Associations of baseline use of biologic or targeted synthetic DMARDs with COVID-19 severity in rheumatoid arthritis: Results from the COVID-19 Global Rheumatology Alliance physician registry


Por: Sparks J.A., Wallace Z.S., Seet A.M., Gianfrancesco M.A., Izadi Z., Hyrich K.L., Strangfeld A., Gossec L., Carmona L., Mateus E.F., Lawson-Tovey S., Trupin L., Rush S., Katz P., Schmajuk G., Jacobsohn L., Wise L., Gilbert E.L., Duarte-García A., Valenzuela-Almada M.O., Pons-Estel G.J., Isnardi C.A., Berbotto G.A., Hsu T.Y.-T., D'Silva K.M., Patel N.J., Kearsley-Fleet L., Schäfer M., Emadi S.A., Tidblad L., Scirè C.A., Raffeiner B., Thomas T., Flipo R.-M., Avouac J., Seror R., Bernardes M., Cunha M.M., Hasseli R., Schulze-Koops H., Müller-Ladner U., Specker C., de Souza V.A., da Mota L.M.H., Gomides A.P.M., Dieudé P., Nikiphorou E., Kronzer V.L., Singh N., Ugarte-Gil M.F., Wallace B., Akpabio A., Thomas R., Bhana S., Costello W., Grainger R., Hausmann J.S., Liew J.W., Sirotich E., Sufka P., Robinson P.C., Machado P.M., Yazdany J., Dahou B., Quintana R., Gómez G., Roberts K., Baez R.M., Coello V., Haye Salinas M.J., Maldonado F.N., Torres A.A.R., Alle G., Tanten R., Ficco H.M., Nieto R., Gobbi C., Tissera Y., Pisoni C., Paula A., Albiero J.A., Schmid M.M., Cosatti M., Gamba M.J., Leandro C., Cusa M.A., German N., Bellomio V., Takashima L., Pera M., Cogo K., Elkin M.S.G., Medina M.A., Savio V., Tessel I.R.R., Alamino R.P., Werner M.L., Ornella S., Casalla L., de la Vega M., Severina M., García M., Lucero L.G., Romeo C., Moyano S., Barbich T., Bertoli A., Baños A., Petruzzelli S., Matellan C., Conti S., Lazaro M.A., Gil G.F.R., Risueño F., Quaglia M.I., Scafati J., Cuchiaro N.L., Rebak J.E., Pineda S.I., Calvo M.E., Picco E., Yanzi J.G., Maid P., Guaglianone D., Morbiducci J.S., Porta S., Herscovich N., Zamora J.L.V., Kisluk B., Menescardi M.S.C., Gallo R., Martire M.V., Maldini C., Goizueta C., de la vega Fernandez S.S., Argentina C.A., Subils G., Rath E., Piette Y., Devinck M., Maeyaert B., Ribeiro F.M., Ribeiro S.L.E., Pinheiro M., Ibáñez S., Chassin-Trubert A.-M., Dong L., Cajas L., Barešic M., Anic B., Culo M.-I., Pavelic T.A., Kovacevic K., Karanovic B., Vencovsky J., Píchová M., Filkova M., Hamoud H., Vassilopoulos D., Melgar G.M.G., So H., Király M., Vojdanian M., Balbir-Gurman A., Abutiban F., Zepa J., Bulina I., Bukauskiene L., Zazueta-Montiel B.E., Castillo-Ortiz A.A., Zamora-Tehozol E., Vega-Morales D., Rosete D.C., Martín-Nares E., Rodriguez-Reyna T.S., Gabayet M.R., Alpízar-Rodríguez D., Irazoque F., Jimenez X., Bon L.G.-V., Zijlstra T., Hoekstra M., Al-Adhoubi N., Salim B., Giraldo E., Salinas A., Ugarte-Gil M., Nowakowski J., Conway R., Flood R., McCarthy G., Felea I., Filipescu I., Rednic S., Groseanu L., Magdelena M., Vanda M., Skamlova M., Zlnay M., Miceková D., Capova L., Macejova Z., Štenová E., Raffayova H., Belakova G., Strakova E., Sencarová M., Žlnayová S., Sabová A., Spisakova D., Oetterová M., Lukacova O., Bakosova M., Hocevar A., de la Torre-Rubio N., Sancho J.J.A., Coro M.C., Garcia J.C.C., Martin M.C.T., Campos J., Gomez Puerta J.A., Yardimci G.K., Akar S., Icacan O.C., Çelik S., Vasylets V., Yeoh S.-A., Vandevelde C., Dunt S., Leeder J., Macphie E., Salerno R., Graver C., Williams K., O'Reilly S., Devine K., Tyler J., Warner E., Pilcher J., Patel S., Chadwick L., Jones C.M., Harrison B., Thornton L., O'Kane D., Fusi L., Low A., Horton S., Jatwani S., Baig S., Bajwa H., Berglund V., Dahle A., Dorman W., Hargrove J., Hilton M., Lebedoff N., Leonard S., Morgan J., Pfeifer E., Skemp A., Wilson J., Wolff A., Cepeda E., Todd D., Hare D., Calabrese C., Adams C., Khosroshahi A., Kilian A., White D., Winter M., Fields T., Siegel C., Daver N., Harvey M., Kramer N., Lamore C., Hogarty S., Yeter K., Siddique F., Ban B., Tanner T., Ruderman E., Davis W., Quinet R., Scopelitis E., Toribio K.T., Webb-Detiege T., Zakem J., Abbass K., Kepecs G., Miranda L., Guma M., Haikal A., Mody S., Jayatilleke A., Zell J., Mueller D., Bays A., Dao K., Fatemeh E., Parks D., Karp D., Quiceno G., COVID-19 Global Rheumatology Alliance

Publicada: 1 ene 2021
Resumen:
Objective To investigate baseline use of biologic or targeted synthetic (b/ts) disease-modifying antirheumatic drugs (DMARDs) and COVID-19 outcomes in rheumatoid arthritis (RA). Methods We analysed the COVID-19 Global Rheumatology Alliance physician registry (from 24 March 2020 to 12 April 2021). We investigated b/tsDMARD use for RA at the clinical onset of COVID-19 (baseline): abatacept (ABA), rituximab (RTX), Janus kinase inhibitors (JAKi), interleukin 6 inhibitors (IL-6i) or tumour necrosis factor inhibitors (TNFi, reference group). The ordinal COVID-19 severity outcome was (1) no hospitalisation, (2) hospitalisation without oxygen, (3) hospitalisation with oxygen/ventilation or (4) death. We used ordinal logistic regression to estimate the OR (odds of being one level higher on the ordinal outcome) for each drug class compared with TNFi, adjusting for potential baseline confounders. Results Of 2869 people with RA (mean age 56.7 years, 80.8% female) on b/tsDMARD at the onset of COVID-19, there were 237 on ABA, 364 on RTX, 317 on IL-6i, 563 on JAKi and 1388 on TNFi. Overall, 613 (21%) were hospitalised and 157 (5.5%) died. RTX (OR 4.15, 95% CI 3.16 to 5.44) and JAKi (OR 2.06, 95% CI 1.60 to 2.65) were each associated with worse COVID-19 severity compared with TNFi. There were no associations between ABA or IL6i and COVID-19 severity. Conclusions People with RA treated with RTX or JAKi had worse COVID-19 severity than those on TNFi. The strong association of RTX and JAKi use with poor COVID-19 outcomes highlights prioritisation of risk mitigation strategies for these people. © Author(s) (or their employer(s)) 2021. No commercial re-use. See rights and permissions. Published by BMJ.

Filiaciones:
Sparks J.A.:
 Department of Medicine, Division of Rheumatology, Inflammation, and Immunity, Brigham and Women's Hospital, Boston, MA, United States

 Department of Medicine, Harvard Medical School, Boston, MA, United States

 Division of Rheumatology, Inflammation, and Immunity, Brigham and Women's Hospital, Boston, MA, United States

Wallace Z.S.:
 Department of Medicine, Harvard Medical School, Boston, MA, United States

 Clinical Epidemiology Program and Rheumatology Unit, Division of Rheumatology, Allergy, and Immunology, Massachusetts General Hospital, Boston, MA, United States

Seet A.M.:
 Department of Medicine, Division of Rheumatology, University of California San Francisco, San Francisco, CA, United States

Gianfrancesco M.A.:
 Department of Medicine, Division of Rheumatology, University of California San Francisco, San Francisco, CA, United States

Izadi Z.:
 Division of Rheumatology, Department of Medicine, Department of Epidemiology and Biostatistics, University of California San Francisco, San Francisco, CA, United States

Hyrich K.L.:
 Centre for Epidemiology Versus Arthritis, Manchester Academic Health Science Centre, The University of Manchester, Manchester, United Kingdom

 National Institute for Health Research Manchester Biomedical Research Centre, Manchester University NHS Foundation Trust, Manchester Academic Health Science Centre, Manchester, United Kingdom

Strangfeld A.:
 Epidemiology and Health Care Research, German Rheumatism Research Center Berlin, Berlin, Germany

Gossec L.:
 INSERM, Institut Pierre Louis d'Epidémiologie et de Santé Publique, Sorbonne Universite, Paris, France

 APHP, Rheumatology Department, Hopital Universitaire Pitie Salpetriere, Paris, France

Carmona L.:
 Instituto de Salud Musculoesquelética, Madrid, Spain

Mateus E.F.:
 Portuguese League Against Rheumatic Diseases, Lisbon, Portugal

 Standing Committee of People with Arthritis/Rheumatism in Europe (PARE), European League Against Rheumatism, Kilchberg, Switzerland

Lawson-Tovey S.:
 Centre for Genetics and Genomics Versus Arthritis, The University of Manchester, Manchester, United Kingdom

 National Institute for Health Research Manchester Biomedical Research Centre, Manchester University NHS Foundation Trust, Manchester, United Kingdom

Trupin L.:
 Department of Medicine, Division of Rheumatology, University of California San Francisco, San Francisco, CA, United States

Rush S.:
 Department of Medicine, Division of Rheumatology, University of California San Francisco, San Francisco, CA, United States

Katz P.:
 Department of Medicine, Division of Rheumatology, University of California San Francisco, San Francisco, CA, United States

Schmajuk G.:
 Department of Medicine, Division of Rheumatology, University of California San Francisco, San Francisco, CA, United States

 San Francisco VA Health Care System, San Francisco, CA, United States

Jacobsohn L.:
 Department of Medicine, Division of Rheumatology, University of California San Francisco, San Francisco, CA, United States

Wise L.:
 Department of Internal Medicine, Division of Rheumatology, University of Southern California, Los Angeles, CA, United States

 Los Angeles County + USC Medical Center, United States

Gilbert E.L.:
 Division of Rheumatology, Mayo Clinic Hospital Jacksonville, Jacksonville, FL, United States

Duarte-García A.:
 Division of Rheumatology, Robert D and Patricia E Kern Center for the Science of Health Care Delivery, Mayo Clinic Rochester, Rochester, MN, United States

Valenzuela-Almada M.O.:
 Division of Rheumatology, Mayo Clinic Rochester, Rochester, MN, United States

Pons-Estel G.J.:
 SAR-COVID, Argentina Society of Rheumatology, Buenos Aires, Argentina

Isnardi C.A.:
 SAR-COVID, Argentina Society of Rheumatology, Buenos Aires, Argentina

Berbotto G.A.:
 Rheumatology, Sanatorio Britanico Rosario, Buenos Aires, Argentina

Hsu T.Y.-T.:
 Division of Rheumatology, Inflammation, and Immunity, Brigham and Women's Hospital, Boston, MA, United States

D'Silva K.M.:
 Clinical Epidemiology Program and Rheumatology Unit, Division of Rheumatology, Allergy, and Immunology, Massachusetts General Hospital, Boston, MA, United States

Patel N.J.:
 Clinical Epidemiology Program and Rheumatology Unit, Division of Rheumatology, Allergy, and Immunology, Massachusetts General Hospital, Boston, MA, United States

Kearsley-Fleet L.:
 Centre for Epidemiology Versus Arthritis, Manchester Academic Health Science Centre, The University of Manchester, Manchester, United Kingdom

Schäfer M.:
 Epidemiology and Health Care Research, German Rheumatism Research Center Berlin, Berlin, Germany

 Arthritis and Rheumatology ConsultantsPA, United States

Emadi S.A.:
 Rheumatology Department, Hamad Medical Corporation, Doha, Qatar

 Hamad Medical Corporation, Qatar

Tidblad L.:
 Division of Clinical Epidemiology, Department of Medicine, Karolinska Institutet, Stockholm, Sweden

Scirè C.A.:
 Epidemiology Research Unit, Italian Society of Rheumatology, Milano, Italy

Raffeiner B.:
 Department of Rheumatology, Central Hospital of Bolzano, Padua, Italy

Thomas T.:
 Société Française de Rhumatologie (SFR), Department of Rheumatology, Hôpital Nord, Universite de Lyon, Lyon, France

Flipo R.-M.:
 Department of Rheumatology, University of Lille, Lille, France

Avouac J.:
 Service de Rhumatologie, Hôpital Cochin, AP-HP.CUP, Universite de Paris, Paris, France

Seror R.:
 Department of Rheumatology, Assistance Publique, Hopitaux de Paris, Universite Paris-Saclay, Saint-Aubin, France

Bernardes M.:
 Department of Medicine, Faculty of Medicine, University of Porto, Porto, Portugal

 Rheumatology Department, Centro Hospitalar de Sao Joao EPE, Porto, Portugal

Cunha M.M.:
 Rheumatology Department, Garcia de Orta Hospital, Almada, Portugal

Hasseli R.:
 Division of Rheumatology and Clinical Immunology, Campus Kerckhoff, Justus Liebig Universitat Giessen, Giessen, Germany

Schulze-Koops H.:
 Division of Rheumatology and Clinical Immunology, Internal Medicine IV, Ludwig-Maximilians-Universitat Munchen, Munchen, Germany

Müller-Ladner U.:
 Division of Rheumatology and Clinical Immunology, Campus Kerckhoff, Justus Liebig Universitat Giessen, Giessen, Germany

Specker C.:
 Department of Rheumatology and Clinical Immunology, KEM Kliniken Essen-Mitte, Essen, Germany

de Souza V.A.:
 Universidade Federal de Juiz de Fora, Minas Gerais, Juiz de Fora, Brazil

da Mota L.M.H.:
 Hospital Universitário de Brasilia, Universidade de Brasilia, Federal District, Brasilia, Brazil

Gomides A.P.M.:
 Centro Universitario de Brasilia, Federal District, Brasilia, Brazil

Dieudé P.:
 Rheumatology Department, Bichat-Claude Bernard Hospital, Paris University, Paris, France

Nikiphorou E.:
 Centre for Rheumatic Diseases, King's College Hospital, King's College London, London, United Kingdom

 King's College Hospital, United Kingdom

Kronzer V.L.:
 Division of Rheumatology, Mayo Clinic, Rochester, MN, United States

Singh N.:
 Division of Rheumatology, University of Washington, Seattle, WA, United States

Ugarte-Gil M.F.:
 School of Medicine, Universidad Científica del Sur, Lima, Peru

 Rheumatology Department, Level IV Hospital Guillermo Almenara Irigoyen, La Victoria, Peru

 Argentine Society of Rheumatology, Argentina

Wallace B.:
 Department of Internal Medicine/Rheumatology, University of Michigan, Ann Arbor, MI, United States

 VA Ann Arbor Healthcare System, Ann Arbor, MI, United States

Akpabio A.:
 Rheumatology Department, Royal Hallamshire Hospital, Sheffield, United Kingdom

Thomas R.:
 UQ Diamantina Institute, The University of Queensland, Saint Lucia, QLD, Australia

Bhana S.:
 Crystal Run Healthcare, Middletown, NY, United States

 Argentine Society of Rheumatology, Argentina

Costello W.:
 Irish Children's Arthritis Network (iCan), Tipperary, Ireland

Grainger R.:
 Department of Medicine, University of Otago, Dunedin, New Zealand

Hausmann J.S.:
 Program in Rheumatology, Boston Children's Hospital, Boston, MA, United States

 Division of Rheumatology and Clinical Immunology, Beth Israel Deaconess Medical Center, Boston, MA, United States

Liew J.W.:
 Section of Rheumatology, Department of Medicine, Boston University School of Medicine, Boston, MA, United States

Sirotich E.:
 Department of Health Research Methods, Evidence, and Impact, McMaster University, Hamilton, ON, Canada

 Canadian Arthritis Patient Alliance, Toronto, ON, Canada

Sufka P.:
 HealthPartners, St. Paul, MN, United States

Robinson P.C.:
 Faculty of Medicine, The University of Queensland, Herston, QLD, Australia

 Metro North Hospital and Health Service, Royal Brisbane and Women's Hospital Health Service District, Herston, QLD, Australia

Machado P.M.:
 Centre for Rheumatology, Department of Neuromuscular Diseases, University College London, London, United Kingdom

 National Institute for Health Research (NIHR) University College London Hospitals Biomedical Research Centre, University College London Hospitals NHS Foundation Trust, London, United Kingdom

Yazdany J.:
 Department of Medicine, Division of Rheumatology, University of California San Francisco, San Francisco, CA, United States

Dahou B.:
 Association Rhumatologues Algériens Privés (ARAP), Algeria

Quintana R.:
 Argentine Society of Rheumatology, Argentina

Gómez G.:
 Argentine Society of Rheumatology, Argentina

Roberts K.:
 Argentine Society of Rheumatology, Argentina

Baez R.M.:
 Argentine Society of Rheumatology, Argentina

Coello V.:
 Argentine Society of Rheumatology, Argentina

Haye Salinas M.J.:
 Argentine Society of Rheumatology, Argentina

Maldonado F.N.:
 Argentine Society of Rheumatology, Argentina

Torres A.A.R.:
 Argentine Society of Rheumatology, Argentina

Alle G.:
 Argentine Society of Rheumatology, Argentina

Tanten R.:
 Argentine Society of Rheumatology, Argentina

Ficco H.M.:
 Argentine Society of Rheumatology, Argentina

Nieto R.:
 Argentine Society of Rheumatology, Argentina

Gobbi C.:
 Argentine Society of Rheumatology, Argentina

Tissera Y.:
 Argentine Society of Rheumatology, Argentina

Pisoni C.:
 Argentine Society of Rheumatology, Argentina

Paula A.:
 Argentine Society of Rheumatology, Argentina

Albiero J.A.:
 Argentine Society of Rheumatology, Argentina

Schmid M.M.:
 Argentine Society of Rheumatology, Argentina

Cosatti M.:
 Argentine Society of Rheumatology, Argentina

Gamba M.J.:
 Argentine Society of Rheumatology, Argentina

Leandro C.:
 Argentine Society of Rheumatology, Argentina

Cusa M.A.:
 Argentine Society of Rheumatology, Argentina

German N.:
 Argentine Society of Rheumatology, Argentina

Bellomio V.:
 Argentine Society of Rheumatology, Argentina

Takashima L.:
 Argentine Society of Rheumatology, Argentina

Pera M.:
 Argentine Society of Rheumatology, Argentina

Cogo K.:
 Argentine Society of Rheumatology, Argentina

Elkin M.S.G.:
 Argentine Society of Rheumatology, Argentina

Medina M.A.:
 Argentine Society of Rheumatology, Argentina

Savio V.:
 Argentine Society of Rheumatology, Argentina

Tessel I.R.R.:
 Argentine Society of Rheumatology, Argentina

Alamino R.P.:
 Argentine Society of Rheumatology, Argentina

Werner M.L.:
 Argentine Society of Rheumatology, Argentina

Ornella S.:
 Argentine Society of Rheumatology, Argentina

Casalla L.:
 Argentine Society of Rheumatology, Argentina

de la Vega M.:
 Argentine Society of Rheumatology, Argentina

Severina M.:
 Argentine Society of Rheumatology, Argentina

García M.:
 Argentine Society of Rheumatology, Argentina

Lucero L.G.:
 Argentine Society of Rheumatology, Argentina

Romeo C.:
 Argentine Society of Rheumatology, Argentina

Moyano S.:
 Argentine Society of Rheumatology, Argentina

Barbich T.:
 Argentine Society of Rheumatology, Argentina

Bertoli A.:
 Argentine Society of Rheumatology, Argentina

Baños A.:
 Argentine Society of Rheumatology, Argentina

Petruzzelli S.:
 Argentine Society of Rheumatology, Argentina

Matellan C.:
 Argentine Society of Rheumatology, Argentina

Conti S.:
 Argentine Society of Rheumatology, Argentina

Lazaro M.A.:
 Argentine Society of Rheumatology, Argentina

Gil G.F.R.:
 Argentine Society of Rheumatology, Argentina

Risueño F.:
 Argentine Society of Rheumatology, Argentina

Quaglia M.I.:
 Argentine Society of Rheumatology, Argentina

Scafati J.:
 Argentine Society of Rheumatology, Argentina

Cuchiaro N.L.:
 Argentine Society of Rheumatology, Argentina

Rebak J.E.:
 Argentine Society of Rheumatology, Argentina

Pineda S.I.:
 Argentine Society of Rheumatology, Argentina

Calvo M.E.:
 Argentine Society of Rheumatology, Argentina

Picco E.:
 Argentine Society of Rheumatology, Argentina

Yanzi J.G.:
 Argentine Society of Rheumatology, Argentina

Maid P.:
 Argentine Society of Rheumatology, Argentina

Guaglianone D.:
 Argentine Society of Rheumatology, Argentina

Morbiducci J.S.:
 Argentine Society of Rheumatology, Argentina

Porta S.:
 Argentine Society of Rheumatology, Argentina

Herscovich N.:
 Argentine Society of Rheumatology, Argentina

Zamora J.L.V.:
 Argentine Society of Rheumatology, Argentina

Kisluk B.:
 Argentine Society of Rheumatology, Argentina

Menescardi M.S.C.:
 Argentine Society of Rheumatology, Argentina

Gallo R.:
 Argentine Society of Rheumatology, Argentina

Martire M.V.:
 Argentine Society of Rheumatology, Argentina

Maldini C.:
 Argentine Society of Rheumatology, Argentina

Goizueta C.:
 Argentine Society of Rheumatology, Argentina

de la vega Fernandez S.S.:
 Argentine Society of Rheumatology, Argentina

Argentina C.A.:
 Argentine Society of Rheumatology, Argentina

Subils G.:
 Argentine Society of Rheumatology, Argentina

Rath E.:
 Hanusch Krankenhaus, Vienna, Austria

Piette Y.:
 AZ Sint-Jan Brugge, Belgium

Devinck M.:
 AZ Sint-Lucas Brugge, Belgium

Maeyaert B.:
 AZ Sint-Lucas Brugge, Hospital Universitário Pedro Ernesto Universidade, Belgium

Ribeiro F.M.:
 Estado do Rio de Janeiro, Brazil

Ribeiro S.L.E.:
 Hospital Universitário Getúlio Vargas, Faculty of Medicine, Federal University of Amazonas, Amazonas, Manaus, Brazil

Pinheiro M.:
 Medicina e Escola Paulista de Enfermagem, Brazil

Ibáñez S.:
 Clínica Alemana de Santiago, Chile

Chassin-Trubert A.-M.:
 Complejo Hospitalario San José, Chile

Dong L.:
 Tongji Hospital, China

Cajas L.:
 Clinica Universitaria Colombia - Centro Medico Providencia Sanitas, Colombia

Barešic M.:
 University Hospital Center Zagreb, Croatia

Anic B.:
 University Hospital Center Zagreb, Croatia

 Div Clin Immunol Rheumatol, Dept Int Med, School of Med Zagreb, University Hospital Center Zagreb, Croatia

Culo M.-I.:
 University Hospital Dubrava, Zagreb, Croatia

Pavelic T.A.:
 Clinical Hospital Center Rijeka, Croatia

Kovacevic K.:
 Stranski University Hospital Osijek, Croatia

Karanovic B.:
 UHC Zagreb, Croatia

Vencovsky J.:
 Institute of Rheumatology, Prague, Czech Republic

Píchová M.:
 Medipont Plus S.Ro., Ceské Budejovice, Czech Republic

Filkova M.:
 Institute of Rheumatology, Prague, Czech Republic

Hamoud H.:
 Al Azhar University Hospitals, Egypt

Vassilopoulos D.:
 Hippokration General Hospital, Athens, Greece

Melgar G.M.G.:
 Hospital del Valle, Honduras, Honduras

So H.:
 Chinese University of Hong Kong, Hong Kong

Király M.:
 Petz Aladár University Teaching Hospital, Gyor, Hungary

Vojdanian M.:
 Iran Rheumatology Center, Iran

Balbir-Gurman A.:
 Rambam Rheumatology Institute, Haifa, Israel

Abutiban F.:
 Kuwait Rheumatology Association, Kuwait

Zepa J.:
 Pauls Stradins Clinical University Hospital, Riga, Latvia

Bulina I.:
 Pauls Stradins Clinical University Hospital, Riga, Latvia

Bukauskiene L.:
 Klaipeda University Hospital, Lithuania

Zazueta-Montiel B.E.:
 Centro Medico del Angel, Mexico

 Mexico

Castillo-Ortiz A.A.:
 Centro Medico Las Americas, Mexico

 Mexico

Zamora-Tehozol E.:
 Centro Medico Pensiones, Mexico

 Mexico

Vega-Morales D.:
 Hospital General de Zona #17, Instituto Nacional de Ciencias Médicas y Nutrición, Mexico

 Mexico

Rosete D.C.:
 Salvador Zubirán, Instituto Nacional de Ciencias Médicas y Nutrición, Mexico

 Mexico

Martín-Nares E.:
 Salvador Zubirán, Instituto Nacional de Ciencias Médicas y Nutrición, Mexico

 Mexico

Rodriguez-Reyna T.S.:
 Salvador Zubirán, Instituto Nacional de Ciencias Médicas y Nutrición, Mexico

 Mexico

Gabayet M.R.:
 Salvador Zubirán, Mexico

 Mexico

Alpízar-Rodríguez D.:
 Mexican College of Rheumatology, Mexico

 Mexico

Irazoque F.:
 Mexico

Jimenez X.:
 Mexico

 Centro Médico Naval, Mexico

Bon L.G.-V.:
 Ziekenhuisgroep Twente, Netherlands

Zijlstra T.:
 Isala Hospital, Zwolle, Netherlands

Hoekstra M.:
 Isala Hospital, Zwolle, Netherlands

Al-Adhoubi N.:
 Royal Hospital, Oman

Salim B.:
 Fauji Foundation Hospital, Pakistan

Giraldo E.:
 Complejo Hospitalario, Panama

Salinas A.:
 Hospital Essalud Alberto Sabogal Sologuren, Universidad Científica del Sur-Hospital Guillermo, Peru

Ugarte-Gil M.:
 School of Medicine, Universidad Científica del Sur, Lima, Peru

 Rheumatology Department, Level IV Hospital Guillermo Almenara Irigoyen, La Victoria, Peru

 Argentine Society of Rheumatology, Argentina

Nowakowski J.:
 University Hospital, Krakow, Poland

Conway R.:
 St James' Hospital, Dublin, Ireland

Flood R.:
 Tallaght University Hospital, Ireland

McCarthy G.:
 Mater Misericordiae University Hospital, Ireland

Felea I.:
 County Emergency Hospital, Cluj Napoca, Romania

Filipescu I.:
 County Emergency Hospital, Cluj Napoca, Romania

Rednic S.:
 County Emergency Hospital, Cluj Napoca, Romania

Groseanu L.:
 Sf Maria Clinical Hospital, Bucharest, Romania

Magdelena M.:
 County Emergency Hospital, Cluj Napoca, Romania

 Tamas County Emergency Hospital, Cluj Napoca, Romania

Vanda M.:
 National Institute of Rheumatic Diseases, Piestany, Slovakia

Skamlova M.:
 FNSPFDR, Banská Bystrica, Slovakia

Zlnay M.:
 National Institute of Rheumatic Diseases, Piestany, Slovakia

Miceková D.:
 National Institute of Rheumatic Diseases, Piestany, Slovakia

Capova L.:
 University Hospital, Bratislava, Slovakia

Macejova Z.:
 University Hospital, Košice, Slovakia

Štenová E.:
 University Hospital Bratislava, Slovakia

Raffayova H.:
 National Institute of Rheumatic Diseases, Piestany, Slovakia

Belakova G.:
 Medman s.r.o., Martin, Slovakia

Strakova E.:
 Faculty hospital Prešov, Slovakia

Sencarová M.:
 University Hospital, Košice, Slovakia

 Louis Pasteur University Hospital, Košice, Slovakia

Žlnayová S.:
 Poliklinika MarMedico, s.r.o., Nové Mesto nad Váhom Slovak Republic Súkromná Reumatologická Ambulancia, Vranov nad, Slovakia

Sabová A.:
 Toplou, Slovakia

Spisakova D.:
 University Hospital od L. Pasteur Kosice, Slovakia

Oetterová M.:
 Safarik University hospital, Kosice, Slovakia

Lukacova O.:
 National Institute of Rheumatic Diseases, Piestany, Slovakia

Bakosova M.:
 UNB Nemocnica Stare Mesto, Bratislava, Slovakia

Hocevar A.:
 UMC Ljubljana, Slovenia

de la Torre-Rubio N.:
 Hospital Universitario Puerta de Hierro Majadahonda, Spain

Sancho J.J.A.:
 Hospital Universitari Dr Peset, Valencia, Spain

Coro M.C.:
 (Complejo Asistencial, Avila, Spain

Garcia J.C.C.:
 Hospital Ernest Lluch, Calatayud, Spain

Martin M.C.T.:
 Hospital Nuestra Senora Sonsoles, Avila, Spain

Campos J.:
 Hospital UniversitarioPuerta de Hierro, Spain

Gomez Puerta J.A.:
 Hospital Clinic Barcelona, Spain

Yardimci G.K.:
 Hacettepe University, Faculty of Medicine, Ankara, Turkey

 Izmir Katip Celebi University, Atatürk Training and Research Hospital, Izmir, Turkey

Akar S.:
 Hacettepe University, Faculty of Medicine, Ankara, Turkey

 Izmir Katip Celebi University, Atatürk Training and Research Hospital, Izmir, Turkey

Icacan O.C.:
 Bakirköy Dr. Sadi Konuk Research and Training Hospital, Istanbul, Turkey

Çelik S.:
 Bakirkoy Dr Sadi Konuk Educational and Research Hospital, Rheumatology Department, Turkey

Vasylets V.:
 Multifield Medical Centre, Odessa, Ukraine

Yeoh S.-A.:
 University College London Hospital, London, United Kingdom

Vandevelde C.:
 Leeds Teaching Hospitals NHS Trust, United Kingdom

Dunt S.:
 Countess ofChester NHS Foundation Trust, United Kingdom

Leeder J.:
 Norfolk & Norwich University Hospital, United Kingdom

Macphie E.:
 Lancashire and South Cumbria NHS Foundation Trust, United Kingdom

Salerno R.:
 King's College Hospital, United Kingdom

Graver C.:
 Hampshire Hospitals Nhs Trust, United Kingdom

Williams K.:
 York District Hospital, United Kingdom

O'Reilly S.:
 Royal Derby Hospital, United Kingdom

Devine K.:
 York/Scarborough Hospitals, United Kingdom

Tyler J.:
 Royal United Hospital, Bath, United Kingdom

Warner E.:
 Lister Hospital, United Kingdom

Pilcher J.:
 University Hospital Lewisham, United Kingdom

Patel S.:
 Queen Elizabeth hospital Woolwich, United Kingdom

Chadwick L.:
 St Helens & Knowsley NHS Foundation Trust, United Kingdom

Jones C.M.:
 Llandudno Hospital, United Kingdom

Harrison B.:
 Salford Royal NHS FT, United Kingdom

Thornton L.:
 Bradford Royal Infirmary, United Kingdom

O'Kane D.:
 Royal United Hospital, Bath, United Kingdom

 RNHRD, Royal United Hospital, Bath, United Kingdom

Fusi L.:
 King's College Hospital, United Kingdom

Low A.:
 Salford Royal NHS FT, United Kingdom

Horton S.:
 Minerva Health Centre, United Kingdom

Jatwani S.:
 Albert Einstein Medical CenterPA, United States

Baig S.:
 Arthritis and Rheumatology ConsultantsPA, United States

Bajwa H.:
 Arthritis and Rheumatology ConsultantsPA, United States

Berglund V.:
 Arthritis and Rheumatology ConsultantsPA, United States

Dahle A.:
 Arthritis and Rheumatology ConsultantsPA, United States

Dorman W.:
 Arthritis and Rheumatology ConsultantsPA, United States

Hargrove J.:
 Arthritis and Rheumatology ConsultantsPA, United States

Hilton M.:
 Arthritis and Rheumatology ConsultantsPA, United States

Lebedoff N.:
 Arthritis and Rheumatology ConsultantsPA, United States

Leonard S.:
 Arthritis and Rheumatology ConsultantsPA, United States

Morgan J.:
 Arthritis and Rheumatology ConsultantsPA, United States

Pfeifer E.:
 Arthritis and Rheumatology ConsultantsPA, United States

Skemp A.:
 Arthritis and Rheumatology ConsultantsPA, United States

Wilson J.:
 Arthritis and Rheumatology ConsultantsPA, United States

Wolff A.:
 Arthritis and Rheumatology ConsultantsPA, United States

Cepeda E.:
 Austin Diagnostic Clinic, United States

Todd D.:
 Brigham and Women's Hospital, United States

Hare D.:
 Capital Health Rheumatology, United States

Calabrese C.:
 Cleveland Clinic, United States

Adams C.:
 East Alabama Medical Center, United States

Khosroshahi A.:
 Emory University, United States

Kilian A.:
 George Washington University, United States

White D.:
 Gundersen Health System, United States

Winter M.:
 Gundersen Health System, United States

Fields T.:
 Hospital for Special Surgery, United States

Siegel C.:
 Hospital for Special Surgery, United States

Daver N.:
 Institute of Rheumatic and Autoimmune Diseases, United States

Harvey M.:
 Institute of Rheumatic and Autoimmune Diseases, United States

Kramer N.:
 Institute of Rheumatic and Autoimmune Diseases, United States

Lamore C.:
 Institute of Rheumatic and Autoimmune Diseases, United States

Hogarty S.:
 Integrative Arthritis and Pain Consultants, United States

Yeter K.:
 Kaiser Permanente, United States

Siddique F.:
 Loyola University Medical Center, United States

Ban B.:
 Medstar Georgetown University Hospital, United States

Tanner T.:
 Montefiore Medical Center, United States

Ruderman E.:
 Northwestern Memorial, United States

Davis W.:
 Ochsner Medical Center Rheumatology Department, United States

Quinet R.:
 Ochsner Medical Center Rheumatology Department, United States

Scopelitis E.:
 Ochsner Medical Center Rheumatology Department, United States

Toribio K.T.:
 Ochsner Medical Center Rheumatology Department, United States

Webb-Detiege T.:
 Ochsner Medical Center Rheumatology Department, United States

Zakem J.:
 Ochsner Medical Center Rheumatology Department, United States

Abbass K.:
 Private Practice, United States

Kepecs G.:
 Private Practice, United States

Miranda L.:
 Rheumatology Center INC, United States

Guma M.:
 Riverside Medical Group, United States

Haikal A.:
 Riverside Medical Group, United States

Mody S.:
 Riverside Medical Group, United States

Jayatilleke A.:
 Temple University Hospital, United States

Zell J.:
 University of Colorado, United States

Mueller D.:
 Shores Rheumatology PC, United States

Bays A.:
 University of Washington, Seattle, United States

Dao K.:
 UT Southwestern Medical Center, United States

Fatemeh E.:
 UT Southwestern Medical Center, United States

Parks D.:
 Washington University Div of Rheumatology, United States

Karp D.:
 UT Southwestern Medical Center, United States

Quiceno G.:
 UT Southwestern Medical Center, United States
ISSN: 00034967
Editorial
BMJ PUBLISHING GROUP, BRITISH MED ASSOC HOUSE, TAVISTOCK SQUARE, LONDON WC1H 9JR, ENGLAND, Reino Unido
Tipo de documento: Article
Volumen: 80 Número: 9
Páginas: 1137-1146
ID de PubMed: 34049860
imagen All Open Access, Bronze

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