Evidence map›Paper›PMID 36088883›Full record

ArticleJournal of autoimmunity2022

SARS-CoV-2 vaccination and risk of severe COVID-19 outcomes in patients with autoimmune hepatitis.

Cumali Efe, Koray Taşçılar, Alessio Gerussi, Francesca Bolis, Craig Lammert, Berat Ebik, Albert Friedrich Stättermayer, Mustafa Cengiz, Dilara Turan Gökçe, Laura Cristoferi and 35 more

Open access · greenAbstract read
In one paragraph

Article in Journal of autoimmunity, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
1.9field-weighted citation impact, top 12% 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

12 citing papers in PubMed, 1 synthesis or guideline pooled it, 19 citations in OpenAlex.

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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

45 authors at 20 institutions in 9 countries.

Cumali EfeDepartment of Gastroenterology, Harran University Hospital, Şanlıurfa, Turkey. Electronic address: scumaliefe@gmail.com.
Koray TaşçılarDepartment of Medicine 3-Rheumatology and Immunology, Friedrich-Alexander University (FAU) Erlangen-Nürnberg and Universitätsklinikum Erlangen, Erlangen, Germany.
Alessio GerussiDivision of Gastroenterology and Center for Autoimmune Liver Diseases, Department of Medicine and Surgery, University of Milano-Bicocca, Monza, Italy; European Reference Network on Hepatological Diseases (ERN RARE-LIVER), San Gerardo Hospital, Monza, Italy.
Francesca BolisDivision of Gastroenterology and Center for Autoimmune Liver Diseases, Department of Medicine and Surgery, University of Milano-Bicocca, Monza, Italy.
Craig LammertDepartment of Medicine Indiana, University School of Medicine, Indianapolis, IN, USA.
Berat EbikDepartment of Gastroenterology, Gazi Yaşargil Education and Research Hospital, Diyarbakir, Turkey.
Albert Friedrich StättermayerDivision of Gastroenterology and Hepatology, Department of Internal Medicine III, Medical University of Vienna, Vienna, Austria.
Mustafa CengizDepartment of Gastroenterology, Gülhane Training and Research Hospital, Ankara, Turkey.
Dilara Turan GökçeDepartment of Gastroenterology, Ankara City Hospital, Ankara, Turkey.
Laura CristoferiDivision of Gastroenterology and Center for Autoimmune Liver Diseases, Department of Medicine and Surgery, University of Milano-Bicocca, Monza, Italy; European Reference Network on Hepatological Diseases (ERN RARE-LIVER), San Gerardo Hospital, Monza, Italy.
Mirta PeraltaHepatology Section, Hospital Francisco J Muñiz, Ciudad Autónoma de Buenos Aires, Argentina; Latin American Liver Research Educational and Awareness Network (LALREAN), Pilar, Argentina.
Hatef MassoumiDepartment of Medicine, Montefiore Medical Center, Bronx, NY, USA.
Pedro MontesGastroenterology and Hepatology Unit, Hospital Nacional Daniel A. Carrión, Callao, Peru.
Eira CerdaHepatology Unit, Hospital Militar Central de México, Ciudad de México, Mexico.
Cristina RigamontiDepartment of Translational Medicine, Università del Piemonte Orientale UPO, Novara, Italy; Division of Internal Medicine, "AOU Maggiore della Carità", Novara, Italy.
Suna YapalıDepartment of Gastroenterology, Acıbadem University School of Medicine, İstanbul, Turkey.
Gupse AdaliDepartment of Gastroenterology, Umraniye Education and Research Hospital, Istanbul, Turkey.
Ali Rıza ÇalışkanDepartment of Gastroenterology, Adıyaman University, Adıyaman, Turkey.
Yasemin BalabanDepartment of Gastroenterology, Faculty of Medicine, Hacettepe University, Ankara, Turkey.
Fatih ErenDepartment of Gastroenterology, Medical Faculty, Uludag University, Bursa, Turkey.
Tuğçe EşkazanDepartment of Gastroenterology, Cerrahpaşa School of Medicine, İstanbul, Turkey.
Sezgin BarutçuDepartment of Gastroenterology, University of Gaziantep Medical Faculty, Gaziantep, Turkey.
Ellina LytvyakUniversity of Alberta Division of Gastroenterology and Liver Unit, Edmonton, AB, Canada.
Godolfino Miranda ZazuetaGastroenterology Unit, Instituto Nacional de Ciencias Médicas y Nutrición "Salvador Zubirán", Ciudad de México, Mexico.
Meral Akdogan KayhanDepartment of Gastroenterology, Gülhane Training and Research Hospital, Ankara, Turkey.
Alexandra Heurgue-BerlotDepartment of Hepato-Gastroenterology, CHU Reims, Reims, France.
Eleonora De MartinCentre Hepato-Biliaire, Hôpital Paul-Brousse, FHU Hepatinov, INSERM Unit UMR 1193, Univ Paris-Saclay, France.
Ahmet YavuzDivision of Gastroenterology, Necmettin Erbakan University, Meram School of Medicine, Konya, Turkey.
Murat BıyıkDivision of Gastroenterology, Necmettin Erbakan University, Meram School of Medicine, Konya, Turkey.
Graciela Castro NarroGastroenterology Unit, Instituto Nacional de Ciencias Médicas y Nutrición "Salvador Zubirán", Ciudad de México, Mexico.
Serkan DumanDepartment of Gastroenterology, Ankara University Medical Faculty, Ankara, Turkey.
Nelia HernandezGastroenterology and Hepatology Unit, Hospital de Clínicas, Facultad de Medicina, Universidad de la República, Montevideo, Uruguay.
Nikolaos K GatselisDepartment of Medicine and Research Laboratory of Internal Medicine, National Expertise Center of Greece in Autoimmune Liver Diseases, General University Hospital of Larissa, Greece; European Reference Network on Hepatological Diseases (ERN RARE-LIVER), General University Hospital of Larissa, Larissa, Greece.
Jonathan AguirreHepatology Unit, Hospital Ángeles Pedregal, Ciudad de México, Mexico.
Ramazan IdilmanDepartment of Gastroenterology, Ankara University Medical Faculty, Ankara, Turkey.
Marcelo SilvaLatin American Liver Research Educational and Awareness Network (LALREAN), Pilar, Argentina; Hepatology and Liver Transplant Unit, Hospital Universitario Austral, Pilar, Argentina.
Manuel MendizabalLatin American Liver Research Educational and Awareness Network (LALREAN), Pilar, Argentina; Hepatology and Liver Transplant Unit, Hospital Universitario Austral, Pilar, Argentina.
Kadri AtayDepartment of Gastroenterology, Mardin State Hospital, Mardin, Turkey.
Fatih GüzelbulutDepartment of Gastroenterology, Haydarpaşa Numune Education and Research Hospital, İstanbul, Turkey.
Renumathy DhanasekaranDivision of Gastroenterology and Hepatology, Stanford University, Stanford, CA, USA.
Aldo J Montano-LozaUniversity of Alberta Division of Gastroenterology and Liver Unit, Edmonton, AB, Canada.
George N DalekosDepartment of Medicine and Research Laboratory of Internal Medicine, National Expertise Center of Greece in Autoimmune Liver Diseases, General University Hospital of Larissa, Greece; European Reference Network on Hepatological Diseases (ERN RARE-LIVER), General University Hospital of Larissa, Larissa, Greece.
Ezequiel RidruejoLatin American Liver Research Educational and Awareness Network (LALREAN), Pilar, Argentina; Hepatology and Liver Transplant Unit, Hospital Universitario Austral, Pilar, Argentina; Hepatology Section, Department of Medicine, Centro de Educación Médica e Investigaciones Clínicas, CEMIC, Ciudad Autónoma de Buenos Aires, Argentina.
Pietro InvernizziDivision of Gastroenterology and Center for Autoimmune Liver Diseases, Department of Medicine and Surgery, University of Milano-Bicocca, Monza, Italy; European Reference Network on Hepatological Diseases (ERN RARE-LIVER), San Gerardo Hospital, Monza, Italy.
Staffan WahlinHepatology Division, Department of Upper GI Diseases, Karolinska Institutet and Karolinska University Hospital, Stockholm, Sweden.
Ankara University · TRAzienda Ospedaliera San Gerardo · ITGülhane Askerî Tıp Akademisi · TRAcıbadem University · TRAdıyaman University · TRAzienda Ospedaliero Universitaria Maggiore della Carita · ITBursa Uludağ Üni̇versi̇tesi̇ · TRDiyarbakır Gazi Yaşargil Eğitim ve Araştırma Hastanesi · TRGaziantep University · TRHacettepe University · TRHarran University · TRHaydarpaşa Numune Eğitim ve Araştırma Hastanesi · TRHospital Central Militar · MXHospital Muñiz · ARIndiana University – Purdue University Indianapolis · USInserm · FRIstanbul University-Cerrahpaşa · TRKarolinska University Hospital · SEMardin Artuklu University · TRMedical University of Vienna · AT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundData regarding outcome of Coronavirus disease 2019 (COVID-19) in vaccinated patients with autoimmune hepatitis (AIH) are lacking. We evaluated the outcome of COVID-19 in AIH patients who received at least one dose of Pfizer- BioNTech (BNT162b2), Moderna (mRNA-1273) or AstraZeneca (ChAdOx1-S) vaccine. PATIENTS AND

methodsWe performed a retrospective study on AIH patients with COVID-19. The outcomes of AIH patients who had acute respiratory syndrome coronavirus 2 (SARS-CoV-2) breakthrough infection after at least one dose of COVID-19 vaccine were compared to unvaccinated patients with AIH. COVID-19 outcome was classified according to clinical state during the disease course as: (i) no hospitalization, (ii) hospitalization without oxygen supplementation, (iii) hospitalization with oxygen supplementation by nasal cannula or mask, (iv) intensive care unit (ICU) admission with non-invasive mechanical ventilation, (v) ICU admission with invasive mechanical ventilation or (vi) death, and data was analyzed using ordinal logistic regression.

resultsWe included 413 (258 unvaccinated and 155 vaccinated) patients (81%, female) with a median age of 52 (range: 17-85) years at COVID-19 diagnosis. The rates of hospitalization were (36.4% vs. 14.2%), need for any supplemental oxygen (29.5% vs. 9%) and mortality (7% vs. 0.6%) in unvaccinated and vaccinated AIH patients with COVID-19. Having received at least one dose of SARS-CoV-2 vaccine was associated with a significantly lower risk of worse COVID-19 severity, after adjusting for age, sex, comorbidities and presence of cirrhosis (adjusted odds ratio [aOR] 0.18, 95% confidence interval [CI], 0.10-0.31). Overall, vaccination against SARS-CoV-2 was associated with a significantly lower risk of mortality from COVID-19 (aOR 0.20, 95% CI 0.11-0.35).

conclusionsSARS-CoV-2 vaccination significantly reduced the risk of COVID-19 severity and mortality in patients with AIH.

Indexed as

COVID-19Hepatitis, AutoimmuneAdolescentAdultAgedAged, 80 and overBNT162 VaccineCOVID-19 TestingCOVID-19 VaccinesFemaleHumansMaleMiddle AgedRetrospective StudiesSARS-CoV-2VaccinationBNT162 VaccineCOVID-19 VaccinesAutoimmunityBreakthrough infectionImmunosuppressionLiver failureVaccine

Identifiers

PMID36088883
PMCPMC9448709
OpenAlexW4295193264

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.