Evidence map›Paper›PMID 35920774›Full record

ArticleRheumatology (Oxford, England)2023

Different COVID-19 outcomes among systemic rheumatic diseases: a nation-wide cohort study.

Vasiliki-Kalliopi Bournia, George E Fragoulis, Panagiota Mitrou, Konstantinos Mathioudakis, Anastasios Tsolakidis, George Konstantonis, Ioulia Tseti, Georgia Vourli, Maria G Tektonidou, Dimitrios Paraskevis and 1 more

Open access · hybridAbstract read
In one paragraph

Article in Rheumatology (Oxford, England), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 1 pooled it
5.3field-weighted citation impact, top 4% 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

20 citing papers in PubMed, 1 synthesis or guideline pooled it, 32 citations in OpenAlex.

  1. Pooled it
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  5. Association between COVID-19 infection and uveitis flare in patients with Behcet's disease, a retrospective multicenter cohort study.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 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

11 authors at 3 institutions in 1 country.

Vasiliki-Kalliopi BourniaJoint Academic Rheumatology Program, National and Kapodistrian University of Athens, Medical School.ORCID 0000-0002-2162-1362
George E FragoulisJoint Academic Rheumatology Program, National and Kapodistrian University of Athens, Medical School.ORCID 0000-0003-4932-7023
Panagiota MitrouHellenic Ministry of Health.
Konstantinos MathioudakisIDIKA SA-e-Government Center for Social Security Services, Athens.
Anastasios TsolakidisIDIKA SA-e-Government Center for Social Security Services, Athens.
George KonstantonisJoint Academic Rheumatology Program, National and Kapodistrian University of Athens, Medical School.
Ioulia TsetiUni-Pharma S.A., Kifissia.
Georgia VourliDepartment of Hygiene Epidemiology and Medical Statistics, Medical School, National and Kapodistrian University of Athens, Athens, Greece.ORCID 0000-0002-9727-2808
Maria G TektonidouJoint Academic Rheumatology Program, National and Kapodistrian University of Athens, Medical School.ORCID 0000-0003-2238-0975
Dimitrios ParaskevisDepartment of Hygiene Epidemiology and Medical Statistics, Medical School, National and Kapodistrian University of Athens, Athens, Greece.
Petros P SfikakisJoint Academic Rheumatology Program, National and Kapodistrian University of Athens, Medical School.ORCID 0000-0001-5484-2930
National and Kapodistrian University of Athens · GRCenter for Security Studies · GRUni Pharma (Greece) · GR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo investigate coronavirus disease 2019 (COVID-19)-associated risk of hospitalization and death in RA, AS, PsA, SLE and SSc in comparison with the general population during the first year of the pandemic, and compare their overall mortality with 2019.

methodsInterlinking nationwide electronic registries, we recorded confirmed COVID-19-associated infections, hospitalizations and deaths, and all-cause deaths between 1 March 2020 and 28 February 2021 in all adults with RA, AS, PsA, SLE and SSc under treatment (n = 74 970, median age 67.5, 51.2, 58.1, 56.2 and 62.2 years, respectively) and in random comparators from the general population matched (1:5) on age, sex and region of domicile. Deaths from all causes during 2019 were also recorded.

resultsCompared with the general population, incidence rates (IR) for COVID-19-associated hospitalization were higher in RA [IR ratio (IRR) 1.71(1.50-1.95)], SLE [2.0 (1.4-2.7)] and SSc [2.28 (1.29-3.90)], while COVID-19-associated death rates were higher in RA [1.91 (1.46-2.49)]. When focusing only on severe acute respiratory syndrome coronavirus 2-infected subjects, after adjusting for age and gender, the odds ratio for COVID-19 associated death was higher in RA [1.47 (1.11-1.94)] and SSc [2.92 (1.07-7.99)] compared with the general population. The all-cause mortality rate compared with the general population increased in RA during the first year of the pandemic (IRR 0.71) with reference to 2019 (0.59), and decreased in SSc (IRR 1.94 vs 4.36).

conclusionCOVID-19 may have a more severe impact in patients with systemic rheumatic disease than in the general population. COVID-19-related mortality is increased in subgroups of patients with specific rheumatic diseases, underscoring the need for priority vaccination and access to targeted treatments.

Indexed as

Arthritis, PsoriaticArthritis, RheumatoidCOVID-19Lupus Erythematosus, SystemicRheumatic DiseasesAdultCohort StudiesHumansASCOVID-19PsARASLESSc

Identifiers

PMID35920774
PMCPMC9384656
OpenAlexW4289711441

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.