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Impact of the COVID...
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
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- Bower, Hannah (author)
- Karolinska Institutet,Karolinska Institute,Karolinska Inst, Dept Med Solna, Stockholm, Sweden.
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- Frisell, Thomas (author)
- Karolinska Institutet,Karolinska Institute,Karolinska Inst, Dept Med Solna, Stockholm, Sweden.
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- Di Giuseppe, Daniela (author)
- Karolinska Institutet,Karolinska Institute,Karolinska Inst, Dept Med Solna, Stockholm, Sweden.
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- Delcoigne, Bénédicte (author)
- Karolinska Institutet,Karolinska Institute,Karolinska Inst, Dept Med Solna, Stockholm, Sweden.
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- Alenius, Gerd-Marie, Docent, 1957- (author)
- Umeå University,Umeå universitet,Reumatologi,Umeå Univ, Dept Publ Hlth & Clin Med, Rheumatol Unit, Umeå, Sweden.
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- Baecklund, Eva, 1956- (author)
- Uppsala universitet,Uppsala University,Uppsala Univ, Sweden,Reumatologi
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- Chatzidionysiou, Katerina (author)
- Karolinska Institutet,Karolinska Institute,Karolinska Inst, Dept Med Solna, Stockholm, Sweden.
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- Feltelius, Nils (author)
- Swedish Medical Products Agency, Uppsala, Sweden,Swedish Med Prod Agcy, Uppsala, Sweden.
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- Forsblad d'Elia, Helena, 1961 (author)
- Gothenburg University,Göteborgs universitet,Institutionen för medicin, avdelningen för reumatologi och inflammationsforskning,Institute of Medicine, Department of Rheumatology and Inflammation Research
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- Kastbom, Alf (author)
- Linköpings universitet,Linköping University,Avdelningen för inflammation och infektion,Medicinska fakulteten,Region Östergötland, Reumatologiska kliniken i Östergötland,Linköping Univ, Dept Biomed & Clin Sci, Linköping, Sweden.
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- Klareskog, Lars (author)
- Karolinska Institutet,Karolinska Institute,Karolinska Inst, Dept Med Solna, Stockholm, Sweden.
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- Lindqvist, Elisabet (author)
- Lund University,Lunds universitet,Lund Arthritis Research Group (LARG),Forskargrupper vid Lunds universitet,Lund University Research Groups,Lund Univ, Dept Clin Sci, Lund, Sweden.
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- Lindström, Ulf (author)
- Gothenburg 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
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- Turesson, Carl (author)
- Lund University,Lunds universitet,Reumatologi,Forskargrupper vid Lunds universitet,Rheumatology,Lund University Research Groups,Lund Univ, Dept Clin Sci, Rheumatol, Malmö, Sweden.
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- Sjöwall, Christopher (author)
- Linköpings universitet,Linköping University,Avdelningen för inflammation och infektion,Medicinska fakulteten,Region Östergötland, Reumatologiska kliniken i Östergötland,Linköping Univ, Dept Biomed & Clin Sci, Linköping, Sweden.
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- Askling, Johan (author)
- Karolinska Institutet,Karolinska Institute,Karolinska Inst, Dept Med Solna, Stockholm, Sweden.
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Karolinska Institute Karolinska Inst, Dept Med Solna, Stockholm, Sweden (creator_code:org_t)
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- 2021-02-23
- 2021
- English.
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In: Annals of the Rheumatic Diseases. - : BMJ Publishing Group Ltd. - 0003-4967 .- 1468-2060. ; 80:8, s. 1086-1093
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Abstract
Subject headings
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- 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
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Allmänmedicin (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- General Practice (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Reumatologi och inflammation (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Rheumatology and Autoimmunity (hsv//eng)
Keyword
- arthritis
- biological therapy
- Covid-19
- epidemiology
- health care
- outcome assessment
- rheumatoid
- arthritis
- biological therapy
- Covid-19
- epidemiology
- health care
- outcome assessment
- rheumatoid
Publication and Content Type
- ref (subject category)
- art (subject category)
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- By the author/editor
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Bower, Hannah
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Frisell, Thomas
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Di Giuseppe, Dan ...
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Delcoigne, Bénéd ...
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Alenius, Gerd-Ma ...
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Baecklund, Eva, ...
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Chatzidionysiou, ...
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Feltelius, Nils
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Forsblad d'Elia, ...
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Kastbom, Alf
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Klareskog, Lars
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Lindqvist, Elisa ...
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Lindström, Ulf
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Turesson, Carl
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Sjöwall, Christo ...
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Askling, Johan
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- About the subject
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- MEDICAL AND HEALTH SCIENCES
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MEDICAL AND HEAL ...
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and Clinical Medicin ...
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and General Practice
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- MEDICAL AND HEALTH SCIENCES
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MEDICAL AND HEAL ...
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and Clinical Medicin ...
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and Rheumatology and ...
- Articles in the publication
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Annals of the Rh ...
- By the university
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Umeå University
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Lund University
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Linköping University
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Uppsala University
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Karolinska Institutet
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University of Gothenburg