tetano
Editor, Senior Moderator
J Rheumatol
. 2022 Jul 1;jrheum.220220.
doi: 10.3899/jrheum.220220. Online ahead of print.
COVID-19 vaccine uptake among patients with systemic lupus erythematosus in the American Midwest: The Lupus Midwest Network (LUMEN)
Baptiste Chevet[SUP] 1 [/SUP], Gabriel Figueroa-Parra[SUP] 1 [/SUP], Jeffrey X Yang[SUP] 1 [/SUP], Cassondra A Hulshizer[SUP] 1 [/SUP], Tina M Gunderson[SUP] 1 [/SUP], Stephanie Q Duong[SUP] 1 [/SUP], Michael S Putman[SUP] 1 [/SUP], Kamil E Barbour[SUP] 1 [/SUP], Cynthia S Crowson[SUP] 1 [/SUP], Alí Duarte-García[SUP] 1 [/SUP]
Affiliations
Abstract
Objective: Systemic lupus erythematosus (SLE) patients are at higher risk of poor outcomes from coronavirus disease 2019 (COVID-19). The vaccination rate among such patients is unknown. We aimed to assess COVID-19 vaccine uptake among SLE patients.
Methods: We included 342 SLE patients from the Lupus Midwest Network and 350 age, sex, race, and county matched comparators. Vaccination uptake for influenza, pneumococcal, and zoster vaccines before pandemic restrictions began (up to February 29, 2020) was assessed. First-dose COVID-19 vaccine uptake was electronically retrieved and manually ascertained (December 15, 2020, to July 31, 2021). Time to COVID-19 vaccination, demographics, lupus manifestations, medications, comorbidity index, area deprivation index, and rurality measures were compared.
Results: On July 31, 2021, 83.3% of SLE patients and 85.5% of comparators were vaccinated against COVID-19. The COVID-19 vaccination rates were similar among SLE and comparators (hazard ratio: 0.93; 95% CI: 0.79-1.10). Non-vaccinated SLE patients were more likely to be men (27.3% versus 14.1% vaccinated), younger (mean 54.1 versus 58.8 years in vaccinated), have a shorter SLE duration (median 7.3 versus 10.7 years in vaccinated), and be less frequently vaccinated with influenza and pneumococcal vaccine.
Conclusion: SLE patients in the Lupus Midwest Network had similar COVID-19 vaccination uptake as matched comparators, most of whom were vaccinated early when the vaccine became available. One in six remain unvaccinated.
. 2022 Jul 1;jrheum.220220.
doi: 10.3899/jrheum.220220. Online ahead of print.
COVID-19 vaccine uptake among patients with systemic lupus erythematosus in the American Midwest: The Lupus Midwest Network (LUMEN)
Baptiste Chevet[SUP] 1 [/SUP], Gabriel Figueroa-Parra[SUP] 1 [/SUP], Jeffrey X Yang[SUP] 1 [/SUP], Cassondra A Hulshizer[SUP] 1 [/SUP], Tina M Gunderson[SUP] 1 [/SUP], Stephanie Q Duong[SUP] 1 [/SUP], Michael S Putman[SUP] 1 [/SUP], Kamil E Barbour[SUP] 1 [/SUP], Cynthia S Crowson[SUP] 1 [/SUP], Alí Duarte-García[SUP] 1 [/SUP]
Affiliations
- PMID: 35777817
- DOI: 10.3899/jrheum.220220
Abstract
Objective: Systemic lupus erythematosus (SLE) patients are at higher risk of poor outcomes from coronavirus disease 2019 (COVID-19). The vaccination rate among such patients is unknown. We aimed to assess COVID-19 vaccine uptake among SLE patients.
Methods: We included 342 SLE patients from the Lupus Midwest Network and 350 age, sex, race, and county matched comparators. Vaccination uptake for influenza, pneumococcal, and zoster vaccines before pandemic restrictions began (up to February 29, 2020) was assessed. First-dose COVID-19 vaccine uptake was electronically retrieved and manually ascertained (December 15, 2020, to July 31, 2021). Time to COVID-19 vaccination, demographics, lupus manifestations, medications, comorbidity index, area deprivation index, and rurality measures were compared.
Results: On July 31, 2021, 83.3% of SLE patients and 85.5% of comparators were vaccinated against COVID-19. The COVID-19 vaccination rates were similar among SLE and comparators (hazard ratio: 0.93; 95% CI: 0.79-1.10). Non-vaccinated SLE patients were more likely to be men (27.3% versus 14.1% vaccinated), younger (mean 54.1 versus 58.8 years in vaccinated), have a shorter SLE duration (median 7.3 versus 10.7 years in vaccinated), and be less frequently vaccinated with influenza and pneumococcal vaccine.
Conclusion: SLE patients in the Lupus Midwest Network had similar COVID-19 vaccination uptake as matched comparators, most of whom were vaccinated early when the vaccine became available. One in six remain unvaccinated.