COVID‐19 Session Article Swipe
Satveer K. Mahil
,
Nick Dand
,
K.J. Mason
,
Zenas Z N Yiu
,
Teresa Tsakok
,
Freya Meynell
,
Bola Coker
,
Helen McAteer
,
Lucy Moorhead
,
Thomas A. Mackenzie
,
Piergiacomo Calzavara‐Pinton
,
Rebecca Rivera
,
E. Mahé
,
Andrea Carugno
,
Michela Magnano
,
Guilherme Rech Cassanego
,
Esther A. Balogh
,
Steven R. Feldman
,
D McMahon
,
Esther E. Freeman
,
Paolo Gisondi
,
L. Puig
,
Richard B. Warren
,
Paola Di Meglio
,
Sinéad Langan
,
Francesca Capon
,
C.E.M. Griffiths
,
Juliet N. Barker
,
Catherine Smith
,
Abhigale F. L. D’Cruz
,
F Mason
,
R D'souza
,
Joseph R. Freitas
,
James W. Thomas
,
Manas Saha
·
YOU?
·
· 2020
· Open Access
·
· DOI: https://doi.org/10.1111/bjd.19411
YOU?
·
· 2020
· Open Access
·
· DOI: https://doi.org/10.1111/bjd.19411
Psoriasis is a common immune-mediated inflammatory skin disease with frequent multimorbidity, and immunosuppressants are the mainstay of treatment in moderate-to-severe disease.An understanding of the impact of COVID-19 on individuals with psoriasis and the effect of psoriasis therapies on the course of COVID-19 is urgently required to inform clinical decision-making.This study sought to characterize the clinical course of COVID-19 in patients with psoriasis and to identify factors associated with hospitalization.Clinicianreported cases of confirmed or suspected COVID-19 in psoriasis were collected via an international online registry.Multivariable-adjusted logistic regression identified factors associated with hospitalization.Patient risk-mitigating behaviours were characterized using an independent global selfreport registry.In total, 334 clinician-reported cases (median age 50 years, 62% male, median body mass index 28 kg m -2 , 85% white) from 22 countries [most frequently, the U.K. (35%), Italy (22%) and Spain (16%)] were available between 27 March and 20 June 2020.Altogether, 245 (73.3%) patients were receiving a biologic, 54 (16.2%) a nonbiologic and 31 (9.3%) no systemic treatment.Overall, 311 (93.1%) achieved a full recovery, 71 (21.2%) were hospitalized and nine (2.7%) died.Risk factors associated with hospitalization were older age [adjusted odds ratio (aOR) 1.71, 95% confidence interval (CI) 1.26-2.32],male sex (aOR 2.37, 95% CI 1.11-5.04)and nonwhite ethnicity (aOR 3.40, 95% CI 1.27-9.11), in addition to chronic lung disease (aOR 4.37, 95% CI 1.62-11.74)and hypertension (aOR 2.23, 95% CI 1.05-4.74).Reduced risk of hospitalization was associated with use of a biologic (aOR 0.42, 95% CI 0.18-0.98)vs. nonbiological systemic therapy.There was no difference in risk of hospitalization between classes of biologics.An independent selfreport psoriasis registry (1167 patients from 39 countries) suggested increased social isolation (76% vs. 66%; P < 0.05) but similar nonadherence to medication (18% vs 22%) in patients receiving biologics vs. nonbiological systemic treatments.In this international moderate-to-severe psoriasis case series, most patients fully recovered from COVID-19; older age, being male and being of nonwhite ethnicity increased risk of hospitalization.Use of biologics, when compared with nonbiological systemic therapies, was associated with reduced risk of hospitalization; however, this requires further study owing to potential selection bias and unmeasured confounding such as a difference in risk-mitigating behaviours.
Related Topics
Concepts
Medicine
Psoriasis
Odds ratio
Confidence interval
Logistic regression
Body mass index
Internal medicine
Disease
Coronavirus disease 2019 (COVID-19)
Pediatrics
Immunology
Infectious disease (medical specialty)
Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1111/bjd.19411
- https://academic.oup.com/bjd/article-pdf/183/S1/200/47155442/bjd0200.pdf
- OA Status
- bronze
- Cited By
- 2
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4205597166
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
-
https://openalex.org/W4205597166Canonical identifier for this work in OpenAlex
- DOI
-
https://doi.org/10.1111/bjd.19411Digital Object Identifier
- Title
-
COVID‐19 SessionWork title
- Type
-
articleOpenAlex work type
- Language
-
enPrimary language
- Publication year
-
2020Year of publication
- Publication date
-
2020-09-01Full publication date if available
- Authors
-
Satveer K. Mahil, Nick Dand, K.J. Mason, Zenas Z N Yiu, Teresa Tsakok, Freya Meynell, Bola Coker, Helen McAteer, Lucy Moorhead, Thomas A. Mackenzie, Piergiacomo Calzavara‐Pinton, Rebecca Rivera, E. Mahé, Andrea Carugno, Michela Magnano, Guilherme Rech Cassanego, Esther A. Balogh, Steven R. Feldman, D McMahon, Esther E. Freeman, Paolo Gisondi, L. Puig, Richard B. Warren, Paola Di Meglio, Sinéad Langan, Francesca Capon, C.E.M. Griffiths, Juliet N. Barker, Catherine Smith, Abhigale F. L. D’Cruz, F Mason, R D'souza, Joseph R. Freitas, James W. Thomas, Manas SahaList of authors in order
- Landing page
-
https://doi.org/10.1111/bjd.19411Publisher landing page
- PDF URL
-
https://academic.oup.com/bjd/article-pdf/183/S1/200/47155442/bjd0200.pdfDirect link to full text PDF
- Open access
-
YesWhether a free full text is available
- OA status
-
bronzeOpen access status per OpenAlex
- OA URL
-
https://academic.oup.com/bjd/article-pdf/183/S1/200/47155442/bjd0200.pdfDirect OA link when available
- Concepts
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Medicine, Psoriasis, Odds ratio, Confidence interval, Logistic regression, Body mass index, Internal medicine, Disease, Coronavirus disease 2019 (COVID-19), Pediatrics, Immunology, Infectious disease (medical specialty)Top concepts (fields/topics) attached by OpenAlex
- Cited by
-
2Total citation count in OpenAlex
- Citations by year (recent)
-
2022: 2Per-year citation counts (last 5 years)
- Related works (count)
-
10Other works algorithmically related by OpenAlex
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