Gout & crystal arthritis

Cardiovascular Disease Risk in Calcium Pyrophosphate Deposition Disease: A Nationwide Study of Veterans

Arthritis Care Res (Hoboken)Published Retrospective cohort study

Main finding · MACEResult — go to the resultHazard ratio 0.98 95% CI 0.94–1.02

Authors' conclusion

CPPD did not confer an increased risk for MACE, a composite end point including all-cause mortality.

Study context

Population
Veterans Health Administration Corporate Data Warehouse, 2010–2014; excluded patients with a cardiovascular event in the 365 days before index (96% male, mean age 78 years, 75% White)>250,000 person-years
Participants
23,124 vs 86,629
Exposure
CPPD vs matched patients without CPPD
  • CPPDn = 23,124
  • Non-CPPDn = 86,629reference
Outcome
MACE:
  • MI
  • Acute coronary syndrome
  • Coronary revascularization
  • Stroke
  • Death
Methodological detailsmatched cohort, age- and sex-matched (≈1:4), Cox proportional hazards models, fully adjusted, nationwide
  • Matched cohort
  • Age- and sex-matched (≈1:4)
  • Cox proportional hazards models, fully adjusted
  • Nationwide

Main finding

MACE

Hazard ratio

0.98

95% CI 0.94–1.02

CPPDvs Non-CPPD
HR 0.98 (95% CI 0.94–1.02)

As reported in the abstract

Observational data: associations, not effects.

Secondary outcomes

MACE components: MI, acute coronary syndrome, stroke

Risks of MI, acute coronary syndrome and stroke significantly higher in CPPD vs non-CPPD

Original publication

Cardiovascular Disease Risk in Calcium Pyrophosphate Deposition Disease: A Nationwide Study of Veterans. Arthritis Care Res (Hoboken). Published 11 October 2022. doi:10.1002/acr.24783

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