Evidence map›Paper›PMID 37328292›Full record

Observational studyRMD open2023

Inflammatory rheumatic diseases with onset after SARS-CoV-2 infection or COVID-19 vaccination: a report of 267 cases from the COVID-19 and ASD group.

Francesco Ursini, Piero Ruscitti, Olga Addimanda, Rosario Foti, Vincenzo Raimondo, Giuseppe Murdaca, Virginia Caira, Erika Pigatto, Giovanna Cuomo, Alberto Lo Gullo and 29 more

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in RMD open, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 1 pooled it
10.3field-weighted citation impact, top 1% 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

21 citing papers in PubMed, 1 synthesis or guideline pooled it, 36 citations in OpenAlex.

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  17. [Secondary vasculitides].Innere Medizin (Heidelberg, Germany) · 2024
    Review
  18. New-onset autoimmune disease after COVID-19.Frontiers in immunology · 2024
    Article
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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

39 authors at 20 institutions in 1 country.

Francesco UrsiniMedicine & Rheumatology Unit, IRCCS Istituto Ortopedico Rizzoli, Bologna, Italy francesco.ursini2@unibo.it.ORCID 0000-0001-8194-8642
Piero RuscittiDepartment of Biotechnological and Applied Clinical Sciences, University of L'Aquila, L'Aquila, Italy.ORCID 0000-0003-3487-8551
Olga AddimandaUO Interaziendale Medicina Interna ad Indirizzo Reumatologico, AUSL BO-IRCCS AOU BO, Bologna, Italy.
Rosario FotiUnit of Rheumatology, Department of Medicine, ARNAS Garibaldi Hospital, Catania, Italy.
Vincenzo RaimondoRheumatology Unit, Rheumatology Hospital 'Madonna dello Scoglio', Cotronei, Italy.
Giuseppe MurdacaDepartment of Internal Medicine, Ospedale Policlinico San Martino, Genoa, Italy.
Virginia CairaUO Reumatologia, Ospedale di Castrovillari, Castrovillari, Italy.
Erika PigattoRheumatology Outpatient Clinic, Ospedale Villa Salus, Mestre, Italy.
Giovanna CuomoDepartment of Precision Medicine, University of Campania 'L. Vanvitelli', Naples, Italy.
Alberto Lo GulloUnit of Rheumatology, Department of Medicine, ARNAS Garibaldi Hospital, Catania, Italy.ORCID 0000-0003-4383-0314
Ilaria CavazzanaRheumatology and Clinical Immunology Unit, ASST Spedali Civili, Brescia, Italy.
Corrado CampochiaroUnit of Immunology, Rheumatology, Allergy and Rare Diseases (UnIRAR), IRCCS San Raffaele Hospital, Milan, Italy.ORCID 0000-0001-6806-3794
Caterina NaclerioRheumatology Unit, 'Mauro Scarlato' Hospital, Scafati, Italy.
Rossella De AngelisDepartment of Clinical and Molecular Sciences, Polytechnic University of Marche, Ancona, Italy.
Jacopo CiaffiMedicine & Rheumatology Unit, IRCCS Istituto Ortopedico Rizzoli, Bologna, Italy.
Luana MancarellaMedicine & Rheumatology Unit, IRCCS Istituto Ortopedico Rizzoli, Bologna, Italy.
Veronica BrusiMedicine & Rheumatology Unit, IRCCS Istituto Ortopedico Rizzoli, Bologna, Italy.
Elena MarchettiDepartment of Biomedical and Neuromotor Sciences (DIBINEM), Alma Mater Studiorum University of Bologna, Bologna, Italy.
Francesca MottaDivision of Rheumatology and Clinical Immunology, IRCCS Humanitas Research Hospital, Rozzano, Italy.ORCID 0000-0002-8093-2734
Marcella VisentiniDepartment of Translational and Precision Medicine, Sapienza University of Rome, Rome, Italy.
Sebastiano LorussoFondazione Policlinico Universitario Campus Bio-Medico, Rome, Italy.
Maria De SantisDivision of Rheumatology and Clinical Immunology, IRCCS Humanitas Research Hospital, Rozzano, Italy.ORCID 0000-0002-3196-1336
Giacomo De LucaUnit of Immunology, Rheumatology, Allergy and Rare Diseases (UnIRAR), IRCCS San Raffaele Hospital, Milan, Italy.
Laura MassaroRheumatology Outpatient Clinic, ASP Cosenza, Scalea, Italy.
Domenico OlivoRheumatology Outpatient Clinic, ASP Crotone, Crotone, Italy.
Roberta PellegriniUOC Medicina Interna 'M.Valentini', Presidio Ospedaliero 'Annunziata', Cosenza, Italy.
Francesca FranciosoRheumatology Unit, Department of Clinical and Molecular Sciences, Polytechnic University of Marche, Ancona, Italy.
Jessica LuppinoRheumatology Unit, Rheumatology Hospital 'Madonna dello Scoglio', Cotronei, Italy.
Ilenia Di ColaDepartment of Biotechnological and Applied Clinical Sciences, University of L'Aquila, L'Aquila, Italy.
Roberta FotiUnit of Rheumatology, Department of Medicine, ARNAS Garibaldi Hospital, Catania, Italy.
Giuseppe VarcasiaUO Reumatologia, Ospedale di Castrovillari, Castrovillari, Italy.
Francesco CasoDepartment of Clinical Medicine and Surgery, University of Naples Federico II, Naples, Italy.
Massimo RetaUO Interaziendale Medicina Interna ad Indirizzo Reumatologico, AUSL BO-IRCCS AOU BO, Bologna, Italy.
Lorenzo DagnaUnit of Immunology, Rheumatology, Allergy and Rare Diseases (UnIRAR), IRCCS San Raffaele Hospital, Milan, Italy.ORCID 0000-0002-7428-315X
Carlo SelmiDivision of Rheumatology and Clinical Immunology, IRCCS Humanitas Research Hospital, Rozzano, Italy.ORCID 0000-0002-0323-0376
Annamaria IagnoccoAcademic Rheumatology Centre, Dipartimento Scienze Cliniche e Biologiche, Università degli Studi di Torino, Torino, Italy.
Roberto GiacomelliFondazione Policlinico Universitario Campus Bio-Medico, Rome, Italy.
Florenzo IannoneRheumatology Unit, Department of Precision and Regenerative Medicine-Ionian Area, University of Bari "Aldo Moro", Bari, Italy.
Clodoveo FerriRheumatology Unit, Rheumatology Hospital 'Madonna dello Scoglio', Cotronei, Italy.ORCID 0000-0002-0840-5817
Istituto Ortopedico Rizzoli · ITOspedale Garibaldi · ITVita-Salute San Raffaele University · ITHumanitas University · ITIstituti di Ricovero e Cura a Carattere Scientifico · ITMarche Polytechnic University · ITUniversità Campus Bio-Medico · ITUniversity of L'Aquila · ITAzienda Ospedaliera di Cosenza · ITAzienda Socio Sanitaria Territoriale degli Spedali Civili di Brescia · ITIRCCS Humanitas Research Hospital · ITIstituto S.Anna Crotone · ITOspedale Policlinico San Martino · ITPresidio Ospedaliero · ITSapienza University of Rome · ITUniversity of Bari Aldo Moro · ITUniversity of Bologna · ITUniversity of Campania "Luigi Vanvitelli" · ITUniversity of Modena and Reggio Emilia · ITUniversity of Naples Federico II · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo better define the spectrum of new-onset post-COVID-19 and post-COVID-19 vaccine inflammatory rheumatic diseases (IRD) from a large multicentric observational study.

methodsConsecutive cases of IRD encountered during a 12-month period and satisfying one of the following inclusion criteria: (a) onset of the rheumatic manifestations within 4 weeks from SARS-CoV-2 infection or (b) onset of the rheumatic manifestations within 4 weeks from the administration of one of the COVID-19 vaccines ws recruited.

resultsThe final analysis cohort comprised 267 patients, of which 122 (45.2%) in the post-COVID-19 and 145 (54.8%) in the postvaccine cohort. Distribution of IRD categories differed between the two cohorts: the post-COVID-19 cohort had a higher percentage of patients classified as having inflammatory joint diseases (IJD, 52.5% vs 37.2%, p=0.013) while the post-vaccine cohort had a higher prevalence of patients classified as polymyalgia rheumatica (PMR, 33.1% vs 21.3%, p=0.032). No differences were detected in the percentage of patients diagnosed with connective tissue diseases (CTD 19.7% vs 20.7%, p=0.837) or vasculitis (6.6% vs 9.0%, p=0.467). Despite the short follow-up period, IJD and PMR patients' response to first-line therapy was favourable, with both groups achieving a drop in baseline disease activity scores of ~30% and ~70% respectively.

conclusionOur article reports the largest cohort published to date of new-onset IRD following SARS-CoV-2 infection or COVID-19 vaccines. Although causality cannot be ascertained, the spectrum of possible clinical manifestations is broad and includes IJD, PMR, CTD and vasculitis.

Indexed as

Autism Spectrum DisorderCOVID-19Giant Cell ArteritisPolymyalgia RheumaticaCOVID-19 VaccinesHumansSARS-CoV-2VaccinationCOVID-19 VaccinesArthritisAutoimmune DiseasesCOVID-19Polymyalgia RheumaticaVaccination

Identifiers

PMID37328292
PMCPMC10276969
OpenAlexW4380991779

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LicenceCC BY-NC
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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.