Evidence map›Paper›PMID 36684808›Full record

ArticleJournal of translational autoimmunity2023

COVID-19 presentation and outcomes in patients with inflammatory rheumatic and musculoskeletal diseases receiving IL6-receptor antagonists prior to SARS-CoV-2 infection.

Cloé Comarmond, Elodie Drumez, Julien Labreuche, Eric Hachulla, Thierry Thomas, René-Marc Flipo, Raphaëlle Seror, Jérôme Avouac, Nathalie Balandraud, Renaud Desbarbieux and 12 more

Open access · goldAbstract read
In one paragraph

Article in Journal of translational autoimmunity, 2023. 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
0.2field-weighted citation impact, top 54% 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, 1 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

22 authors at 16 institutions in 1 country.

Cloé ComarmondDepartment of Internal Medicine and Clinical Immunology, Lariboisière Hospital, Université de Paris, 75010, Paris, France.
Elodie DrumezULR 2694 METRICS: Évaluation des Technologies de Santé et des Pratiques Médicales, Université de Lille, CHU Lille, Lille, France.
Julien LabreucheULR 2694 METRICS: Évaluation des Technologies de Santé et des Pratiques Médicales, Université de Lille, CHU Lille, Lille, France.
Eric HachullaUniversité de Lille, INSERM, CHU Lille, Service de Médecine Interne et Immunologie Clinique, Centre de Référence des Maladies Autoimmunes Systémiques Rares Du Nord et Nord-Ouest de France, U1286-INFINITE: Institute for Translational Research in Inflammation, France.
Thierry ThomasRheumatology, CHU de Saint-Etienne - Hôpital Nord, France.
René-Marc FlipoRheumatology, CHRU de Lille, France.
Raphaëlle SerorRheumatology, APHP - Hôpital Bicêtre, Kremlin-Bicêtre, France.
Jérôme AvouacRheumatology, APHP - Hôpital Cochin, Université de, Paris, France.
Nathalie BalandraudRheumatology, APHM - Hôpital Sainte-Marguerite, Marseille, France.
Renaud DesbarbieuxRheumatology, CH de Boulogne-sur-Mer, France.
Renaud FeltenRheumatology, CHRU de Strasbourg - Hôpital de Hautepierre, France.
Mélanie GilsonRheumatology, CHU de Grenoble - Hôpital Sud, France.
Marie-Hélène GuyotRheumatology, CH de Roubaix, France.
Ambre Hittinger-RouxRheumatology, CHU de Reims, France.
Thao PhamRheumatology, APHM - Hôpital Sainte-Marguerite, Marseille, France.
Myriam RenardRheumatology, CH Métropole-Savoie - Hôpital Reine Hortense, France.
Nicolas RouxRheumatology, Hôpitaux Privés de Metz - Hôpital Belle-Isle, France.
Vincent SobanskiUniversité de Lille, INSERM, CHU Lille, Service de Médecine Interne et Immunologie Clinique, Centre de Référence des Maladies Autoimmunes Systémiques Rares Du Nord et Nord-Ouest de France, U1286-INFINITE: Institute for Translational Research in Inflammation, France.
Anne TournadreRheumatology, CHU de Clermont-Ferrand - Hôpital Gabriel Montpied, France.
Christophe RichezRheumatology, GH Pellegrin - CHU Bordeaux, France.
Patrice CacoubDepartment of Internal Medicine and Clinical Immunology, Pitié-Salpêtrière Hospital, Centre de Référence des Maladies Auto-Immunes Systémiques Rares, Sorbonne Université, UMR 959, 75013, Paris, France.
FAI2 R/SFR/SNFMI/SOFREMIP/CRI/IMIDIATE consortium and contributors
Hôpital Sainte-Marguerite · FRInserm · FRUniversité de Lille · FRUniversité Paris Cité · FRBicêtre Hospital · FRCentre Hospitalier de Roubaix · FRCentre Hospitalier Métropole Savoie · FRCentre Hospitalier Universitaire de Clermont-Ferrand · FRCentre Hospitalier Universitaire de Grenoble · FRCentre Hospitalier Universitaire de Lille · FRCentre Hospitalier Universitaire de Reims · FRHôpital Nord · FRHôpital Pellegrin · FRHôpitaux Universitaires de Strasbourg · FRSorbonne Université · FRUniversité d'été de Boulogne-sur-Mer · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: COVID-19 outcome may be less favourable in patients with inflammatory rheumatic and musculoskeletal diseases (RMD) receiving immunosuppressive therapy. We aimed to investigate whether RMD patients on anti-IL6 therapy prior to SARS-CoV-2 infection have less severe disease and better outcomes of COVID-19. Methods: We conducted a retrospective national, multicentre cohort study using data from the French RMD COVID-19 cohort. We compared the severity and outcome of highly suspected or confirmed COVID-19 infection in RMD patients previously treated with tocilizumab or sarilumab (anti-IL6 group) with patients who did not receive anti-IL6 therapy (no anti-IL6 group). Results: Data were collected for 1883 patients with mean age of 55.2 years [SD 16.7] and 1256 (66.7%) female. Two hundred ten (11.1%) developed severe COVID-19 and 115 (6.4%) died. After adjusting for potential confounding factors, severe COVID-19 was less frequent in the anti-IL6 group compared with the no anti-IL6 group (aOR for moderate vs. mild severity, 0.23 [95% CI, 0.10 to 0.54], p ≤ 0.01 and aOR for severe vs. mild, 0.29 [95% CI, 0.10 to 0.81], p ≤ 0.01). No significant differences were found for the evolution of COVID-19 between the anti-IL6 group and the no anti-IL6 group (aOR for recovery with sequelae vs recovery without sequelae, 0.78 [95% CI, 0.41 to 1.48] and aOR for death vs recovery without sequelae, 0.29 [95% CI, 0.07 to 1.30]). Conclusion: RMD patients receiving anti-IL6 therapy prior to SARS-CoV-2 infection have less severe forms of COVID-19. No difference was observed in COVID-19 evolution, i.e., sequelae or death, between the groups.

Indexed as

Anti-IL6COVID-19Inflammatory rheumatic and musculoskeletal diseases

Identifiers

PMID36684808
PMCPMC9839461
OpenAlexW4316041927

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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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.