Rheumatoid arthritis

A simple heart failure detection score for rheumatology practice: findings from the Kyoto University Rheumatoid Arthritis Management Alliance (KURAMA) cohort

Rheumatology (Oxford)Published Cross-sectional study

Authors' conclusion

HF affects over one in four RA outpatients.

Study context

Population
Outpatients with RA, KURAMA cohort
Participants
542 outpatients
Exposure
Four-factor heart failure (HF) detection score vs NT-proBNP ≥ 125 pg/ml
Outcome
Prevalence of HF
Methodological detailsprespecified multistep HF algorithm, adaptive LASSO regression
  • Prespecified multistep HF algorithm
  • Adaptive LASSO regression

Main finding

As reported in the abstract

HF prevalence

HF detected in patients with RA

26.5%

Observational data: associations, not effects.

Further findings

OutcomeFour-factor HF detection scoreNT-proBNP ≥ 125 pg/ml
Discrimination for HF (AUC)
AUC0.7930.814

Independent non-cardiac factors associated with HF

Older age, lower haemoglobin (Hb), higher serum creatinine and higher Simplified Disease Activity Index (SDAI)

Discrimination for HF (AUC)

Score AUC comparable to that of NT-proBNP ≥ 125 pg/ml alone

Original publication

A simple heart failure detection score for rheumatology practice: findings from the KURAMA cohort. Rheumatology (Oxford). Published 7 August 2026. doi:10.1093/rheumatology/keag403

Composed by AI from the published abstract and checked against it. How Briefs are made →

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