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Table 1 Participant characteristics

From: Prevalence and factors associated with flares following COVID-19 mRNA vaccination in patients with rheumatoid arthritis, psoriatic arthritis and spondyloarthritis: a national cohort study

 

Total (N = 2377)

RA (n = 1563, 65.8%)

PsA (n = 415, 17.5%)

SpA (n = 399, 16.8%)

Age, years, median (IQR)

62.0 (52.0–71.0)

65.0 (58.0–73.0)

59.0 (49.0–68.0)

48.0 (38.0–60.0)

Males, n (%)

820 (34.5)

323 (20.7)

200 (48.2)

297 (74.4)

Race

    

 Chinese, n (%)

1701 (71.6)

1112 (71.1)

268 (64.6)

321 (80.5)

 Malay, n (%)

238 (10.0)

168 (10.7)

48 (11.6)

22 (5.5)

 Indian, n (%)

298 (12.5)

186 (11.9)

75 (18.1)

37 (9.3)

 Others, n (%)

140 (5.9)

97 (6.2)

24 (5.8)

19 (4.8)

Disease activity before vaccination

 Remission, n (%)

1093 (46.0)

764 (48.9)

169 (40.7)

160 (40.1)

 Low disease activity, n (%)

953 (40.1)

632 (40.4)

169 (40.7)

152 (38.1)

 Moderate disease activity, n (%)

290 (12.2)

145 (9.3)

72 (17.3)

73 (18.3)

 High disease activity, n (%)

41 (1.7)

22 (1.4)

5 (1.2)

14 (3.5)

COVID-19 vaccine type

 Pfizer, n (%)

2082 (87.6)

1387 (88.7)

357 (86.0)

338 (84.7)

 Moderna, n (%)

295 (12.4)

176 (11.3)

58 (14.0)

61 (15.3)

Received two vaccine doses, n (%)

2216 (93.2)

1468 (93.9)

381 (91.8)

367 (92.0)

Time from first to second Pfizer dose, days, median (IQR)

21.0 (21.0–22.0)

21.0 (21.0–22.0)

21.0 (21.0–23.0)

21.0 (21.0–24.0)

Time from first to second Moderna dose, days, median (IQR)

28.0 (28.0–32.0)

28.0 (28.0–30.0)

28.0 (28.0–32.0)

29.0 (28.0–35.0)

Treatment with conventional synthetic DMARDs

 Methotrexate, n (%)

1186 (49.9)

921 (58.9)

228 (54.9)

37 (9.3)

 Leflunomide, n (%)

217 (9.1)

179 (11.5)

27 (6.5)

11 (2.8)

 Sulfasalazine, n (%)

626 (26.3)

426 (27.3)

102 (24.6)

98 (24.6)

 Antimalarials (chloroquine/hydroxychloroquine), n (%)

436 (18.3)

423 (27.1)

8 (1.9)

5 (1.3)

Treatment with biological DMARDs

 IL6 inhibitors, n (%)

10 (0.4)

10 (0.6)

0 (0)

0 (0)

 IL12/23 inhibitors, n (%)

1 (< 0.1)

0 (0)

1 (0.2)

0 (0)

 IL23 inhibitors, n (%)

2 (0.1)

0 (0)

2 (0.5)

0 (0)

 IL17 inhibitors, n (%)

32 (1.3)

0 (0)

15 (3.6)

17 (4.3)

 TNF inhibitors, n (%)

212 (8.9)

57 (3.6)

78 (18.8)

77 (19.3)

 Rituximab, n (%)

5 (0.2)

5 (0.3)

0 (0)

0 (0)

Treatment with JAK inhibitors, n (%)

33 (1.4)

28 (1.8)

2 (0.5)

3 (0.8)

Treatment with immunosuppressants

 Azathioprine, n (%)

10 (0.4)

7 (0.4)

0 (0)

3 (0.8)

 Cyclophosphamide, n (%)

3 (0.1)

2 (0.1)

1 (0.2)

0 (0)

 Cyclosporine, n (%)

26 (1.1)

10 (0.6)

15 (3.6)

1 (0.3)

 Mycophenolate mofetil/mycophenolic acid, n (%)

7 (0.3)

7 (0.4)

0 (0)

0 (0)

 Tacrolimus, n (%)

1 (< 0.1)

1 (0.1)

0 (0)

0 (0)

Treatment with glucocorticoids, n (%)

844 (35.5)

749 (47.9)

65 (15.7)

30 (7.5)

Treatment interruption, n (%)

14 (0.6)

8 (0.5)

4 (1.0)

2 (0.5)

  1. COVID-19 Coronavirus disease 2019, DMARDs disease modifying antirheumatic agents, IL interleukin, IQR interquartile range, JAK Janus kinase, PsA psoriatic arthritis, RA rheumatoid arthritis, SpA spondyloarthritis, TNF tumour necrosis factor