Evidence map›Paper›PMID 38510457›Full record

ArticleFrontiers in medicine2024

The protective effect of tumor necrosis factor-alpha inhibitors in COVID-19 in patients with inflammatory rheumatic diseases compared to the general population-A comparison of two German registries.

Rebecca Hasseli, Frank Hanses, Melanie Stecher, Christof Specker, Tobias Weise, Stefan Borgmann, Martina Hasselberger, Bernd Hertenstein, Martin Hower, Bimba F Hoyer and 21 more

Open access · goldAbstract read
In one paragraph

Article in Frontiers in medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
2.3field-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

2 citing papers in PubMed, 6 citations in OpenAlex.

  1. Review
  2. 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

31 authors at 20 institutions in 1 country.

Rebecca Hasseli *Section of Rheumatology and Clinical Immunology, Department of Internal Medicine D, University Hospital Münster, Münster, Germany.
Frank Hanses *Emergency Department and Department for Infectious Diseases and Infection Control, University Hospital Regensburg, Regensburg, Germany.
Melanie StecherDepartment I of Internal Medicine, University of Cologne, Faculty of Medicine and University Hospital Cologne, Cologne, Germany.
Christof SpeckerDepartment of Rheumatology and Clinical Immunology, KEM Kliniken Essen-Mitte, Essen, Germany.
Tobias WeiseBiocontrol Jena, Jena, Germany.
Stefan BorgmannDepartment of Infectious Diseases and Infection Control, Ingolstadt Hospital, Ingolstadt, Germany.
Martina HasselbergerKlinikum Passau, Passau, Germany.
Bernd HertensteinKlinikum Bremen-Mitte, Bremen, Germany.
Martin HowerDepartment of Pneumology, Infectious Diseases, Internal Medicine and Intensive Care, Klinikum Dortmund GmbH, Dortmund, Germany.
Bimba F HoyerDepartment for Rheumatology and Clinical Immunology, University of Schleswig-Holstein, Kiel, Germany.
Carolin KollDepartment I of Internal Medicine, University of Cologne, Faculty of Medicine and University Hospital Cologne, Cologne, Germany.
Andreas KrauseDepartment of Rheumatology, Clinical Immunology and Osteology, Immanuel Hospital Berlin, Berlin, Germany.
Marie von Lilienfeld-ToalDepartment of Hematology and Medical Oncology, University Hospital Jena, Jena, Germany.
Hanns-Martin LorenzDepartment of Internal Medicine V, University of Heidelberg, Heidelberg, Germany.
Uta MerleDepartment of Gastroenterology and Infectious Diseases, Heidelberg University Hospital, Heidelberg, Germany.
Susana M Nunes de MirandaDepartment of Medicine II, University of Freiburg, Freiburg, Germany.
Mathias W PletzInstitute for Infectious Diseases and Infection Control, Jena University Hospital, Jena, Germany.
Anne C RegiererEpidemiology Unit, German Rheumatism Research Center Berlin, Berlin, Germany.
Jutta G RichterDepartment of Rheumatology, University Hospital Düsseldorf, Medical Faculty of Heinrich-Heine-University, Düsseldorf, Germany.
Siegbert RiegDivision of Infectious Diseases, Department of Medicine II, University of Freiburg, Freiburg, Germany.
Christoph RoemmeleDepartment of Gastroenterology, Faculty of Medicine, University of Augsburg, Augsburg, Germany.
Maria M RuethrichDepartment of Hematology and Medical Oncology, University Hospital Jena, Jena, Germany.
Tim SchmeiserPrivate Practice, Cologne, Germany.
Hendrik Schulze-KoopsDivision of Rheumatology and Clinical Immunology, Department of Internal Medicine IV, University of Munich, Munich, Germany.
Anja StrangfeldEpidemiology Unit, German Rheumatism Research Center Berlin, Berlin, Germany.
Maria J G T VehreschildDepartment of Internal Medicine, Infectious Diseases, University Hospital Frankfurt, Goethe University Frankfurt, Frankfurt am Main, Germany.
Florian VoitDepartment of Internal Medicine II, School of Medicine, University Hospital Rechts Der Isar, Technical University of Munich, Munich, Germany.
Reinhard E VollDepartment of Rheumatology and Clinical Immunology, Faculty of Medicine, Medical Center-University of Freiburg, University of Freiburg, Freiburg, Germany.
Jörg Janne VehreschildDepartment I of Internal Medicine, University of Cologne, Faculty of Medicine and University Hospital Cologne, Cologne, Germany.
Ulf Müller-LadnerDepartment of Rheumatology and Clinical Immunology, Justus-Liebig University Giessen, Giessen, Germany.
Alexander PfeilDepartment of Internal Medicine III, University Hospital Jena, Jena, Germany.
Jena University Hospital · DEUniversity of Freiburg · DEGerman Rheumatism Research Centre · DEUniversity Hospital Cologne · DEGoethe University Frankfurt · DEHeidelberg University · DEHeinrich Heine University Düsseldorf · DEImmanuel Krankenhaus · DEJena Bioscience (Germany) · DEKliniken Essen-Mitte · DEKlinikum Bremen-Mitte · DEKlinikum Dortmund · DEKlinikum Ingolstadt · DEKlinikum Passau · DEKlinikum rechts der Isar · DELudwig-Maximilians-Universität München · DEUniversity Hospital Heidelberg · DEUniversity Hospital Münster · DEUniversity Hospital Regensburg · DEUniversity of Augsburg · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objectives: To investigate, whether inflammatory rheumatic diseases (IRD) inpatients are at higher risk to develop a severe course of SARS-CoV-2 infections compared to the general population, data from the German COVID-19 registry for IRD patients and data from the Lean European Survey on SARS-CoV-2 (LEOSS) infected patients covering inpatients from the general population with SARS-CoV-2 infections were compared. Methods: 4310 (LEOSS registry) and 1139 cases (IRD registry) were collected in general. Data were matched for age and gender. From both registries, 732 matched inpatients (LEOSS registry: Results: Regarding the COVID-19 associated lethality, no significant difference between both registries was observed. Age > 65°years, chronic obstructive pulmonary disease, diabetes mellitus, rheumatoid arthritis, spondyloarthritis and the use of rituximab were associated with more severe courses of COVID-19. Female gender and the use of tumor necrosis factor-alpha inhibitors (TNF-I) were associated with a better outcome of COVID-19. Conclusion: Inflammatory rheumatic diseases (IRD) patients have the same risk factors for severe COVID-19 regarding comorbidities compared to the general population without any immune-mediated disease or immunomodulation. The use of rituximab was associated with an increased risk for severe COVID-19. On the other hand, the use of TNF-I was associated with less severe COVID-19 compared to the general population, which might indicate a protective effect of TNF-I against severe COVID-19 disease.

Indexed as

COVID-19general populationinflammatory rheumatic diseasessevere diseasetumor necrosis factor-alpha inhibitors

Identifiers

PMID38510457
PMCPMC10953502
OpenAlexW4392518284

What OpenQuestion holds

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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.