Evidence map›Paper›PMID 39555064›Full record

SynthesisFrontiers in immunology2024

COVID-19 vaccine and the risk of flares in inflammatory arthritis: a systematic literature review and meta-analysis.

Ariela Hoxha, Giovanni Striani, Marco Lovisotto, Paolo Simioni, Andrea Doria, Roberta Ramonda

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in Frontiers in immunology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
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

3 citing papers in PubMed.

  1. Observational
  2. Article
  3. 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

6 authors.

Ariela Hoxha *Thrombotic and Haemorrhagic Diseases Unit, Department of Medicine (DIMED), Internal Medicine Division, Padova University Hospital, Padova, Italy.
Giovanni Striani *Rheumatology Unit, Department of Medicine (DIMED), Padova University Hospital, Padova, Italy.
Marco LovisottoThrombotic and Haemorrhagic Diseases Unit, Department of Medicine (DIMED), Internal Medicine Division, Padova University Hospital, Padova, Italy.
Paolo SimioniThrombotic and Haemorrhagic Diseases Unit, Department of Medicine (DIMED), Internal Medicine Division, Padova University Hospital, Padova, Italy.
Andrea DoriaRheumatology Unit, Department of Medicine (DIMED), Padova University Hospital, Padova, Italy.
Roberta RamondaRheumatology Unit, Department of Medicine (DIMED), Padova University Hospital, Padova, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Coronavirus disease 2019 (COVID-19) vaccines aroused concerns about the risk of flares and adverse events in inflammatory arthritis (IA) since the vaccine clinical trials did not specifically investigate this subset of patients. Methods: A systematic literature review and meta-analysis to summarize the data on joint disease flare and adverse events following immunization (AEFI). Two researchers independently evaluated the literature on Pubmed, Scopus, and EMBASE databases from 22 Results: A total of 9874 IA patients were included in the study: 6579 (66.6%) patients affected by RA and 3295 (33.4%) spondyloarthritis (SpA). The overall rate of flares was higher in RA vs. SpA (9.1% vs. 5.3%). However, the pooled estimated analysis showed no increased risk of joint disease flare following COVID-19 vaccination in patients affected by RA vs. SpA [OR 0.88, 95% CI: 0.77-1.00]. Furthermore, a subgroup analysis showed an increased risk of joint flares in psoriatic arthritis (PsA) patients vs. RA [OR 0.79, 95% CI: 0.68-0.93, p=0.004]. The pooled estimated analysis revealed no increased risk of AEFI in patients with RA vs. SpA [1.02, 95% CI: 0.63-1.65]. Conclusions: Our meta-analysis summarized the current evidence on joint disease flares and COVID-19 vaccine-associated AEFI in IA patients. Pooled analysis showed an increased risk of disease flares in PsA vs. RA patients.

Indexed as

COVID-19COVID-19 VaccinesArthritis, RheumatoidHumansSARS-CoV-2Symptom Flare UpVaccinationCOVID-19 VaccinesAEFICOVID-19 vaccinationinflammatory arthritisrheumatoid arthritisSARS-CoV-2 vaccinespondyloarthritis

Identifiers

PMID39555064
PMCPMC11563799

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.