COVID-19. A multivariable regression model was used to examine the effect of immunosuppressant drugs on the risk of infection by COVID-19 and the outcomes.

resultsOf 144 IBD patients, 104 (72%) were CD and 40 (28%) were UC. Mean age was 32.2 ± 12.6 years. No mortalities were reported. In total, 94 patients (65.3%) received biologic therapy. Of them, 51 (54%) at escalated doses, 10 (11%) in combination with immunomodulators and 9 (10%) with concomitant corticosteroids. Disease location, behavior and activity did not correlate with the severity of COVID-19. Biologics as monotherapy or with immunomodulators or corticosteroids were not associated with more severe infection. On the contrary, patients receiving biologics had significantly milder infection course (

conclusionWe did not witness aggravated COVID-19 outcomes in patients with IBD. Patients treated with biologics had a favorable outcome.

Indexed as

biological drugsCOVID-19Crohn’s diseaseimmune suppressioninflammatory bowel diseaseulcerative colitis

Identifiers

PMID35335008
PMCPMC8950285
OpenAlexW4214702802

What OpenQuestion holds

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Registered trials

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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.