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  • Bower, HannahKarolinska Institutet,Karolinska Institute,Karolinska Inst, Dept Med Solna, Stockholm, Sweden. (author)

Impact of the COVID-19 pandemic on morbidity and mortality in patients with inflammatory joint diseases and in the general population : a nationwide Swedish cohort study

  • Article/chapterEnglish2021

Publisher, publication year, extent ...

  • 2021-02-23
  • BMJ Publishing Group Ltd,2021
  • electronicrdacarrier

Numbers

  • LIBRIS-ID:oai:DiVA.org:umu-181536
  • https://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-181536URI
  • https://doi.org/10.1136/annrheumdis-2021-219845DOI
  • https://lup.lub.lu.se/record/66af8b9e-8984-46ed-b347-d61bd9841f82URI
  • https://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-178269URI
  • https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-452378URI
  • http://kipublications.ki.se/Default.aspx?queryparsed=id:147182236URI
  • https://gup.ub.gu.se/publication/302600URI

Supplementary language notes

  • Language:English
  • Summary in:English

Part of subdatabase

Classification

  • Subject category:ref swepub-contenttype
  • Subject category:art swepub-publicationtype

Notes

  • Funding Agencies|Swedish research CouncilSwedish Research CouncilEuropean Commission; Swedish Heart-Lung foundationSwedish Heart-Lung Foundation; Swedish Cancer SocietySwedish Cancer Society; NordForsk; Foundation for Research in Rheumatology (FOREUM); Region Stockholm; Karolinska Institutet (ALF)Karolinska Institutet
  • Objectives: To estimate absolute and relative risks for all-cause mortality and for severe COVID-19 in inflammatory joint diseases (IJDs) and with antirheumatic therapies.Methods: Through Swedish nationwide multiregister linkages, we selected all adult patients with rheumatoid arthritis (RA, n=53 455 in March 2020), other IJDs (here: spondyloarthropathies, psoriatic arthritis and juvenile idiopathic arthritis, n=57 112), their antirheumatic drug use, and individually matched population referents. We compared annual all-cause mortality March-September 2015 through 2020 within and across cohorts, and assessed absolute and relative risks for hospitalisation, admission to intensive care and death due to COVID-19 March-September 2020, using Cox regression.Results: During March-September 2020, the absolute all-cause mortality in RA and in other IJDs was higher than 2015-2019, but relative risks versus the general population (around 2 and 1.5) remained similar during 2020 compared with 2015-2019. Among patients with IJD, the risks of hospitalisation (0.5% vs 0.3% in their population referents), admission to intensive care (0.04% vs 0.03%) and death (0.10% vs 0.07%) due to COVID-19 were low. Antirheumatic drugs were not associated with increased risk of serious COVID-19 outcomes, although for certain drugs, precision was limited.Conclusions: Risks of severe COVID-19-related outcomes were increased among patients with IJDs, but risk increases were also seen for non-COVID-19 morbidity. Overall absolute and excess risks are low and the level of risk increases are largely proportionate to those in the general population, and explained by comorbidities. With possible exceptions, antirheumatic drugs do not have a major impact on these risks.

Subject headings and genre

Added entries (persons, corporate bodies, meetings, titles ...)

  • Frisell, ThomasKarolinska Institutet,Karolinska Institute,Karolinska Inst, Dept Med Solna, Stockholm, Sweden. (author)
  • Di Giuseppe, DanielaKarolinska Institutet,Karolinska Institute,Karolinska Inst, Dept Med Solna, Stockholm, Sweden. (author)
  • Delcoigne, BénédicteKarolinska Institutet,Karolinska Institute,Karolinska Inst, Dept Med Solna, Stockholm, Sweden. (author)
  • Alenius, Gerd-Marie,Docent,1957-Umeå University,Umeå universitet,Reumatologi,Umeå Univ, Dept Publ Hlth & Clin Med, Rheumatol Unit, Umeå, Sweden.(Swepub:umu)geal0001 (author)
  • Baecklund, Eva,1956-Uppsala universitet,Uppsala University,Uppsala Univ, Sweden,Reumatologi(Swepub:uu)evaba786 (author)
  • Chatzidionysiou, KaterinaKarolinska Institutet,Karolinska Institute,Karolinska Inst, Dept Med Solna, Stockholm, Sweden. (author)
  • Feltelius, NilsSwedish Medical Products Agency, Uppsala, Sweden,Swedish Med Prod Agcy, Uppsala, Sweden. (author)
  • Forsblad d'Elia, Helena,1961Gothenburg University,Göteborgs universitet,Institutionen för medicin, avdelningen för reumatologi och inflammationsforskning,Institute of Medicine, Department of Rheumatology and Inflammation Research(Swepub:gu)xforhe (author)
  • Kastbom, AlfLinköpings universitet,Linköping University,Avdelningen för inflammation och infektion,Medicinska fakulteten,Region Östergötland, Reumatologiska kliniken i Östergötland,Linköping Univ, Dept Biomed & Clin Sci, Linköping, Sweden.(Swepub:liu)alfka05 (author)
  • Klareskog, LarsKarolinska Institutet,Karolinska Institute,Karolinska Inst, Dept Med Solna, Stockholm, Sweden. (author)
  • Lindqvist, ElisabetLund University,Lunds universitet,Lund Arthritis Research Group (LARG),Forskargrupper vid Lunds universitet,Lund University Research Groups,Lund Univ, Dept Clin Sci, Lund, Sweden.(Swepub:lu)reum-eli (author)
  • Lindström, UlfGothenburg University,Göteborgs universitet,University of Gothenburg,Sahlgrenska Academy,Univ Gothenburg, Sahlgrenska Acad, Dept Rheumatol & Inflammat Res, Gothenburg, Sweden.,Institutionen för medicin, avdelningen för reumatologi och inflammationsforskning,Institute of Medicine, Department of Rheumatology and Inflammation Research(Swepub:gu)xlulfn (author)
  • Turesson, CarlLund University,Lunds universitet,Reumatologi,Forskargrupper vid Lunds universitet,Rheumatology,Lund University Research Groups,Lund Univ, Dept Clin Sci, Rheumatol, Malmö, Sweden.(Swepub:lu)med-ctn (author)
  • Sjöwall, ChristopherLinköpings universitet,Linköping University,Avdelningen för inflammation och infektion,Medicinska fakulteten,Region Östergötland, Reumatologiska kliniken i Östergötland,Linköping Univ, Dept Biomed & Clin Sci, Linköping, Sweden.(Swepub:liu)chrsj93 (author)
  • Askling, JohanKarolinska Institutet,Karolinska Institute,Karolinska Inst, Dept Med Solna, Stockholm, Sweden. (author)
  • Karolinska InstituteKarolinska Inst, Dept Med Solna, Stockholm, Sweden. (creator_code:org_t)
  • ARTIS Study Group

Related titles

  • In:Annals of the Rheumatic Diseases: BMJ Publishing Group Ltd80:8, s. 1086-10930003-49671468-2060

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