{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,15]],"date-time":"2026-05-15T16:43:39Z","timestamp":1778863419039,"version":"3.51.4"},"reference-count":42,"publisher":"Springer Science and Business Media LLC","issue":"3","license":[{"start":{"date-parts":[[2019,12,9]],"date-time":"2019-12-09T00:00:00Z","timestamp":1575849600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/www.springer.com\/tdm"},{"start":{"date-parts":[[2019,12,9]],"date-time":"2019-12-09T00:00:00Z","timestamp":1575849600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/www.springer.com\/tdm"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Clin Rheumatol"],"published-print":{"date-parts":[[2020,3]]},"DOI":"10.1007\/s10067-019-04841-6","type":"journal-article","created":{"date-parts":[[2019,12,9]],"date-time":"2019-12-09T06:02:41Z","timestamp":1575871361000},"page":"747-754","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":18,"title":["A quality improvement intervention failed to significantly increase pneumococcal and influenza vaccination rates in immunosuppressed inflammatory arthritis patients"],"prefix":"10.1007","volume":"39","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6201-8116","authenticated-orcid":false,"given":"Kieran","family":"Murray","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Candice","family":"Low","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anna","family":"O\u2019Rourke","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Francis","family":"Young","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ian","family":"Callanan","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eoin","family":"Feeney","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Douglas James","family":"Veale","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2019,12,9]]},"reference":[{"issue":"2","key":"4841_CR1","doi-asserted-by":"publisher","first-page":"325","DOI":"10.1136\/ard.2009.113696","volume":"69","author":"M Peters","year":"2010","unstructured":"Peters M, Symmons D, McCarey D, Dijkmans B, Nicola P, Kvien T, McInnes I, Haentzschel H, Gonzalez-Gay MA, Provan S, Semb A, Sidiropoulos P, Kitas G, Smulders YM, Soubrier M, Szekanecz Z, Sattar N, Nurmohamed MT (2010) EULAR evidence-based recommendations for cardiovascular risk management in patients with rheumatoid arthritis and other forms of inflammatory arthritis. Ann Rheum Dis 69(2):325\u2013331","journal-title":"Ann Rheum Dis"},{"issue":"1","key":"4841_CR2","doi-asserted-by":"publisher","first-page":"135","DOI":"10.1002\/art.1780140119","volume":"14","author":"J Baum","year":"1971","unstructured":"Baum J (1971) Infection in rheumatoid arthritis. Arthritis & Rheumatism: Official Journal of the American College of Rheumatology 14(1):135\u2013137","journal-title":"Arthritis & Rheumatism: Official Journal of the American College of Rheumatology"},{"key":"4841_CR3","doi-asserted-by":"crossref","unstructured":"Haddad A, Li S, Thavaneswaran A, Cook RJ, Chandran V, Gladman DD The incidence and predictors of infection in psoriasis and psoriatic arthritis: results from longitudinal observational cohorts. The Journal of rheumatology 2016(jrheum):140067","DOI":"10.3899\/jrheum.140067"},{"issue":"suppl_6","key":"4841_CR4","first-page":"vi37","volume":"51","author":"EM Ruderman","year":"2012","unstructured":"Ruderman EM (2012) Overview of safety of non-biologic and biologic DMARDs. Rheumatology 51(suppl_6):vi37\u2013vi43","journal-title":"Rheumatology"},{"issue":"4","key":"4841_CR5","doi-asserted-by":"publisher","first-page":"374","DOI":"10.1016\/j.jbspin.2010.10.012","volume":"78","author":"M Haroon","year":"2011","unstructured":"Haroon M, Adeeb F, Eltahir A, Harney S (2011) The uptake of influenza and pneumococcal vaccination among immunocompromised patients attending rheumatology outpatient clinics. Joint Bone Spine 78(4):374\u2013377","journal-title":"Joint Bone Spine"},{"issue":"9","key":"4841_CR6","doi-asserted-by":"publisher","first-page":"2287","DOI":"10.1002\/art.10524","volume":"46","author":"MF Doran","year":"2002","unstructured":"Doran MF, Crowson CS, Pond GR, O\u2019Fallon WM, Gabriel SE (2002) Frequency of infection in patients with rheumatoid arthritis compared with controls: a population-based study. Arthritis Rheum 46(9):2287\u20132293","journal-title":"Arthritis Rheum"},{"issue":"4","key":"4841_CR7","doi-asserted-by":"publisher","first-page":"R139","DOI":"10.1186\/ar3453","volume":"13","author":"WG Dixon","year":"2011","unstructured":"Dixon WG, Suissa S, Hudson M (2011) The association between systemic glucocorticoid therapy and the risk of infection in patients with rheumatoid arthritis: systematic review and meta-analyses. Arthritis research & therapy 13(4):R139","journal-title":"Arthritis research & therapy"},{"key":"4841_CR8","first-page":"1","volume":"12","author":"N Snowden","year":"2007","unstructured":"Snowden N (2007) Immunisation of immunosuppressed patients with rheumatic diseases. Top Rev 12:1\u201312","journal-title":"Top Rev"},{"issue":"2","key":"4841_CR9","first-page":"272","volume":"34","author":"JL Kaine","year":"2007","unstructured":"Kaine JL, Kivitz AJ, Birbara C, Luo AY (2007) Immune responses following administration of influenza and pneumococcal vaccines to patients with rheumatoid arthritis receiving adalimumab. J Rheumatol 34(2):272\u2013279","journal-title":"J Rheumatol"},{"issue":"1","key":"4841_CR10","doi-asserted-by":"publisher","first-page":"106","DOI":"10.1093\/rheumatology\/kei193","volume":"45","author":"M Kapetanovic","year":"2005","unstructured":"Kapetanovic M, Saxne T, Sjoholm A, Truedsson L, Jonsson G, Geborek P (2005) Influence of methotrexate, TNF blockers and prednisolone on antibody responses to pneumococcal polysaccharide vaccine in patients with rheumatoid arthritis. Rheumatology. 45(1):106\u2013111","journal-title":"Rheumatology."},{"key":"4841_CR11","first-page":"317","volume":"36","author":"P Meroni","year":"2018","unstructured":"Meroni P, Zavaglia D, Girmenia C (2018) Vaccinations in adults with rheumatoid arthritis in an era of new disease-modifying anti-rheumatic drugs. Clin Exp Rheumatol 36:317\u2013328","journal-title":"Clin Exp Rheumatol"},{"issue":"2","key":"4841_CR12","first-page":"114","volume":"61","author":"M Jit","year":"2010","unstructured":"Jit M (2010) The risk of sequelae due to pneumococcal meningitis in high-income countries: a systematic review and meta-analysis. J Inf Secur 61(2):114\u2013124","journal-title":"J Inf Secur"},{"issue":"9693","key":"4841_CR13","doi-asserted-by":"publisher","first-page":"893","DOI":"10.1016\/S0140-6736(09)61204-6","volume":"374","author":"KL O'Brien","year":"2009","unstructured":"O'Brien KL, Wolfson LJ, Watt JP, Henkle E, Deloria-Knoll M, McCall N et al (2009) Burden of disease caused by Streptococcus pneumoniae in children younger than 5 years: global estimates. Lancet 374(9693):893\u2013902","journal-title":"Lancet"},{"key":"4841_CR14","doi-asserted-by":"crossref","unstructured":"Shea KM, Edelsberg J, Weycker D, Farkouh RA, Strutton DR, Pelton SI (2014) Rates of pneumococcal disease in adults with chronic medical conditions. In: Open forum infectious diseases. Oxford University Press","DOI":"10.1093\/ofid\/ofu024"},{"issue":"2","key":"4841_CR15","doi-asserted-by":"publisher","DOI":"10.1136\/rmdopen-2017-000484","volume":"3","author":"\u00c9 R\u00e1k\u00f3czi","year":"2017","unstructured":"R\u00e1k\u00f3czi \u00c9, Szekanecz Z (2017) Pneumococcal vaccination in autoimmune rheumatic diseases. RMD open 3(2):e000484","journal-title":"RMD open"},{"issue":"10117","key":"4841_CR16","first-page":"180","volume":"391","author":"L The","year":"2018","unstructured":"The L (2018) Preparing for seasonal influenza. Lancet 391(10117):180","journal-title":"Lancet"},{"key":"4841_CR17","doi-asserted-by":"crossref","unstructured":"Furer V, Rondaan C, Heijstek MW, Agmon-Levin N, van Assen S, Bijl M, et al. 2019 Update of EULAR recommendations for vaccination in adult patients with autoimmune inflammatory rheumatic diseases. Annals of the rheumatic diseases. 2019:annrheumdis-2019-215882","DOI":"10.1136\/annrheumdis-2019-215882"},{"key":"4841_CR18","unstructured":"Dougados M, Soubrier M, Antunez A, Balint P, Balsa A, Buch MH, et al. Prevalence of comorbidities in rheumatoid arthritis and evaluation of their monitoring: results of an international, cross-sectional study (COMORA). Annals of the rheumatic diseases. 2013:annrheumdis-2013-204223"},{"issue":"5","key":"4841_CR19","first-page":"793","volume":"34","author":"E Bellucci","year":"2016","unstructured":"Bellucci E, Terenzi R, La Paglia G, Gentileschi S, Tripoli A, Tani C et al (2016) One year in review 2016: pathogenesis of rheumatoid arthritis. Clin Exp Rheumatol 34(5):793\u2013801","journal-title":"Clin Exp Rheumatol"},{"issue":"1","key":"4841_CR20","doi-asserted-by":"publisher","first-page":"322","DOI":"10.1186\/s12891-016-1187-4","volume":"17","author":"S Subesinghe","year":"2016","unstructured":"Subesinghe S, Rutherford AI, Ibrahim F, Harris H, Galloway J (2016) A large two-centre study in to rates of influenza and pneumococcal vaccination and infection burden in rheumatoid arthritis in the UK. BMC Musculoskelet Disord 17(1):322","journal-title":"BMC Musculoskelet Disord"},{"issue":"2","key":"4841_CR21","first-page":"216","volume":"33","author":"C Lampropoulos","year":"2015","unstructured":"Lampropoulos C, Orfanos P, Bournia V, Karatsourakis T, Mavragani C, Pikazis D, Manoussakis MN, Tzioufas AG, Moutsopoulos HM, Vlachoyiannopoulos PG (2015) Adverse events and infections in patients with rheumatoid arthritis treated with conventional drugs or biologic agents: a real world study. Clin Exp Rheumatol 33(2):216\u2013224","journal-title":"Clin Exp Rheumatol"},{"issue":"1","key":"4841_CR22","doi-asserted-by":"publisher","first-page":"58","DOI":"10.1186\/1471-2474-8-58","volume":"8","author":"E Sowden","year":"2007","unstructured":"Sowden E, Mitchell WS (2007) An audit of influenza and pneumococcal vaccination in rheumatology outpatients. BMC Musculoskelet Disord 8(1):58","journal-title":"BMC Musculoskelet Disord"},{"issue":"3","key":"4841_CR23","doi-asserted-by":"publisher","first-page":"360","DOI":"10.1017\/S0950268807008436","volume":"136","author":"R Pebody","year":"2008","unstructured":"Pebody R, Hippisley-Cox J, Harcourt S, Pringle M, Painter M, Smith G (2008) Uptake of pneumococcal polysaccharide vaccine in at-risk populations in England and Wales 1999\u20132005. Epidemiol Infect 136(3):360\u2013369","journal-title":"Epidemiol Infect"},{"issue":"6","key":"4841_CR24","doi-asserted-by":"publisher","first-page":"837","DOI":"10.1136\/ard.2006.060285","volume":"66","author":"J Pradeep","year":"2007","unstructured":"Pradeep J, Watts R, Clunie G (2007) Audit on the uptake of influenza and pneumococcal vaccination in patients with rheumatoid arthritis. Ann Rheum Dis 66(6):837\u2013838","journal-title":"Ann Rheum Dis"},{"issue":"2","key":"4841_CR25","doi-asserted-by":"publisher","first-page":"366","DOI":"10.1093\/rheumatology\/keq297","volume":"50","author":"SP Desai","year":"2010","unstructured":"Desai SP, Turchin A, Szent-Gyorgyi LE, Weinblatt M, Coblyn J, Solomon DH et al (2010) Routinely measuring and reporting pneumococcal vaccination among immunosuppressed rheumatology outpatients: the first step in improving quality. Rheumatology. 50(2):366\u2013372","journal-title":"Rheumatology."},{"issue":"4","key":"4841_CR26","doi-asserted-by":"publisher","first-page":"R144","DOI":"10.1186\/ar3086","volume":"12","author":"JR Curtis","year":"2010","unstructured":"Curtis JR, Arora T, Narongroeknawin P, Taylor A, Bingham CO, Cush J et al (2010) The delivery of evidence-based preventive care for older Americans with arthritis. Arthritis research & therapy 12(4):R144","journal-title":"Arthritis research & therapy"},{"key":"4841_CR27","doi-asserted-by":"crossref","unstructured":"Muniz LF, Silva CR, Costa TF, Mota LMHd. Vaccination in patients from Bras\u00edlia cohort with early rheumatoid arthritis. Rev Bras Reumatol 2014;54(5):349\u2013355","DOI":"10.1016\/j.rbr.2014.04.002"},{"issue":"2","key":"4841_CR28","doi-asserted-by":"publisher","first-page":"229","DOI":"10.1007\/s00296-016-3608-y","volume":"37","author":"M Krasselt","year":"2017","unstructured":"Krasselt M, Ivanov J-P, Baerwald C, Seifert O (2017) Low vaccination rates among patients with rheumatoid arthritis in a German outpatient clinic. Rheumatol Int 37(2):229\u2013237","journal-title":"Rheumatol Int"},{"key":"4841_CR29","unstructured":"Williams D-A, Hardie R, Anderson A, Dvorkina O. Prevalence of influenza and pneumococcal polysaccharide vaccine administration and the factors affecting vaccine uptake in a population of patients with autoimmune inflammatory rheumatic diseases in a Brooklyn Clinic. ARTHRITIS & RHEUMATOLOGY: WILEY 111 RIVER ST, HOBOKEN 07030\u20135774, NJ USA; 2016"},{"issue":"9","key":"4841_CR30","doi-asserted-by":"publisher","first-page":"1255","DOI":"10.1007\/s00296-016-3516-1","volume":"36","author":"AL Ramos","year":"2016","unstructured":"Ramos AL, Hoffmann F, Callhoff J, Zink A, Albrecht K (2016) Influenza and pneumococcal vaccination in patients with rheumatoid arthritis in comparison with age-and sex-matched controls: results of a claims data analysis. Rheumatol Int 36(9):1255\u20131263","journal-title":"Rheumatol Int"},{"issue":"1","key":"4841_CR31","doi-asserted-by":"publisher","first-page":"39","DOI":"10.1002\/art.37716","volume":"65","author":"SP Desai","year":"2013","unstructured":"Desai SP, Lu B, Szent-Gyorgyi LE, Bogdanova AA, Turchin A, Weinblatt M et al (2013) Increasing pneumococcal vaccination for immunosuppressed patients: a cluster quality improvement trial. Arthritis Rheum 65(1):39\u201347","journal-title":"Arthritis Rheum"},{"issue":"1","key":"4841_CR32","doi-asserted-by":"publisher","first-page":"e052","DOI":"10.1097\/pq9.0000000000000052","volume":"3","author":"CI Wong","year":"2018","unstructured":"Wong CI, Billett AL, Weng S, Eng K, Thakrar U, Davies KJ (2018) A quality improvement initiative to increase and sustain influenza vaccination rates in pediatric oncology and stem cell transplant patients. Pediatric Quality & Safety 3(1):e052","journal-title":"Pediatric Quality & Safety"},{"key":"4841_CR33","doi-asserted-by":"crossref","unstructured":"Baker DW, Brown T, Lee JY, Ozanich A, Liss DT, Sandler DS, et al. A multifaceted intervention to improve influenza, pneumococcal, and herpes zoster vaccination among patients with rheumatoid arthritis. The Journal of rheumatology. 2016:jrheum. 150984","DOI":"10.3899\/jrheum.150984"},{"issue":"3","key":"4841_CR34","doi-asserted-by":"publisher","first-page":"210","DOI":"10.7326\/M17-3439","volume":"168","author":"DK Kim","year":"2018","unstructured":"Kim DK, Riley LE, Hunter P (2018) Recommended immunization schedule for adults aged 19 years or older, United States, 2018. Ann Intern Med 168(3):210\u2013220","journal-title":"Ann Intern Med"},{"key":"4841_CR35","doi-asserted-by":"crossref","unstructured":"Gluck T (2006) Vaccinate your immunocompromised patients! Oxford University Press","DOI":"10.1093\/rheumatology\/kei237"},{"key":"4841_CR36","unstructured":"McCarthy E, de Barra E, Bergin C, Cunnane G, Doran M (2011) Influenza and pneumococcal vaccination and varicella status in inflammatory arthritis patients. Ir Med J"},{"issue":"3","key":"4841_CR37","doi-asserted-by":"publisher","first-page":"e44","DOI":"10.1093\/cid\/cit684","volume":"58","author":"LG Rubin","year":"2013","unstructured":"Rubin LG, Levin MJ, Ljungman P, Davies EG, Avery R, Tomblyn M, Bousvaros A, Dhanireddy S, Sung L, Keyserling H, Kang I, Infectious Diseases Society of America (2013) 2013 IDSA clinical practice guideline for vaccination of the immunocompromised host. Clin Infect Dis 58(3):e44\u2013e100","journal-title":"Clin Infect Dis"},{"issue":"5","key":"4841_CR38","first-page":"237","volume":"18","author":"EM McCarthy","year":"2012","unstructured":"McCarthy EM, Azeez MA, Fitzpatrick FM, Donnelly S (2012) Knowledge, attitudes, and clinical practice of rheumatologists in vaccination of the at-risk rheumatology patient population. JCR: Journal of Clinical Rheumatology 18(5):237\u2013241","journal-title":"JCR: Journal of Clinical Rheumatology"},{"issue":"S1","key":"4841_CR39","doi-asserted-by":"publisher","first-page":"e7","DOI":"10.2105\/AJPH.2013.301620","volume":"104","author":"MS Stockwell","year":"2014","unstructured":"Stockwell MS, Westhoff C, Kharbanda EO, Vargas CY, Camargo S, Vawdrey DK et al (2014) Influenza vaccine text message reminders for urban, low-income pregnant women: a randomized controlled trial. Am J Public Health 104(S1):e7\u2013e12","journal-title":"Am J Public Health"},{"issue":"1","key":"4841_CR40","doi-asserted-by":"publisher","first-page":"17","DOI":"10.1186\/1748-5908-7-17","volume":"7","author":"SW Stirman","year":"2012","unstructured":"Stirman SW, Kimberly J, Cook N, Calloway A, Castro F, Charns M (2012) The sustainability of new programs and innovations: a review of the empirical literature and recommendations for future research. Implement Sci 7(1):17","journal-title":"Implement Sci"},{"issue":"15","key":"4841_CR41","doi-asserted-by":"publisher","first-page":"1828","DOI":"10.1016\/j.vaccine.2017.02.044","volume":"35","author":"EE Ting","year":"2017","unstructured":"Ting EE, Sander B, Ungar WJ (2017) Systematic review of the cost-effectiveness of influenza immunization programs. Vaccine. 35(15):1828\u20131843","journal-title":"Vaccine."},{"key":"4841_CR42","doi-asserted-by":"crossref","unstructured":"Nishikawa AM, Sartori AMC, Mainardi GM, Freitas AC, Itria A, Novaes HMD et al (2018) Systematic review of economic evaluations of the 23-valent pneumococcal polysaccharide vaccine (PPV23) in individuals 60 years of age or older. Vaccine.","DOI":"10.1016\/j.vaccine.2018.03.070"}],"container-title":["Clinical Rheumatology"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1007\/s10067-019-04841-6.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/article\/10.1007\/s10067-019-04841-6\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1007\/s10067-019-04841-6.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,10,7]],"date-time":"2022-10-07T23:25:26Z","timestamp":1665185126000},"score":1,"resource":{"primary":{"URL":"http:\/\/link.springer.com\/10.1007\/s10067-019-04841-6"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,12,9]]},"references-count":42,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2020,3]]}},"alternative-id":["4841"],"URL":"https:\/\/doi.org\/10.1007\/s10067-019-04841-6","relation":{},"ISSN":["0770-3198","1434-9949"],"issn-type":[{"value":"0770-3198","type":"print"},{"value":"1434-9949","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,12,9]]},"assertion":[{"value":"29 September 2019","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"23 October 2019","order":2,"name":"revised","label":"Revised","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"1 November 2019","order":3,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"9 December 2019","order":4,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Compliance with ethical standards"}},{"value":"The authors declare that they have no conflict of interest.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}},{"value":"This study was approved by the Clinical Audit Committee, Saint Vincent\u2019s University Hospital.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical approval"}}]}}