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Article ; Online: Effectiveness of a fourth mRNA dose among individuals with systemic autoimmune rheumatic diseases during the Omicron era.

Widdifield, Jessica / Lee, Jennifer J Y / Bernatsky, Sasha

The Lancet. Rheumatology

2023 Volume 6, Issue 1, Page(s) e3–e4

MeSH term(s)	Humans ; Rheumatic Diseases ; COVID-19 Vaccines/administration & dosage ; COVID-19/prevention & control
Chemical Substances	COVID-19 Vaccines
Language	English
Publishing date	2023-11-15
Publishing country	England
Document type	Journal Article
ISSN	2665-9913
ISSN (online)	2665-9913
DOI	10.1016/S2665-9913(23)00301-6
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Article ; Online: Is air pollution linked with poor response to biologics?

Zhao, Naizhuo / Bernatsky, Sasha

Nature reviews. Rheumatology

2021 Volume 17, Issue 10, Page(s) 583–584

MeSH term(s)	Air Pollution/adverse effects ; Biological Products ; Environmental Exposure ; Humans
Chemical Substances	Biological Products
Language	English
Publishing date	2021-08-04
Publishing country	United States
Document type	Journal Article ; Comment
ZDB-ID	2491532-4
ISSN	1759-4804 ; 1759-4790
ISSN (online)	1759-4804
ISSN	1759-4790
DOI	10.1038/s41584-021-00681-4
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Article: Z. Slim and S. Bernatsky reply.

Slim, Zeinab / Bernatsky, Sasha

The Journal of rheumatology

2020 Volume 47, Issue 5, Page(s) 781

MeSH term(s)	Arthritis, Rheumatoid ; Data Management ; Databases, Factual ; Humans ; Quebec
Language	English
Publishing date	2020-02-15
Publishing country	Canada
Document type	Letter ; Comment
ZDB-ID	194928-7
ISSN	1499-2752 ; 0315-162X
ISSN (online)	1499-2752
ISSN	0315-162X
DOI	10.3899/jrheum.200026
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Article ; Online: Systemic autoimmune rheumatic diseases and multiple industrial air pollutant emissions: A large general population Canadian cohort analysis.

Zhao, Naizhuo / Smargiassi, Audrey / Chen, Hong / Widdifield, Jessica / Bernatsky, Sasha

Environment international

2023 Volume 174, Page(s) 107920

Abstract: Background: Past investigations of air pollution and systemic autoimmune rheumatic diseases (SARDs) typically focused on individual (not mixed) and overall environmental emissions. We assessed mixtures of industrial emissions of fine particulate matter ( ...

Abstract	Background: Past investigations of air pollution and systemic autoimmune rheumatic diseases (SARDs) typically focused on individual (not mixed) and overall environmental emissions. We assessed mixtures of industrial emissions of fine particulate matter (PM Methods: We assembled an open cohort of over 12 million adults (without SARD diagnoses at cohort entry) based on provincial health data for 2007-2020 and followed them until SARD onset, death, emigration, or end of study (December 2020). SARDs were identified using physician billing and hospitalization diagnostic codes for systemic lupus, scleroderma, myositis, undifferentiated connective tissue disease, and Sjogren's. Rheumatoid arthritis and vasculitis were not included. Average PM Results: We identified 43,931 new SARD diagnoses across 143,799,564 person-years. The adjusted hazard ratio for SARD onset for an increase in all emissions by one decile was 1.018 (95% confidence interval 1.013-1.022). Similar positive associations between SARDs and the mixed emissions were observed in most stratified analyses. Industrial PM Conclusions: Industrial air pollution emissions were associated with SARDs risk.
MeSH term(s)	Adult ; Humans ; Air Pollutants/adverse effects ; Air Pollutants/analysis ; Nitrogen Dioxide/adverse effects ; Particulate Matter/adverse effects ; Particulate Matter/analysis ; Air Pollution/analysis ; Rheumatic Diseases/epidemiology ; Ontario/epidemiology ; Cohort Studies ; Environmental Exposure/adverse effects ; Environmental Exposure/analysis
Chemical Substances	Air Pollutants ; Nitrogen Dioxide (S7G510RUBH) ; Particulate Matter
Language	English
Publishing date	2023-04-08
Publishing country	Netherlands
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	554791-x
ISSN	1873-6750 ; 0160-4120
ISSN (online)	1873-6750
ISSN	0160-4120
DOI	10.1016/j.envint.2023.107920
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Article: Assessing Serious Infections in Children Exposed In Utero to Ustekinumab.

Gorodensky, Jonah H / Bernatsky, Sasha / Afif, Waqqas / St-Pierre, Yvan / Filion, Kristian B / Vinet, Évelyne

The Journal of rheumatology

2023

Abstract: Chronic inflammatory conditions, including inflammatory bowel disease (IBD), psoriasis (PsO), and psoriatic arthritis (PsA), have a high burden among women of reproductive age. There has been significant interest in finding safe ways of controlling ... ...

Abstract	Chronic inflammatory conditions, including inflammatory bowel disease (IBD), psoriasis (PsO), and psoriatic arthritis (PsA), have a high burden among women of reproductive age. There has been significant interest in finding safe ways of controlling disease activity during pregnancy without adversely affecting the pregnancy or offspring.
Language	English
Publishing date	2023-07-01
Publishing country	Canada
Document type	Letter
ZDB-ID	194928-7
ISSN	1499-2752 ; 0315-162X
ISSN (online)	1499-2752
ISSN	0315-162X
DOI	10.3899/jrheum.2022-1271
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Article ; Online: Serious Infections in Offspring Exposed in Utero to Vedolizumab.

Gorodensky, Jonah H / Bernatsky, Sasha / Afif, Waqqas / St-Pierre, Yvan / Filion, Kristian B / Vinet, Évelyne

Inflammatory bowel diseases

2023 Volume 30, Issue 3, Page(s) 496–498

MeSH term(s)	Humans ; Antibodies, Monoclonal, Humanized/adverse effects ; Prenatal Exposure Delayed Effects ; Infections
Chemical Substances	Antibodies, Monoclonal, Humanized ; vedolizumab (9RV78Q2002)
Language	English
Publishing date	2023-05-12
Publishing country	England
Document type	Journal Article
ZDB-ID	1340971-2
ISSN	1536-4844 ; 1078-0998
ISSN (online)	1536-4844
ISSN	1078-0998
DOI	10.1093/ibd/izad079
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Article ; Online: Systemic autoimmune rheumatic diseases and multiple industrial air pollutant emissions

Naizhuo Zhao / Audrey Smargiassi / Hong Chen / Jessica Widdifield / Sasha Bernatsky

Environment International, Vol 174, Iss , Pp 107920- (2023)

A large general population Canadian cohort analysis

2023

Abstract	Background: Past investigations of air pollution and systemic autoimmune rheumatic diseases (SARDs) typically focused on individual (not mixed) and overall environmental emissions. We assessed mixtures of industrial emissions of fine particulate matter (PM2.5), nitrogen dioxide (NO2), and sulfur dioxide (SO2) and SARDs onset in Ontario, Canada. Methods: We assembled an open cohort of over 12 million adults (without SARD diagnoses at cohort entry) based on provincial health data for 2007–2020 and followed them until SARD onset, death, emigration, or end of study (December 2020). SARDs were identified using physician billing and hospitalization diagnostic codes for systemic lupus, scleroderma, myositis, undifferentiated connective tissue disease, and Sjogren’s. Rheumatoid arthritis and vasculitis were not included. Average PM2.5, NO2, and SO2 industrial emissions from 2002 to one year before SARDs onset or end of study were assigned using residential postal codes. A quantile g-computation model for time to SARD onset was developed for the industrial emission mixture, adjusting for sex, age, income, rurality index, chronic obstructive pulmonary disease (as a proxy for smoking), background (environmental overall) PM2.5, and calendar year. We conducted stratified analyses across age, sex, and rurality. Results: We identified 43,931 new SARD diagnoses across 143,799,564 person-years. The adjusted hazard ratio for SARD onset for an increase in all emissions by one decile was 1.018 (95% confidence interval 1.013–1.022). Similar positive associations between SARDs and the mixed emissions were observed in most stratified analyses. Industrial PM2.5 contributed most to SARD risk. Conclusions: Industrial air pollution emissions were associated with SARDs risk.
Keywords	Industrial air pollution ; Systemic autoimmune rheumatic diseases (SARDs) ; Quantile g-computation ; Health administrative data ; Environmental sciences ; GE1-350
Language	English
Publishing date	2023-04-01T00:00:00Z
Publisher	Elsevier
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: Administrative data ICD-10 diagnostic codes identifies most lab-confirmed SARS-CoV-2 admissions but misses many discharged from the Emergency Department.

Moura, Cristiano S / Morrison, Laurie J / Hohl, Corinne M / Grant, Lars / Pilote, Louise / Neville, Autumn / Hau, Jeffrey P / Bernatsky, Sasha

Scientific reports

2024 Volume 14, Issue 1, Page(s) 6008

Abstract: We estimated the operating characteristics of ICD-10 code U07.1, introduced by the World Health Organization in 2020, to identify lab-confirmed SARS-CoV-2. CCEDRRN is a national research registry of adults (March 2020-August 2021) with suspected/ ... ...

Abstract	We estimated the operating characteristics of ICD-10 code U07.1, introduced by the World Health Organization in 2020, to identify lab-confirmed SARS-CoV-2. CCEDRRN is a national research registry of adults (March 2020-August 2021) with suspected/confirmed SARS-CoV-2 identified in Canadian emergency departments (EDs) using chart review (symptoms, clinical information, and lab test results including SARS-CoV-2 polymerase chain reaction, PCR results). CCEDRRN data were linked to administrative hospitalization discharge and ED ICD-10 diagnostic codes (accessed centrally via the Canadian Institute for Health Information). We identified ICD-10 diagnostic codes in CCEDRRN participants. We defined lab-confirmed SARS-CoV-2 based on at least one positive PCR in the 0-14 days before the ED presentation and/or during hospitalization (in those admitted from ED). We performed separate analyses for CCEDRRN participants discharged from ED and those hospitalized from the ED. Additional analyses were stratified by province, sex, age, and (for hospitalized patients) timing of the first PCR test. The sensitivity of ICD-10 code U07.1 for a positive SARS-CoV-2 test was 93.6% (95% CI 93.0-94.1%) in those hospitalized from ED and 83.0% (95% CI 82.1-83.9%) in those discharged from the ED. Sensitivity was similar across provinces and demographics, but in each stratified analysis, values were higher in those hospitalized versus those discharged from ED. The ICD-10 diagnostic code for U07.1 within administrative data identified most lab-confirmed SARS-CoV-2 within persons hospitalized from ED, although a significant number of cases discharged from ED were missed. This should be considered when using administrative data for research and public health planning.
MeSH term(s)	Adult ; Humans ; SARS-CoV-2 ; Patient Discharge ; COVID-19 ; International Classification of Diseases ; Canada ; Emergency Service, Hospital ; Hospitalization ; COVID-19 Testing
Language	English
Publishing date	2024-03-12
Publishing country	England
Document type	Journal Article
ZDB-ID	2615211-3
ISSN	2045-2322 ; 2045-2322
ISSN (online)	2045-2322
ISSN	2045-2322
DOI	10.1038/s41598-023-49501-7
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Article ; Online: Outcomes associated with antiphospholipid antibodies in COVID-19: A prospective cohort study.

Mendel, Arielle / Fritzler, Marvin J / St-Pierre, Yvan / Rauch, Joyce / Bernatsky, Sasha / Vinet, Évelyne

Research and practice in thrombosis and haemostasis

2023 Volume 7, Issue 1, Page(s) 100041

Abstract: Background: The significance of antiphospholipid antibodies (aPL) in COVID-19 remains uncertain.: Objectives: We determined whether aPL are associated with COVID-19 and/or thrombosis or adverse outcomes during hospitalization for COVID-19.: Methods! ...

Abstract	Background: The significance of antiphospholipid antibodies (aPL) in COVID-19 remains uncertain. Objectives: We determined whether aPL are associated with COVID-19 and/or thrombosis or adverse outcomes during hospitalization for COVID-19. Methods: Symptomatic adults tested for SARS-CoV-2 for clinical reasons (March-July 2020) with either ≥1 positive polymerase chain reaction (COVID-19+) or all negative (non-COVID-19) results were recruited to a biobank collecting plasma, clinical data, and outcomes. We tested baseline plasma samples (days 0-7) of all subjects (and day-30 samples in the COVID-19+ subjects, when available) for aPL (anticardiolipin immunoglobulin [Ig]M/IgG, anti-β2-glycoprotein I IgM/IgG, antiphosphatidylserine/prothrombin IgM/IgG, and lupus anticoagulant). We compared the baseline prevalence of aPL between the COVID-19+ and non-COVID-19 subjects. Among hospitalized COVID-19+ subjects, multivariable logistic regression was used to evaluate the association of aPL (and their subtypes) with arterial or venous thromboembolic events, acute kidney injury, intensive care unit admission, mechanical ventilation, and death after adjusting for potential confounders. Results: At baseline, 123 of 289 (43%) COVID+ subjects had ≥1 aPL versus 116 of 261 (32%) non-COVID-19 subjects (difference, 10%; 95% CI, 3%-18%). Among 89 COVID+ subjects with repeated samples, aPL persisted on day 30 in 15 of 34 (44%) subjects with baseline aPL positivity, and half of those without aPL at baseline developed one or more new aPL. In hospitalized COVID-19 subjects ( Conclusion: In patients with COVID-19, aPL may help identify an increased risk of thrombosis and other adverse outcomes.
Language	English
Publishing date	2023-01-07
Publishing country	United States
Document type	Journal Article
ISSN	2475-0379
ISSN (online)	2475-0379
DOI	10.1016/j.rpth.2023.100041
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Article ; Online: Importance of accounting for timing of time-varying exposures in association studies: Hydrochlorothiazide and non-melanoma skin cancer.

Danieli, Coraline / Moura, Cristiano S / Pilote, Louise / Bernatsky, Sasha / Abrahamowicz, Michal

Pharmacoepidemiology and drug safety

2023 Volume 32, Issue 12, Page(s) 1411–1420

Abstract: Purpose: Hydrochlorothiazide (HCTZ), a widely prescribed antihypertensive drug with photosensitising properties, has been linked with non-melanoma skin cancer (NMSC) risk. However, previous analyses did not fully explore if and how the impact of past ... ...

Abstract	Purpose: Hydrochlorothiazide (HCTZ), a widely prescribed antihypertensive drug with photosensitising properties, has been linked with non-melanoma skin cancer (NMSC) risk. However, previous analyses did not fully explore if and how the impact of past HCTZ exposures accumulates with prolonged use and/or depends on time elapsed since exposures. Therefore, we used different models to more comprehensively assess how NMSC risk vary with HCTZ exposure, and explore how the results may depend on modeling strategies. Methods: We used different parametric models with alternative time-varying exposure metrics, and the flexible weighted cumulative exposure model (WCE) to estimate associations between HCTZ exposures and NMSC risk in a population-based cohort of HCTZ users over 65 years old, in the province of Ontario, Canada. Results: Among 3844 HCTZ users, 273 developed NMSC during up to 8 years of follow-up. In parametric models, based on all exposures, increased duration of past HCTZ use was associated with an increase of NMSC risk but cumulative dose showed no systematic association. Yet, WCE results suggested that only exposures taken 2.5-4 years in the past were associated with the current NMSC hazard. This finding led us to re-define the parametric models, which also confirmed that any HCTZ dose taken outside this time-window were not systematically associated with NMSC incidence. Conclusions: Our analyses illustrate how flexible modeling may yield new insights into complex temporal relationships between a time-varying drug exposure and risks of adverse events. Duration and recency of antihypertensive agents exposures must be taken into account in evaluating risk and benefits.
MeSH term(s)	Humans ; Aged ; Hydrochlorothiazide/adverse effects ; Antihypertensive Agents/adverse effects ; Skin Neoplasms/chemically induced ; Skin Neoplasms/epidemiology ; Incidence ; Ontario/epidemiology ; Hypertension/drug therapy
Chemical Substances	Hydrochlorothiazide (0J48LPH2TH) ; Antihypertensive Agents
Language	English
Publishing date	2023-08-01
Publishing country	England
Document type	Journal Article
ZDB-ID	1099748-9
ISSN	1099-1557 ; 1053-8569
ISSN (online)	1099-1557
ISSN	1053-8569
DOI	10.1002/pds.5674
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