Incidence of Tuberculosis in Inflammatory Rheumatic Diseases: Results from a Lithuanian Retrospective Cohort Study

Background and objective: With an increase in survival rates among rheumatic patients, comorbidities and infections, in particular, have gained more importance, especially after the introduction of biologicals to the treatment algorithms. Tuberculosis (TB) infection has always been given a special a...

Ausführliche Beschreibung

Gespeichert in:
Bibliographische Detailangaben
Veröffentlicht in:Medicina (Kaunas, Lithuania) Jg. 56; H. 8; S. 392
Hauptverfasser: Miltinienė, Dalia, Deresevičienė, Giedrė, Nakčerienė, Birutė, Davidavičienė, Valerija Edita, Danila, Edvardas, Butrimienė, Irena, Dadonienė, Jolanta
Format: Journal Article
Sprache:Englisch
Veröffentlicht: Switzerland MDPI 05.08.2020
MDPI AG
Schlagworte:
ISSN:1648-9144, 1010-660X, 1648-9144
Online-Zugang:Volltext
Tags: Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
Abstract Background and objective: With an increase in survival rates among rheumatic patients, comorbidities and infections, in particular, have gained more importance, especially after the introduction of biologicals to the treatment algorithms. Tuberculosis (TB) infection has always been given a special attention in patients with rheumatic diseases (RD). Although Lithuanian population has one of the highest TB incidence rates among European countries, the incidence of TB in the rheumatic patients’ population is still unknown. The aim of this study was to assess the incidence rate of TB in an inflammatory RD retrospective cohort and to compare that rate with a rate in a general population. Material and Methods: Patients with the first-time diagnosis of inflammatory RD during the period between 1 January 2012 and 31 December 2017 were identified from the Lithuanian Compulsory Health Insurance Information System database SVEIDRA. All cases were cross-checked with Health Information center at the Institute of Hygiene, for the vital status of these patients and date of death if the fact of death was documented, and with Tuberculosis Register operated by Vilnius University Hospital Santaros Klinikos, for the confirmation of TB cases. Sex and age standardized incidence ratios (SIR) were calculated by dividing the observed numbers of TB among rheumatic patients by the expected number of cases, calculated using national rates from Lithuanian Department of Statistics Official Statistics website. Results: Overall, 8779 patients with newly diagnosed RD were identified during the 2013–2017 period, these included 458 patients who used biological disease modifying drugs (bDMARDs). The mean duration of the follow-up period was 2.71 years. The cohort consisted mainly of women (70%) and a half of the cohort were rheumatoid arthritis (RA) patients (53%). Mean age of patients at the time of RD diagnosis was 56 years (range = 18–97 years). There were 9 TB cases identified during 23,800 person years of follow-up: 2 cases among them were treated with bDMARDs. The mean calculated annual TB incidence in RD cohort was 37.81 per 100,000 person years, which is consistent with the incidence rate predicted by national estimates, with a resultant SIR of 0.90 (0.41–1.70). The unadjusted hazard ratio for bDMARD use versus no bDMARD use was 4.54 (0.94; 21.87) in a total cohort and very similar in rheumatoid arthritis cohort; in both cohorts, it was not a statistically significant risk. Conclusions: Here, we present the first nationwide cohort study to assess the incidence of TB in a broad spectrum of inflammatory RD. Although limited by short follow-up period, this study shows that TB incidence in RD cohort does not exceed TB incidence in the general Lithuanian population.
AbstractList With an increase in survival rates among rheumatic patients, comorbidities and infections, in particular, have gained more importance, especially after the introduction of biologicals to the treatment algorithms. Tuberculosis (TB) infection has always been given a special attention in patients with rheumatic diseases (RD). Although Lithuanian population has one of the highest TB incidence rates among European countries, the incidence of TB in the rheumatic patients' population is still unknown. The aim of this study was to assess the incidence rate of TB in an inflammatory RD retrospective cohort and to compare that rate with a rate in a general population. Patients with the first-time diagnosis of inflammatory RD during the period between 1 January 2012 and 31 December 2017 were identified from the Lithuanian Compulsory Health Insurance Information System database SVEIDRA. All cases were cross-checked with Health Information center at the Institute of Hygiene, for the vital status of these patients and date of death if the fact of death was documented, and with Tuberculosis Register operated by Vilnius University Hospital Santaros Klinikos, for the confirmation of TB cases. Sex and age standardized incidence ratios (SIR) were calculated by dividing the observed numbers of TB among rheumatic patients by the expected number of cases, calculated using national rates from Lithuanian Department of Statistics Official Statistics website. Overall, 8779 patients with newly diagnosed RD were identified during the 2013-2017 period, these included 458 patients who used biological disease modifying drugs (bDMARDs). The mean duration of the follow-up period was 2.71 years. The cohort consisted mainly of women (70%) and a half of the cohort were rheumatoid arthritis (RA) patients (53%). Mean age of patients at the time of RD diagnosis was 56 years (range = 18-97 years). There were 9 TB cases identified during 23,800 person years of follow-up: 2 cases among them were treated with bDMARDs. The mean calculated annual TB incidence in RD cohort was 37.81 per 100,000 person years, which is consistent with the incidence rate predicted by national estimates, with a resultant SIR of 0.90 (0.41-1.70). The unadjusted hazard ratio for bDMARD use versus no bDMARD use was 4.54 (0.94; 21.87) in a total cohort and very similar in rheumatoid arthritis cohort; in both cohorts, it was not a statistically significant risk. Here, we present the first nationwide cohort study to assess the incidence of TB in a broad spectrum of inflammatory RD. Although limited by short follow-up period, this study shows that TB incidence in RD cohort does not exceed TB incidence in the general Lithuanian population.
Background and objective: With an increase in survival rates among rheumatic patients, comorbidities and infections, in particular, have gained more importance, especially after the introduction of biologicals to the treatment algorithms. Tuberculosis (TB) infection has always been given a special attention in patients with rheumatic diseases (RD). Although Lithuanian population has one of the highest TB incidence rates among European countries, the incidence of TB in the rheumatic patients’ population is still unknown. The aim of this study was to assess the incidence rate of TB in an inflammatory RD retrospective cohort and to compare that rate with a rate in a general population. Material and Methods: Patients with the first-time diagnosis of inflammatory RD during the period between 1 January 2012 and 31 December 2017 were identified from the Lithuanian Compulsory Health Insurance Information System database SVEIDRA. All cases were cross-checked with Health Information center at the Institute of Hygiene, for the vital status of these patients and date of death if the fact of death was documented, and with Tuberculosis Register operated by Vilnius University Hospital Santaros Klinikos, for the confirmation of TB cases. Sex and age standardized incidence ratios (SIR) were calculated by dividing the observed numbers of TB among rheumatic patients by the expected number of cases, calculated using national rates from Lithuanian Department of Statistics Official Statistics website. Results: Overall, 8779 patients with newly diagnosed RD were identified during the 2013–2017 period, these included 458 patients who used biological disease modifying drugs (bDMARDs). The mean duration of the follow-up period was 2.71 years. The cohort consisted mainly of women (70%) and a half of the cohort were rheumatoid arthritis (RA) patients (53%). Mean age of patients at the time of RD diagnosis was 56 years (range = 18–97 years). There were 9 TB cases identified during 23,800 person years of follow-up: 2 cases among them were treated with bDMARDs. The mean calculated annual TB incidence in RD cohort was 37.81 per 100,000 person years, which is consistent with the incidence rate predicted by national estimates, with a resultant SIR of 0.90 (0.41–1.70). The unadjusted hazard ratio for bDMARD use versus no bDMARD use was 4.54 (0.94; 21.87) in a total cohort and very similar in rheumatoid arthritis cohort; in both cohorts, it was not a statistically significant risk. Conclusions: Here, we present the first nationwide cohort study to assess the incidence of TB in a broad spectrum of inflammatory RD. Although limited by short follow-up period, this study shows that TB incidence in RD cohort does not exceed TB incidence in the general Lithuanian population.
Background and objective: With an increase in survival rates among rheumatic patients, comorbidities and infections, in particular, have gained more importance, especially after the introduction of biologicals to the treatment algorithms. Tuberculosis (TB) infection has always been given a special attention in patients with rheumatic diseases (RD). Although Lithuanian population has one of the highest TB incidence rates among European countries, the incidence of TB in the rheumatic patients' population is still unknown. The aim of this study was to assess the incidence rate of TB in an inflammatory RD retrospective cohort and to compare that rate with a rate in a general population. Methods: Patients with the first-time diagnosis of inflammatory RD during the period between 1 January 2012 and 31 December 2017 were identified from the Lithuanian Compulsory Health Insurance Information System database SVEIDRA. All cases were cross-checked with Health Information center at the Institute of Hygiene, for the vital status of these patients and date of death if the fact of death was documented, and with Tuberculosis Register operated by Vilnius University Hospital Santaros Klinikos, for the confirmation of TB cases. Sex and age standardized incidence ratios (SIR) were calculated by dividing the observed numbers of TB among rheumatic patients by the expected number of cases, calculated using national rates from Lithuanian Department of Statistics Official Statistics website. Results: Overall, 8779 patients with newly diagnosed RD were identified during the 2013-2017 period, these included 458 patients who used biological disease modifying drugs (bDMARDs). The mean duration of the follow-up period was 2.71 years. The cohort consisted mainly of women (70%) and a half of the cohort were rheumatoid arthritis (RA) patients (53%). Mean age of patients at the time of RD diagnosis was 56 years (range = 18-97 years). There were 9 TB cases identified during 23,800 person years of follow-up: 2 cases among them were treated with bDMARDs. The mean calculated annual TB incidence in RD cohort was 37.81 per 100,000 person years, which is consistent with the incidence rate predicted by national estimates, with a resultant SIR of 0.90 (0.41-1.70). The unadjusted hazard ratio for bDMARD use versus no bDMARD use was 4.54 (0.94; 21.87) in a total cohort and very similar in rheumatoid arthritis cohort; in both cohorts, it was not a statistically significant risk. Conclusions: Here, we present the first nationwide cohort study to assess the incidence of TB in a broad spectrum of inflammatory RD. Although limited by short follow-up period, this study shows that TB incidence in RD cohort does not exceed TB incidence in the general Lithuanian population.Background and objective: With an increase in survival rates among rheumatic patients, comorbidities and infections, in particular, have gained more importance, especially after the introduction of biologicals to the treatment algorithms. Tuberculosis (TB) infection has always been given a special attention in patients with rheumatic diseases (RD). Although Lithuanian population has one of the highest TB incidence rates among European countries, the incidence of TB in the rheumatic patients' population is still unknown. The aim of this study was to assess the incidence rate of TB in an inflammatory RD retrospective cohort and to compare that rate with a rate in a general population. Methods: Patients with the first-time diagnosis of inflammatory RD during the period between 1 January 2012 and 31 December 2017 were identified from the Lithuanian Compulsory Health Insurance Information System database SVEIDRA. All cases were cross-checked with Health Information center at the Institute of Hygiene, for the vital status of these patients and date of death if the fact of death was documented, and with Tuberculosis Register operated by Vilnius University Hospital Santaros Klinikos, for the confirmation of TB cases. Sex and age standardized incidence ratios (SIR) were calculated by dividing the observed numbers of TB among rheumatic patients by the expected number of cases, calculated using national rates from Lithuanian Department of Statistics Official Statistics website. Results: Overall, 8779 patients with newly diagnosed RD were identified during the 2013-2017 period, these included 458 patients who used biological disease modifying drugs (bDMARDs). The mean duration of the follow-up period was 2.71 years. The cohort consisted mainly of women (70%) and a half of the cohort were rheumatoid arthritis (RA) patients (53%). Mean age of patients at the time of RD diagnosis was 56 years (range = 18-97 years). There were 9 TB cases identified during 23,800 person years of follow-up: 2 cases among them were treated with bDMARDs. The mean calculated annual TB incidence in RD cohort was 37.81 per 100,000 person years, which is consistent with the incidence rate predicted by national estimates, with a resultant SIR of 0.90 (0.41-1.70). The unadjusted hazard ratio for bDMARD use versus no bDMARD use was 4.54 (0.94; 21.87) in a total cohort and very similar in rheumatoid arthritis cohort; in both cohorts, it was not a statistically significant risk. Conclusions: Here, we present the first nationwide cohort study to assess the incidence of TB in a broad spectrum of inflammatory RD. Although limited by short follow-up period, this study shows that TB incidence in RD cohort does not exceed TB incidence in the general Lithuanian population.
Author Deresevičienė, Giedrė
Danila, Edvardas
Butrimienė, Irena
Nakčerienė, Birutė
Miltinienė, Dalia
Davidavičienė, Valerija Edita
Dadonienė, Jolanta
AuthorAffiliation 1 State Research Institute Centre for Innovative Medicine, LT-08406 Vilnius, Lithuania; jolanta.dadoniene@mf.vu.lt
7 Institute of Clinical Medicine, Clinic of Chest Diseases, Immunology and Allergology, Vilnius University Faculty of Medicine, LT-03101 Vilnius, Lithuania
6 Centre of Pulmonology and Allergology, Vilnius University Hospital Santaros Klinikos, LT-08661 Vilnius, Lithuania; edvardas.danila@santa.lt
3 Centre of Rheumatology, Vilnius University Hospital Santaros Klinikos, LT-08661 Vilnius, Lithuania; giedre.dereseviciene@santa.lt (G.D.); irena.butrimiene@santa.lt (I.B.)
4 Programs and Tuberculosis State Information System Department, Vilnius University Hospital Santaros Klinikos, LT-08661 Vilnius, Lithuania; bnakceriene@gmail.com (B.N.); edita.davidaviciene@santa.lt (V.E.D.)
2 Institute of Clinical Medicine, Clinic of Rheumatology, Orthopaedics Traumatology and Reconstructive Surgery, Vilnius University Faculty of Medicine, LT-03101 Vilnius, Lithuania
5 Vilnius University Life Scien
AuthorAffiliation_xml – name: 8 Institute of Health Sciences, Department of Public Health, Vilnius University Faculty of Medicine, LT-03101 Vilnius, Lithuania
– name: 3 Centre of Rheumatology, Vilnius University Hospital Santaros Klinikos, LT-08661 Vilnius, Lithuania; giedre.dereseviciene@santa.lt (G.D.); irena.butrimiene@santa.lt (I.B.)
– name: 2 Institute of Clinical Medicine, Clinic of Rheumatology, Orthopaedics Traumatology and Reconstructive Surgery, Vilnius University Faculty of Medicine, LT-03101 Vilnius, Lithuania
– name: 1 State Research Institute Centre for Innovative Medicine, LT-08406 Vilnius, Lithuania; jolanta.dadoniene@mf.vu.lt
– name: 5 Vilnius University Life Sciences Center, LT-10257 Vilnius, Lithuania
– name: 4 Programs and Tuberculosis State Information System Department, Vilnius University Hospital Santaros Klinikos, LT-08661 Vilnius, Lithuania; bnakceriene@gmail.com (B.N.); edita.davidaviciene@santa.lt (V.E.D.)
– name: 7 Institute of Clinical Medicine, Clinic of Chest Diseases, Immunology and Allergology, Vilnius University Faculty of Medicine, LT-03101 Vilnius, Lithuania
– name: 6 Centre of Pulmonology and Allergology, Vilnius University Hospital Santaros Klinikos, LT-08661 Vilnius, Lithuania; edvardas.danila@santa.lt
Author_xml – sequence: 1
  givenname: Dalia
  surname: Miltinienė
  fullname: Miltinienė, Dalia
– sequence: 2
  givenname: Giedrė
  surname: Deresevičienė
  fullname: Deresevičienė, Giedrė
– sequence: 3
  givenname: Birutė
  surname: Nakčerienė
  fullname: Nakčerienė, Birutė
– sequence: 4
  givenname: Valerija Edita
  surname: Davidavičienė
  fullname: Davidavičienė, Valerija Edita
– sequence: 5
  givenname: Edvardas
  surname: Danila
  fullname: Danila, Edvardas
– sequence: 6
  givenname: Irena
  surname: Butrimienė
  fullname: Butrimienė, Irena
– sequence: 7
  givenname: Jolanta
  surname: Dadonienė
  fullname: Dadonienė, Jolanta
BackLink https://www.ncbi.nlm.nih.gov/pubmed/32764422$$D View this record in MEDLINE/PubMed
BookMark eNp1kk1v1DAQhiPUin7AnRPykcuC7dhxwgEJLQVWWqlSKWdr4oy7rhJ7sZ1K--_xdkvVVuLkked9n7Fn5qw68sFjVb1j9GNdd_TThIMzzoNsaEvrjr-qTlkj2kXHhDh6Ep9UZyndUlpzqfjr6qTmqhGC89MqrrxxA3qDJFhyPfcYzTyG5BJxnqy8HWGaIIe4I1cbnEvoDPnmEkLC9JlcYZrHnIiNYSJA1i5vZvAOfMnkGNIWTXZ3SJZhE2Imv_I87N5UxxbGhG8fzvPq9_eL6-XPxfryx2r5db0wouF50RqBrUQwAKoHxkEC1hKtAkX5YKVgyBCktD2ynlo-AMV-aCWzbSeNhfq8Wh24Q4BbvY1ugrjTAZy-vwjxRkMs3xlRGwoda3upFLeCowEme25Yy7uGqX5QhfXlwNrOfWm6QZ8jjM-gzzPebfRNuNNKNE3N9oAPD4AY_syYsp5cMjiO4DHMSXNRs5YJVTdF-v5prcci_4ZWBPQgMKXDKaJ9lDCq93uhX-5FsTQvLMblMsuwf60b_2_8C-iiww0
CitedBy_id crossref_primary_10_3389_fpubh_2022_948652
crossref_primary_10_1016_j_ijtb_2023_07_001
Cites_doi 10.1007/BF01451043
10.1016/S0891-5520(05)70149-5
10.3899/jrheum.150057
10.1056/NEJMoa011110
10.3899/jrheum.090074
10.1136/annrheumdis-2013-204960
10.1002/art.24476
10.1016/j.ijantimicag.2007.07.010
10.1136/ard.2005.047274
10.1136/ard.61.3.251
10.1002/art.20009
10.1111/jcpt.12814
10.1016/j.jbspin.2010.12.004
10.1371/journal.pone.0178035
10.1183/09031936.00028510
10.1002/art.11137
10.1093/rap/rkz020
10.1164/ajrccm.158.2.9709125
10.1080/14740338.2016.1240783
10.1002/art.21083
10.1002/art.24632
10.1002/art.21137
10.1136/annrheumdis-2016-210708
10.1111/jcpt.12644
10.1016/S0140-6736(15)00151-8
10.1136/bmjopen-2016-012567
10.3390/medicina47030026
ContentType Journal Article
Copyright 2020 by the authors. 2020
Copyright_xml – notice: 2020 by the authors. 2020
DBID AAYXX
CITATION
CGR
CUY
CVF
ECM
EIF
NPM
7X8
5PM
DOA
DOI 10.3390/medicina56080392
DatabaseName CrossRef
Medline
MEDLINE
MEDLINE (Ovid)
MEDLINE
MEDLINE
PubMed
MEDLINE - Academic
PubMed Central (Full Participant titles)
DOAJ Directory of Open Access Journals
DatabaseTitle CrossRef
MEDLINE
Medline Complete
MEDLINE with Full Text
PubMed
MEDLINE (Ovid)
MEDLINE - Academic
DatabaseTitleList MEDLINE

CrossRef
MEDLINE - Academic

Database_xml – sequence: 1
  dbid: DOA
  name: DOAJ Open Access Full Text
  url: https://www.doaj.org/
  sourceTypes: Open Website
– sequence: 2
  dbid: NPM
  name: PubMed
  url: http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed
  sourceTypes: Index Database
– sequence: 3
  dbid: 7X8
  name: MEDLINE - Academic
  url: https://search.proquest.com/medline
  sourceTypes: Aggregation Database
DeliveryMethod fulltext_linktorsrc
Discipline Medicine
EISSN 1648-9144
ExternalDocumentID oai_doaj_org_article_c0a918b5772f42eca15b2c1829617bd7
PMC7466317
32764422
10_3390_medicina56080392
Genre Journal Article
GeographicLocations Lithuania
GeographicLocations_xml – name: Lithuania
GroupedDBID 0R~
29M
2WC
4.4
457
53G
5GY
5VS
7X7
8FI
8FJ
AADQD
AAEDT
AAFWJ
AAIKJ
AAYXX
ABMAC
ABUWG
ACGFS
ADBBV
ADEZE
AFFHD
AFKRA
AFPKN
AFZYC
AGHFR
AHDRD
ALMA_UNASSIGNED_HOLDINGS
AOIJS
BAWUL
BCNDV
BENPR
CCPQU
CITATION
F5P
FDB
FYUFA
GROUPED_DOAJ
HMCUK
HYE
IAO
IHR
KQ8
MODMG
O9-
OK1
OVT
PGMZT
PHGZM
PHGZT
PIMPY
RPM
UKHRP
XSB
AACTN
ALIPV
CGR
CUY
CVF
ECM
EIF
NPM
7X8
PUEGO
5PM
ID FETCH-LOGICAL-c462t-8c4e85eacaa7ba12a5ae35ef7a702df541e1ea55fbe1b0f2da0ebd851f895cfa3
IEDL.DBID DOA
ISICitedReferencesCount 1
ISICitedReferencesURI http://www.webofscience.com/api/gateway?GWVersion=2&SrcApp=Summon&SrcAuth=ProQuest&DestLinkType=CitingArticles&DestApp=WOS_CPL&KeyUT=000564049300001&url=https%3A%2F%2Fcvtisr.summon.serialssolutions.com%2F%23%21%2Fsearch%3Fho%3Df%26include.ft.matches%3Dt%26l%3Dnull%26q%3D
ISSN 1648-9144
1010-660X
IngestDate Thu Oct 09 03:04:13 EDT 2025
Tue Nov 04 01:51:52 EST 2025
Fri Sep 05 10:54:39 EDT 2025
Thu Apr 03 06:56:12 EDT 2025
Tue Nov 18 20:41:44 EST 2025
Sat Nov 29 07:18:36 EST 2025
IsDoiOpenAccess true
IsOpenAccess true
IsPeerReviewed true
IsScholarly true
Issue 8
Keywords incidence
rheumatic diseases
tuberculosis
Language English
License Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
LinkModel DirectLink
MergedId FETCHMERGED-LOGICAL-c462t-8c4e85eacaa7ba12a5ae35ef7a702df541e1ea55fbe1b0f2da0ebd851f895cfa3
Notes ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
content type line 23
OpenAccessLink https://doaj.org/article/c0a918b5772f42eca15b2c1829617bd7
PMID 32764422
PQID 2431814736
PQPubID 23479
ParticipantIDs doaj_primary_oai_doaj_org_article_c0a918b5772f42eca15b2c1829617bd7
pubmedcentral_primary_oai_pubmedcentral_nih_gov_7466317
proquest_miscellaneous_2431814736
pubmed_primary_32764422
crossref_primary_10_3390_medicina56080392
crossref_citationtrail_10_3390_medicina56080392
PublicationCentury 2000
PublicationDate 20200805
PublicationDateYYYYMMDD 2020-08-05
PublicationDate_xml – month: 8
  year: 2020
  text: 20200805
  day: 5
PublicationDecade 2020
PublicationPlace Switzerland
PublicationPlace_xml – name: Switzerland
PublicationTitle Medicina (Kaunas, Lithuania)
PublicationTitleAlternate Medicina (Kaunas)
PublicationYear 2020
Publisher MDPI
MDPI AG
Publisher_xml – name: MDPI
– name: MDPI AG
References Tubach (ref_31) 2009; 60
Solovic (ref_22) 2010; 36
Ai (ref_29) 2015; 42
ref_13
Arkema (ref_6) 2015; 74
ref_34
ref_11
ref_10
Settas (ref_26) 2007; 13
Chan (ref_32) 2018; 43
Zhang (ref_20) 2017; 7
Andonopoulos (ref_17) 1998; 17
Wolfe (ref_8) 2004; 50
Keane (ref_21) 2001; 345
Askling (ref_7) 2005; 52
Marie (ref_1) 2005; 53
Bouza (ref_3) 2001; 15
Brassard (ref_18) 2009; 61
Yamada (ref_5) 2006; 65
Mertens (ref_25) 2009; 36
Baronnet (ref_33) 2011; 78
Dheda (ref_24) 2016; 387
Gaitonde (ref_14) 2002; 61
Minozzi (ref_2) 2016; 15
Carmona (ref_19) 2003; 48
Aydin (ref_23) 2019; 44
Tocque (ref_30) 1998; 158
Seong (ref_12) 2007; 34
Carmona (ref_4) 2003; 30
Agrawal (ref_15) 2000; 48
ref_28
Falagas (ref_16) 2007; 30
ref_9
Ramiro (ref_27) 2017; 76
References_xml – ident: ref_9
– volume: 17
  start-page: 181
  year: 1998
  ident: ref_17
  article-title: Is a purified protein derivative skin test and subsequent antituberculous chemoprophylaxis really necessary in systemic rheumatic disease patients receiving corticosteroids?
  publication-title: Clin. Rheumatol.
  doi: 10.1007/BF01451043
– volume: 15
  start-page: 335
  year: 2001
  ident: ref_3
  article-title: Infections in systemic lupus erythematosus and rheumatoid arthritis
  publication-title: Infect. Dis. Clin. N. Am.
  doi: 10.1016/S0891-5520(05)70149-5
– volume: 42
  start-page: 2229
  year: 2015
  ident: ref_29
  article-title: The Risk of Tuberculosis in Patients with Rheumatoid Arthritis Treated with Tumor Necrosis Factor-α Antagonist: A Metaanalysis of Both Randomized Controlled Trials and Registry/Cohort Studies
  publication-title: J. Rheumatol.
  doi: 10.3899/jrheum.150057
– volume: 48
  start-page: 881
  year: 2000
  ident: ref_15
  article-title: Incidence of tuberculosis among patients receiving treatment with oral corticosteroids
  publication-title: J. Assoc. Phys. India
– ident: ref_11
– volume: 345
  start-page: 1098
  year: 2001
  ident: ref_21
  article-title: Tuberculosis associated with infliximab, a tumor necrosis factor alpha-neutralizing agent
  publication-title: N. Engl. J. Med.
  doi: 10.1056/NEJMoa011110
– volume: 36
  start-page: 1118
  year: 2009
  ident: ref_25
  article-title: Anakinra for rheumatoid arthritis: A systematic review
  publication-title: J. Rheumatol.
  doi: 10.3899/jrheum.090074
– volume: 30
  start-page: 1436
  year: 2003
  ident: ref_4
  article-title: Increased risk of tuberculosis in patients with rheumatoid arthritis
  publication-title: J. Rheumatol.
– volume: 74
  start-page: 1212
  year: 2015
  ident: ref_6
  article-title: Are patients with Rheumatoid arthritis still at an increased risk of tuberculosis and what is the role of biological treatments?
  publication-title: Ann. Rheum. Dis.
  doi: 10.1136/annrheumdis-2013-204960
– volume: 61
  start-page: 300
  year: 2009
  ident: ref_18
  article-title: Rheumatoid arthritis, its treatments, and the risk of tuberculosis in Quebec, Canada
  publication-title: Arthritis Rheum.
  doi: 10.1002/art.24476
– volume: 30
  start-page: 477
  year: 2007
  ident: ref_16
  article-title: Tuberculosis in patients with systemic rheumatic or pulmonary diseases treated with glucocorticosteroids and the preventive role of isoniazid: A review of the available evidence
  publication-title: Int. J. Antimicrob. Agents
  doi: 10.1016/j.ijantimicag.2007.07.010
– volume: 65
  start-page: 1661
  year: 2006
  ident: ref_5
  article-title: Increased risk of tuberculosis in patients with rheumatoid arthritis in Japan
  publication-title: Ann. Rheum. Dis.
  doi: 10.1136/ard.2005.047274
– volume: 61
  start-page: 251
  year: 2002
  ident: ref_14
  article-title: Efficacy of isoniazid prophylaxis in patients with systemic lupus erythematosus receiving long term steroid treatment
  publication-title: Ann. Rheum. Dis.
  doi: 10.1136/ard.61.3.251
– volume: 50
  start-page: 372
  year: 2004
  ident: ref_8
  article-title: Tuberculosis infection in patients with rheumatoid arthritis and the effect of infliximab therapy
  publication-title: Arthritis Rheum.
  doi: 10.1002/art.20009
– volume: 44
  start-page: 553
  year: 2019
  ident: ref_23
  article-title: Relative risk of tuberculosis in patients with rheumatic diseases managed with anti-tumour necrosis factor-alpha therapy: A nationwide cohort study
  publication-title: J. Clin. Pharm. Ther.
  doi: 10.1111/jcpt.12814
– volume: 78
  start-page: 279
  year: 2011
  ident: ref_33
  article-title: Incidence of tuberculosis in patients with rheumatoid arthritis. A systematic literature review
  publication-title: Jt. Bone Spine
  doi: 10.1016/j.jbspin.2010.12.004
– ident: ref_28
  doi: 10.1371/journal.pone.0178035
– volume: 34
  start-page: 706
  year: 2007
  ident: ref_12
  article-title: Incidence of tuberculosis in Korean patients with rheumatoid arthritis (RA): Effects of RA itself and of tumor necrosis factor blockers
  publication-title: J. Rheumatol.
– volume: 36
  start-page: 1185
  year: 2010
  ident: ref_22
  article-title: The risk of tuberculosis related to tumour necrosis factor antagonist therapies: A TBNET consensus statement
  publication-title: Eur. Respir. J.
  doi: 10.1183/09031936.00028510
– volume: 48
  start-page: 2122
  year: 2003
  ident: ref_19
  article-title: Treatment of rheumatoid arthritis with tumor necrosis factor inhibitors may predispose to significant increase in tuberculosis risk: A multicenter active-surveillance report
  publication-title: Arthritis Rheum.
  doi: 10.1002/art.11137
– ident: ref_10
– ident: ref_13
  doi: 10.1093/rap/rkz020
– volume: 158
  start-page: 484
  year: 1998
  ident: ref_30
  article-title: Long-term trends in tuberculosis. Comparison of age-cohort data between Hong Kong and England and Wales
  publication-title: Am. J. Respir. Crit. Care Med.
  doi: 10.1164/ajrccm.158.2.9709125
– volume: 15
  start-page: 11
  year: 2016
  ident: ref_2
  article-title: Risk of infections using anti-TNF agents in rheumatoid arthritis, psoriatic arthritis, and ankylosing spondylitis: A systematic review and meta-analysis
  publication-title: Expert Opin. Drug Saf.
  doi: 10.1080/14740338.2016.1240783
– volume: 53
  start-page: 155
  year: 2005
  ident: ref_1
  article-title: Opportunistic infections in polymyositis and dermatomyositis
  publication-title: Arthritis Rheum.
  doi: 10.1002/art.21083
– volume: 60
  start-page: 1884
  year: 2009
  ident: ref_31
  article-title: Risk of tuberculosis is higher with anti-tumor necrosis factor monoclonal antibody therapy than with soluble tumor necrosis factor receptor therapy: The three-year prospective French Research Axed on Tolerance of Biotherapies registry
  publication-title: Arthritis Rheum.
  doi: 10.1002/art.24632
– volume: 13
  start-page: 219
  year: 2007
  ident: ref_26
  article-title: Reactivation of pulmonary tuberculosis in a patient with rheumatoid arthritis during treatment with IL-1 receptor antagonists (anakinra)
  publication-title: J. Clin. Rheumatol. Pract. Rep. Rheum. Musculoskelet. Dis.
– volume: 52
  start-page: 1986
  year: 2005
  ident: ref_7
  article-title: Risk and case characteristics of tuberculosis in rheumatoid arthritis associated with tumor necrosis factor antagonists in Sweden
  publication-title: Arthritis Rheum.
  doi: 10.1002/art.21137
– volume: 76
  start-page: 1101
  year: 2017
  ident: ref_27
  article-title: Safety of synthetic and biological DMARDs: A systematic literature review informing the 2016 update of the EULAR recommendations for management of rheumatoid arthritis
  publication-title: Ann. Rheum. Dis.
  doi: 10.1136/annrheumdis-2016-210708
– volume: 43
  start-page: 256
  year: 2018
  ident: ref_32
  article-title: Risk of tuberculosis comparison in new users of antitumour necrosis factor-α and with existing disease-modifying antirheumatic drug therapy
  publication-title: J. Clin. Pharm. Ther.
  doi: 10.1111/jcpt.12644
– volume: 387
  start-page: 1211
  year: 2016
  ident: ref_24
  article-title: Tuberculosis
  publication-title: Lancet Lond. Engl.
  doi: 10.1016/S0140-6736(15)00151-8
– volume: 7
  start-page: e012567
  year: 2017
  ident: ref_20
  article-title: Risk of tuberculosis in patients treated with TNF-α antagonists: A systematic review and meta-analysis of randomised controlled trials
  publication-title: BMJ Open
  doi: 10.1136/bmjopen-2016-012567
– ident: ref_34
  doi: 10.3390/medicina47030026
SSID ssj0032572
Score 2.209143
Snippet Background and objective: With an increase in survival rates among rheumatic patients, comorbidities and infections, in particular, have gained more...
With an increase in survival rates among rheumatic patients, comorbidities and infections, in particular, have gained more importance, especially after the...
SourceID doaj
pubmedcentral
proquest
pubmed
crossref
SourceType Open Website
Open Access Repository
Aggregation Database
Index Database
Enrichment Source
StartPage 392
SubjectTerms Adolescent
Adult
Aged
Cohort Studies
Female
Humans
Incidence
Lithuania - epidemiology
Male
Middle Aged
Retrospective Studies
rheumatic diseases
Rheumatic Fever - diagnosis
Rheumatic Fever - epidemiology
Risk Factors
tuberculosis
Tuberculosis - diagnosis
Tuberculosis - epidemiology
Title Incidence of Tuberculosis in Inflammatory Rheumatic Diseases: Results from a Lithuanian Retrospective Cohort Study
URI https://www.ncbi.nlm.nih.gov/pubmed/32764422
https://www.proquest.com/docview/2431814736
https://pubmed.ncbi.nlm.nih.gov/PMC7466317
https://doaj.org/article/c0a918b5772f42eca15b2c1829617bd7
Volume 56
WOSCitedRecordID wos000564049300001&url=https%3A%2F%2Fcvtisr.summon.serialssolutions.com%2F%23%21%2Fsearch%3Fho%3Df%26include.ft.matches%3Dt%26l%3Dnull%26q%3D
hasFullText 1
inHoldings 1
isFullTextHit
isPrint
journalDatabaseRights – providerCode: PRVAON
  databaseName: DOAJ Open Access Full Text
  customDbUrl:
  eissn: 1648-9144
  dateEnd: 99991231
  omitProxy: false
  ssIdentifier: ssj0032572
  issn: 1648-9144
  databaseCode: DOA
  dateStart: 20070101
  isFulltext: true
  titleUrlDefault: https://www.doaj.org/
  providerName: Directory of Open Access Journals
– providerCode: PRVPQU
  databaseName: Health & Medical Collection
  customDbUrl:
  eissn: 1648-9144
  dateEnd: 99991231
  omitProxy: false
  ssIdentifier: ssj0032572
  issn: 1648-9144
  databaseCode: 7X7
  dateStart: 20180101
  isFulltext: true
  titleUrlDefault: https://search.proquest.com/healthcomplete
  providerName: ProQuest
– providerCode: PRVPQU
  databaseName: ProQuest Central
  customDbUrl:
  eissn: 1648-9144
  dateEnd: 99991231
  omitProxy: false
  ssIdentifier: ssj0032572
  issn: 1648-9144
  databaseCode: BENPR
  dateStart: 20180101
  isFulltext: true
  titleUrlDefault: https://www.proquest.com/central
  providerName: ProQuest
– providerCode: PRVPQU
  databaseName: Publicly Available Content Database
  customDbUrl:
  eissn: 1648-9144
  dateEnd: 99991231
  omitProxy: false
  ssIdentifier: ssj0032572
  issn: 1648-9144
  databaseCode: PIMPY
  dateStart: 20180101
  isFulltext: true
  titleUrlDefault: http://search.proquest.com/publiccontent
  providerName: ProQuest
link http://cvtisr.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwrV3di9QwEA96ityL-O36sUTwxYeybZo0qW_eeYcH3rIsJ6xPZZIm7MLaSj8O_O-dNN3l9hB98aXQpqVDZpL5Db_JDCHvWabi1ACPDOLbiKvcRKA1RM6HG2UKaQxuaDYh53O1WuWLG62-fE5YKA8cJm5mYsgTpQWiQMeZNZAIzQyi4hx9ry6Hc-SIenbBVNiDUzTEwHPiLpNl8SoQlCkG-LORswZ09Shmzg4c0lC3_09g83bO5A0ndP6IPBzRI_0UpH5M7tjqCXlwOfLjT0mDyz10CaW1o1e9to3pt3W7aemmoheVQ_3_GHh1ulzbfijXSj8Hjqb9SJe27bddS_2ZEwr066Zb91ChAeFI19S7U5n0tF4jaqc-B_HXM_Lt_Ozq9Es0dlWIDM9YFynDrRK43wJIDQkDATYV1kmQMSud4IlNLAjhtE107FgJsdUlAjOncmEcpM_JUVVX9iWhJWKvMmel0YZzjDtUVmYqs4mMlTVZLiZktpvawowlx33ni22BoYdXRnFbGRPyYf_Fz1Bu4y_vnnht7d_zhbKHB2g-xWg-xb_MZ0Le7XRd4MLybAlUtu7bgiG0UgmXaTYhL4Lu979KmUQcyVAEeWAVB7IcjlSb9VC8W3LEeIl89T-Ef02OmQ__fQaLeEOOuqa3b8l9c91t2mZK7sqVHK5qSu6dnM0Xy-mwSvBucXG5-P4bOyAZBA
linkProvider Directory of Open Access Journals
openUrl ctx_ver=Z39.88-2004&ctx_enc=info%3Aofi%2Fenc%3AUTF-8&rfr_id=info%3Asid%2Fsummon.serialssolutions.com&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.atitle=Incidence+of+Tuberculosis+in+Inflammatory+Rheumatic+Diseases%3A+Results+from+a+Lithuanian+Retrospective+Cohort+Study&rft.jtitle=Medicina+%28Kaunas%2C+Lithuania%29&rft.au=Miltinien%C4%97%2C+Dalia&rft.au=Deresevi%C4%8Dien%C4%97%2C+Giedr%C4%97&rft.au=Nak%C4%8Derien%C4%97%2C+Birut%C4%97&rft.au=Davidavi%C4%8Dien%C4%97%2C+Valerija+Edita&rft.date=2020-08-05&rft.issn=1648-9144&rft.eissn=1648-9144&rft.volume=56&rft.issue=8&rft.spage=392&rft_id=info:doi/10.3390%2Fmedicina56080392&rft.externalDBID=n%2Fa&rft.externalDocID=10_3390_medicina56080392
thumbnail_l http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/lc.gif&issn=1648-9144&client=summon
thumbnail_m http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/mc.gif&issn=1648-9144&client=summon
thumbnail_s http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/sc.gif&issn=1648-9144&client=summon