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
All Open Access, Bronze
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