Across rheumatic diseases

Investigating Factors Associated With Respiratory Syncytial Virus Vaccination and Breakthrough Infection Among Patients With Systemic Autoimmune Rheumatic Diseases

J RheumatolPublished Retrospective cohort study

Authors' conclusion

Only 10.2% of eligible patients with SARDs received RSV vaccination. Glucocorticoid users were less likely to receive RSV vaccination, whereas specific SARD types and DMARDs were not associated.

Study context

Population
Patients with systemic autoimmune rheumatic diseases (SARDs) aged ≥ 60 years eligible for respiratory syncytial virus (RSV) vaccination between May 2023 and February 2025, Mass General Brigham (Boston, Massachusetts, USA)median age 71.7 years, 72.4% female
Participants
10,587 patients
Outcome
RSV vaccine uptake and factors associated with RSV vaccination
Methodological detailsmultivariable logistic regression
  • Multivariable logistic regression

Main finding

As reported in the abstract

RSV vaccination uptake

Eligible patients with SARDs

10.2%

1075 events

Observational data: associations, not effects.

Further findings

OutcomeValues
Documented laboratory-confirmed RSV breakthrough infection among the vaccinatedVaccinated 0.8%
Documented laboratory-confirmed RSV breakthrough infection among the vaccinated — Hospitalizations
2
Documented laboratory-confirmed RSV breakthrough infection among the vaccinated — Deaths
0
  • Documented laboratory-confirmed RSV breakthrough infection among the vaccinated: n = 1075 vaccinated

Original publication

Investigating Factors Associated With Respiratory Syncytial Virus Vaccination and Breakthrough Infection Among Patients With Systemic Autoimmune Rheumatic Diseases. J Rheumatol. Published 1 December 2025. doi:10.3899/jrheum.2025-0934

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