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Accès ouvert déclaré 2023 article

Flares in IIMs and the timeline following COVID-19 vaccination: a combined analysis of the COVAD-1 and -2 surveys

10Citations signalées, ce qui n’est pas une note de qualité
69Institutions déclarées
25Pays d’affiliation déclarés

Rattachement africain : in, hu, au, gb, bd, br, lb, bg, pl, se, mx, it, jp, de, tw, us, Nigéria, th, sa, my, Ghana, co, pk, Égypte, ch. Niveau de preuve : code pays fourni par la source.

Le résumé fourni par la source

OBJECTIVES: Disease flares in the post-coronavirus disease 2019 (COVID-19) vaccination period represent a prominent concern, though risk factors are poorly understood. We studied these flares among patients with idiopathic inflammatory myopathies (IIMs) and other autoimmune rheumatic diseases (AIRDs). METHODS: The COVAD-1 and -2 global surveys were circulated in early 2021 and 2022, respectively, and we captured demographics, comorbidities, AIRDs details, COVID-19 infection history and vaccination details. Flares of IIMs were defined as (a) patient self-reported, (b) immunosuppression (IS) denoted, (c) clinical sign directed and (d) with >7.9-point minimal clinically significant improvement difference worsening of Patient-Reported Outcomes Measurement Information System (PROMIS) PROMISPF10a score. Risk factors of flares were analysed using regression models. RESULTS: Of 15 165 total respondents, 1278 IIMs (age 63 years, 70.3% female, 80.8% Caucasians) and 3453 AIRDs were included. Flares of IIM were seen in 9.6%, 12.7%, 8.7% and 19.6% patients by definitions (a) to (d), respectively, with a median time to flare of 71.5 (10.7-235) days, similar to AIRDs. Patients with active IIMs pre-vaccination (OR 1.2; 95% CI 1.03, 1.6, P = 0.025) were prone to flares, while those receiving rituximab (OR 0.3; 95% CI 0.1, 0.7, P = 0.010) and AZA (OR 0.3, 95% CI 0.1, 0.8, P = 0.016) were at lower risk. Female gender and comorbidities predisposed to flares requiring changes in IS. Asthma (OR 1.62; 95% CI 1.05, 2.50, P = 0.028) and higher pain visual analogue score (OR 1.19; 95% CI 1.11, 1.27, P < 0.001) were associated with disparity between self-reported and IS-denoted flares. CONCLUSION: A diagnosis of IIMs confers an equal risk of flares in the post-COVID-19 vaccination period to AIRDs, with active disease, female gender and comorbidities conferring a higher risk. Disparity between patient- and physician-reported outcomes represents a future avenue for exploration.

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Le contrôle bibliographique ouvert

DOI retrouvé dans Crossref DOI retrouvé ; titre concordant.

Titre Crossref
Flares in IIMs and the timeline following COVID-19 vaccination: a combined analysis of the COVAD-1 and -2 surveys
Date Crossref
21/04/2023
Éditeur
Oxford University Press (OUP)
Type
journal-article

Ce recoupement confirme des métadonnées liées au DOI. Il ne confirme ni la méthode ni les conclusions de l’étude, et il ne compte pas comme une seconde source scientifique indépendante.

Les institutions déclarées

Sanjay Gandhi Post Graduate Institute of Medical SciencesMaulana Azad Medical CollegeUniversity of DebrecenThe Royal Melbourne HospitalThe University of MelbourneWalter and Eliza Hall Institute of Medical ResearchB. J. Medical College & Sassoon HospitalSouthport and Ormskirk Hospital NHS TrustKing's College LondonKing's College HospitalMymensingh Medical College HospitalUniversity of LeedsLeeds Teaching Hospitals NHS TrustNIHR Leeds Musculoskeletal Biomedical Research UnitUniversidade de São PauloSaint Joseph UniversityHôtel-Dieu de FranceSofia University "St. Kliment Ohridski"Pomeranian Medical UniversityKing Edward Memorial Hospital and Seth G.S. Medical CollegeKarolinska University HospitalÖrebro UniversityKarolinska InstitutetMexican Social Security InstituteUniversity of PaviaNippon Medical SchoolFriedrich-Alexander-Universität Erlangen-NürnbergUniversitätsklinikum ErlangenTaichung Veterans General HospitalMayo Clinic in ArizonaUniversity of VirginiaNorth Bristol NHS TrustUniversity of BristolArthritis UKUniversity College LondonAll India Institute of Medical Sciences GuwahatiInstituto Nacional de Enfermedades RespiratoriasUniversidad de GuadalajaraHospital Universitario Dr José Eleuterio GonzalezInstituto Nacional de Ciencias Médicas y Nutrición Salvador ZubiránUniversity of Nigeria Teaching HospitalSiriraj HospitalMahidol UniversityUniversity Hospital St. Ivan RilskiUniversidade PotiguarRiyadh Armed Forces HospitalKing Faisal Specialist Hospital & Research CentreNational University of MalaysiaEnam Medical College & HospitalUniversity of GhanaPontificia Universidad JaverianaUniversidad del NorteManchester Academic Health Science CentreSalford Royal NHS Foundation TrustUniversity of ManchesterFoundation University Medical CollegeCairo UniversityIllinois CollegeUniversity of ZurichUniversity Hospital ZurichCentro Médico Nacional La RazaHospital de EspecialidadesNational Institute for Health and Care ResearchManchester University NHS Foundation TrustSalford Royal HospitalUniversity of PittsburghSandwell & West Birmingham Hospitals NHS TrustThe Royal Wolverhampton NHS TrustWolverhampton Hospital

Une affiliation ne permet pas de déduire la nationalité d’un auteur.

Les sujets associés

Inflammatory Myopathies and DermatomyositisRheumatoid Arthritis Research and TherapiesSARS-CoV-2 and COVID-19 Research

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