Evidence map›Paper›PMID 36239292›Full record

ArticleArthritis care & research2023

Association Between Race/Ethnicity and COVID-19 Outcomes in Systemic Lupus Erythematosus Patients From the United States: Data From the COVID-19 Global Rheumatology Alliance.

Manuel F Ugarte-Gil, Graciela S Alarcón, Andrea M Seet, Zara Izadi, Anna D Montgomery, Alí Duarte-García, Emily L Gilbert, Maria O Valenzuela-Almada, Leanna Wise, Jeffrey A Sparks and 23 more

Open access · greenAbstract read
In one paragraph

Article in Arthritis care & research, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
3.6field-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

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 22 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Interventions to Improve COVID-19 Vaccine Hesitancy.Rheumatic diseases clinics of North America · 2025
    Review
  4. Article
  5. Review
  6. Article
  7. 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

33 authors at 20 institutions in 10 countries.

Manuel F Ugarte-GilUniversidad Cientifica del Sur and Hospital Guillermo Almenara Irigoyen, EsSalud, Lima, Peru.ORCID 0000-0003-1728-1999
Graciela S AlarcónHeersink School of Medicine, University of Alabama at Birmingham, and School of Medicine, Universidad Peruana Cayetano Heredia, Lima, Peru.ORCID 0000-0001-5190-9175
Andrea M SeetUniversity of California, San Francisco.
Zara IzadiUniversity of California, San Francisco.ORCID 0000-0002-1867-0905
Anna D MontgomeryUniversity of California, San Francisco.ORCID 0000-0003-3333-7833
Alí Duarte-GarcíaMayo Clinic, Rochester, Minnesota.ORCID 0000-0003-1749-5719
Emily L GilbertMayo Clinic, Jacksonville, Florida.
Maria O Valenzuela-AlmadaMayo Clinic, Rochester, Minnesota.ORCID 0000-0001-6225-6835
Leanna WiseKeck School of Medicine, University of Southern California, Los Angeles.ORCID 0000-0002-6172-9474
Jeffrey A SparksBrigham and Women's Hospital and Harvard Medical School, Boston, Massachusetts.ORCID 0000-0002-5556-4618
Tiffany Y-T HsuBrigham and Women's Hospital and Harvard Medical School, Boston, Massachusetts.ORCID 0000-0003-1041-8040
Kristin M D'SilvaMassachusetts General Hospital and Harvard Medical School, Boston, Massachusetts.ORCID 0000-0001-8370-4166
Naomi J PatelMassachusetts General Hospital and Harvard Medical School, Boston, Massachusetts.ORCID 0000-0002-6038-0346
Emily SirotichMcMaster University, Hamilton, and Canadian Arthritis Patient Alliance, Toronto, Ontario, Canada.ORCID 0000-0002-7087-8543
Jean W LiewBoston University School of Medicine, Boston, Massachusetts.ORCID 0000-0002-8104-2450
Jonathan S HausmannBeth Israel Deaconess Medical Center and Harvard Medical School, Boston, Massachusetts.ORCID 0000-0003-0786-8788
Paul SufkaHealthpartners, St. Paul, Minnesota.ORCID 0000-0003-3131-7919
Rebecca GraingerUniversity of Otago, Wellington, New Zealand.ORCID 0000-0001-9201-8678
Suleman BhanaCrystal Run Health, Middletown, New York.ORCID 0000-0003-3805-0946
Zachary WallaceMassachusetts General Hospital and Harvard Medical School, Boston, Massachusetts.ORCID 0000-0003-4708-7038
Lindsay JacobsohnUniversity of California, San Francisco.
Anja StrangfeldGerman Rheumatism Research Center, Berlin, Germany.ORCID 0000-0002-6233-022X
Elsa F MateusPortuguese League Against Rheumatic Diseases, Lisbon, Portugal, and European League Against Rheumatism Standing Committee of People with Arthritis/Rheumatism in Europe, Kilchberg, Switzerland.ORCID 0000-0003-0059-2141
Kimme L HyrichUniversity of Manchester, National Institute of Health Research Manchester Biomedical Research Centre, Manchester University NHS Foundation Trust, and Manchester Academic Health Science Centre, Manchester, UK.ORCID 0000-0001-8242-9262
Laure GossecSorbonne Université, INSERM, Institut Pierre Louis d'Epidémiologie et de Santé Publique, and Pitié-Salpêtrière Hospital, AP-HP, Paris, France.ORCID 0000-0002-4528-310X
Loreto CarmonaInstituto de Salud Musculoesquelética, Madrid, Spain.ORCID 0000-0002-4401-2551
Saskia Lawson-ToveyUniversity of Manchester, National Institute of Health Research Manchester Biomedical Research Centre, Manchester University NHS Foundation Trust, and Manchester Academic Health Science Centre, Manchester, UK.ORCID 0000-0002-8611-162X
Lianne Kearsley-FleetUniversity of Manchester and Manchester Academic Health Science Centre, Manchester, UK.ORCID 0000-0003-0377-1575
Martin SchaeferGerman Rheumatism Research Center, Berlin, Germany.ORCID 0000-0001-6487-3634
Pedro M MachadoUniversity College London, National Institute for Health Research University College London Hospitals Biomedical Research Centre, University College London Hospitals NHS Foundation Trust, and Northwick Park Hospital, London North West University Healthcare NHS Trust, London, UK.ORCID 0000-0002-8411-7972
Philip C RobinsonUniversity of Queensland School of Clinical Medicine, Herston, and Royal Brisbane and Women's Hospital, Metro North Hospital and Health Service, Queensland, Australia.ORCID 0000-0002-3156-3418
Milena GianfrancescoUniversity of California, San Francisco.ORCID 0000-0002-8351-4626
Jinoos YazdanyUniversity of California, San Francisco.ORCID 0000-0002-3508-4094
University of California, San Francisco · USHarvard University · USManchester Academic Health Science Centre · GBBrigham and Women's Hospital · USGerman Rheumatism Research Centre · DEMayo Clinic · USBeth Israel Deaconess Medical Center · USBoston University · USCanadian Arthritis Patient Alliance · CACrystal Run Healthcare · USEuropean League Against Rheumatism · CHHealthPartners · USInserm · FRInstituto de Salud Musculoesquelética · ESJacksonville College · USThe University of Queensland · AUUniversidad Científica del Sur · PEUniversidad Peruana Cayetano Heredia · PEUniversity College London Hospitals NHS Foundation Trust · GBUniversity of Otago · NZ

Funding

RESOURCE-BASED CENTER FOR THE ADVANCEMENT OF PRECISION MEDICINE IN RHEUMATOLOGYP30AR070155 · NIAMS · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI Mary C Nakamura · 2016 to 2026
$8.2M
Advancing Quality and Outcomes Measurement in RheumatologyK24AR074534 · NIAMS · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI Jinoos Yazdany · 2019 to 2026
$1.5M
NIAMS NIH HHS K24 AR074534NIAMS NIH HHS P30 AR070155
6 · The paper itself

Abstract

objectiveTo determine the association between race/ethnicity and COVID-19 outcomes in individuals with systemic lupus erythematosus (SLE).

methodsIndividuals with SLE from the US with data entered into the COVID-19 Global Rheumatology Alliance registry between March 24, 2020 and August 27, 2021 were included. Variables included age, sex, race, and ethnicity (White, Black, Hispanic, other), comorbidities, disease activity, pandemic time period, glucocorticoid dose, antimalarials, and immunosuppressive drug use. The ordinal outcome categories were: not hospitalized, hospitalized with no oxygenation, hospitalized with any ventilation or oxygenation, and death. We constructed ordinal logistic regression models evaluating the relationship between race/ethnicity and COVID-19 severity, adjusting for possible confounders.

resultsWe included 523 patients; 473 (90.4%) were female and the mean ± SD age was 46.6 ± 14.0 years. A total of 358 patients (74.6%) were not hospitalized; 40 patients (8.3%) were hospitalized without oxygen, 64 patients (13.3%) were hospitalized with any oxygenation, and 18 (3.8%) died. In a multivariable model, Black (odds ratio [OR] 2.73 [95% confidence interval (95% CI) 1.36-5.53]) and Hispanic (OR 2.76 [95% CI 1.34-5.69]) individuals had higher odds of more severe outcomes than White individuals.

conclusionBlack and Hispanic individuals with SLE experienced more severe COVID-19 outcomes, which is consistent with findings in the US general population. These results likely reflect socioeconomic and health disparities and suggest that more aggressive efforts are needed to prevent and treat infection in this population.

Indexed as

COVID-19Lupus Erythematosus, SystemicRheumatologyAdultBlack or African AmericanEthnicityFemaleHispanic or LatinoHumansMaleMiddle AgedUnited StatesWhite

Identifiers

PMID36239292
PMCPMC9874592
OpenAlexW4306168559

What OpenQuestion holds

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LicenceCC BY-NC
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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.