Evidence map›Paper›PMID 41193231›Full record

ArticleRMD open2025

Invasive fungal infections in patients with rheumatoid arthritis: an explorative analysis from the German RABBIT register.

Alina Purschke, Vera Zietemann, Peter Herzer, Cornelia Kühne, Thomas Marycz, Uta Syrbe, Adrian Richter, Anja Strangfeld

Abstract read
In one paragraph

Article in RMD open, 2025. 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
–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

1 citing paper in PubMed.

  1. Review
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

8 authors.

Alina PurschkeEpidemiology and Health Services Research, German Rheumatology Research Center, Berlin, Germany alina.purschke@drfz.de.ORCID 0009-0004-3458-6764
Vera ZietemannEpidemiology and Health Services Research, German Rheumatology Research Center, Berlin, Germany.
Peter HerzerMedical Care Center Medicover, Munich, Germany.
Cornelia KühneRheumatological practice, Haldensleben, Germany.
Thomas MaryczRheumatological practice, Amberg, Germany.
Uta SyrbeRheumatological practice, Berlin, Germany.
Adrian RichterEpidemiology and Health Services Research, German Rheumatology Research Center, Berlin, Germany.
Anja StrangfeldEpidemiology and Health Services Research, German Rheumatology Research Center, Berlin, Germany.ORCID 0000-0002-6233-022X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo explore characteristics and treatment of patients with rheumatoid arthritis (RA) with invasive fungal infections (IFIs) and to describe infection details and outcome.

methodsIFIs reported to the German RABBIT (Rheumatoid Arthritis: Observation of Biologic Therapy) register between May 2001 and December 2023 were analysed using a two-stage approach. First, a detailed case description, including a comparison of cases by infection outcome, was conducted using routine register data and hospital discharge letters. Second, a multivariable time-dependent Cox regression model was fitted to analyse associations with IFI development using routine register data only.

resultsAmong 22 535 patients with RA, 69 IFIs occurred (incidence rate: 0.65/1000 patient-years), with a case fatality of 35% (n=24). Causative pathogens were

conclusionIn patients with RA, IFIs are rare but life-threatening. They occur particularly in patients who are predisposed to infection due to relevant comorbidities, a history of smoking or both. Except for GC use, the overall impact of targeted RA treatment on the risk of IFI appears to be less relevant than that of multimorbidity.

Indexed as

Arthritis, RheumatoidInvasive Fungal InfectionsAgedFemaleGermanyHumansIncidenceMaleMiddle AgedRegistriesRisk FactorsAntirheumatic AgentsArthritis, RheumatoidEpidemiologyGlucocorticoids

Identifiers

PMID41193231
PMCPMC12588008

What OpenQuestion holds

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LicenceCC BY-NC
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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.