Vasculitis & polymyalgia rheumatica

Is there a role for Pneumocystis jiroveci pneumonia prophylaxis in giant cell arteritis or polymyalgia rheumatica?

Semin Arthritis RheumPublished Retrospective cohort study and systematic review

Authors' conclusion

Patients with newly diagnosed GCA or PMR rarely develop PJP.

Study context

Population
Incident cases of giant cell arteritis (GCA) and polymyalgia rheumatica (PMR) in claims data from the TriNetX database
Participants
1,168 vs 15,575
Comparison
GCA vs PMR
  • GCAn = 1,168
  • PMRn = 15,575
Outcome
Incidence of PJP
Follow-up
First 6 months of therapy
Methodological detailsclaims data (TriNetX database), incident cases
  • Claims data (TriNetX database)
  • Incident cases

Pooled result

As reported in the abstract

GroupValueFollow-up
GCA0 per 1,000 person-years547 patient-years
PMR0.07 cases per 1,000 patient-years7,446 patient-years

Value

GCA0 per 1,000 person-years
PMR0.07 cases per 1,000 patient-years

Follow-up

GCA547 patient-years
PMR7,446 patient-years

Further pooled results

Systematic review: Pneumocystis jiroveci pneumonia (PJP) among patients with GCA or PMR

Studies identified: case-control studies
1
Studies identified: cohort studies
4
Studies identified: case series / case reports
18
Incident rate of PJP in GCA, one additional study (cases per 1,000 person years)
0.08
Total cases in case series and case reports
33
Total deaths among these cases
4
No additional cohort studies identified for PMR

Original publication

Is there a role for Pneumocystis jiroveci pneumonia prophylaxis in giant cell arteritis or polymyalgia rheumatica? Semin Arthritis Rheum. Published 15 December 2022. doi:10.1016/j.semarthrit.2022.152154

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