Evidence map›Paper›PMID 37896974›Full record

ReviewVaccines2023

New-Onset Rheumatic Immune-Mediated Inflammatory Diseases Following SARS-CoV-2 Vaccinations until May 2023: A Systematic Review.

Arvind Nune, Victor Durkowski, S Sujitha Pillay, Bhupen Barman, Helen Elwell, Kaustubh Bora, Syed Bilgrami, Sajid Mahmood, Nasarulla Babajan, Srinivasan Venkatachalam and 2 more

Open access · goldAbstract readReview
In one paragraph

Review in Vaccines, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
5.1field-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

12 citing papers in PubMed, 18 citations in OpenAlex.

  1. Review
  2. Article
  3. Review
  4. Review
  5. Article
  6. Review
  7. Article
  8. Article
  9. Review
  10. Eosinophilic Gastroenteritis Following Covid-19 MRNA Vaccination.European journal of case reports in internal medicine · 2024
    Article
  11. Article
  12. 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

12 authors at 9 institutions in 3 countries.

Arvind NuneDepartment of Rheumatology, Southport and Ormskirk NHS Trust, Southport PR8 6PN, UK.ORCID 0000-0002-3849-614X
Victor DurkowskiLiverpool University Hospitals NHS Foundation Trust, Prescot Street, Liverpool L9 7AL, UK.
S Sujitha PillayDartford and Gravesham NHS Trust, Dartford DA2 8DA, UK.ORCID 0000-0002-2038-7287
Bhupen BarmanDepartment of General Medicine, All India Institute of Medical Sciences (AIIMS), Guwahati 781101, India.
Helen ElwellBMA Library, BMA House, Tavistock Square, British Medical Association, London WC1H 9JP, UK.ORCID 0000-0002-6827-0504
Kaustubh BoraHaematology Division, ICMR-Regional Medical Research Centre, Dibrugarh 786001, India.
Syed BilgramiDepartment of Rheumatology, Royal Lancaster Infirmary, Lancaster LA1 4RP, UK.ORCID 0000-0002-2753-1157
Sajid MahmoodDepartment of Medicine, Southport and Ormskirk Hospital NHS Trust, Southport PR8 6PN, UK.
Nasarulla BabajanDepartment of Medicine, Southport and Ormskirk Hospital NHS Trust, Southport PR8 6PN, UK.
Srinivasan VenkatachalamDepartment of Rheumatology, The Royal Wolverhampton NHS Trust, Wolverhampton WV10 0QP, UK.
Lesley OttewellDepartment of Rheumatology, Royal Lancaster Infirmary, Lancaster LA1 4RP, UK.
Ciro ManzoRheumatologic Outpatient Clinic, Azienda Sanitaria Locale Napoli 3, 80065 Sant'Agnello, Italy.ORCID 0000-0002-4800-1817
Southport and Ormskirk Hospital NHS Trust · GBRoyal Lancaster Infirmary · GBAll India Institute of Medical Sciences Guwahati · INASL Roma · ITBritish Medical Association · GBDartford And Gravesham NHS Trust · GBRegional Medical Research Centre · INThe Royal Wolverhampton NHS Trust · GBUniversity of Liverpool · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

A comprehensive, up-to-date systematic review (SR) of the new-onset rheumatic immune-mediated inflammatory diseases (R-IMIDs) following COVID-19 vaccinations is lacking. Therefore, we investigated the demographics, management, and prognosis of new R-IMIDs in adults following SARS-CoV-2 vaccinations. A systematic literature search of Medline, Embase, Google Scholar, LitCovid, and Cochrane was conducted. We included any English-language study that reported new-onset R-IMID in adults following the post-COVID-19 vaccination. A total of 271 cases were reported from 39 countries between January 2021 and May 2023. The mean age of patients was 56 (range 18-90), and most were females (170, 62.5%). Most (153, 56.5%) received the Pfizer BioNTech COVID-19 vaccine. Nearly 50% of patients developed R-IMID after the second dose of the vaccine. Vasculitis was the most prevalent clinical presentation (86, 31.7%), followed by connective tissue disease (66, 24.3%). The mean duration between the vaccine's 'trigger' dose and R-IMID was 11 days. Most (220, 81.2%) received corticosteroids; however, 42% (115) received DMARDs such as methotrexate, cyclophosphamide, tocilizumab, anakinra, IV immunoglobulins, plasma exchange, or rituximab. Complete remission was achieved in 75 patients (27.7%), and 137 (50.6%) improved following the treatment. Two patients died due to myositis. This SR highlights that SARS-CoV-2 vaccines may trigger R-IMID; however, further epidemiology studies are required.

Indexed as

adverse events following immunizationconnective tissue diseasesCOVID-19 vaccinesimmune-mediated inflammatory diseaseinflammatory arthritisrheumatic diseasevasculitis

Identifiers

PMID37896974
PMCPMC10610967
OpenAlexW4387457719

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.