Osteoarthritis

Cardiovascular health metrics and all-cause mortality in osteoarthritis, inflammatory arthritis, and unclassified arthritis patients: a national prospective cohort study

Arthritis Res TherPublished Prospective cohort study

Authors' conclusion

Ideal CVH substantially decreases all-cause mortality risk among patients with arthritis, confirming the critical role of CVH in arthritis management.

Study context

Population
Patients with arthritis in the United States, National Health and Nutrition Examination Survey
Participants
5,919 patients
Exposure
Higher vs lower cardiovascular health (CVH) scores
Outcome
All-cause mortality
Methodological detailsnational, Cox proportional hazard regression, restricted cubic spline analysis
  • National
  • Cox proportional hazard regression
  • Restricted cubic spline analysis

Main finding

As reported in the abstract

All-cause mortality per 10-point increment in CVH score
Estimate (95% CI)P value
Each 10-point CVH increment
HR (unadjusted) 0.77(0.71–0.83)
P < 0.001
Each 10-point CVH increment
HR (adjusted for age, sex, race, social determinants of health) 0.72(0.67–0.79)
P < 0.001

Each 10-point CVH increment, as printed

Observational data: associations, not effects.

Further findings

OutcomeHR (95% CI)P value
All-cause mortality, idealvs lower CVH at baseline0.39 (0.26–0.59)P < 0.001

CVH and all-cause mortality by arthritis type (subgroups)

Similar results not observed in inflammatory arthritis, but seen in osteoarthritis or degenerative arthritis, and unknown types of arthritis

Original publication

Cardiovascular health metrics and all-cause mortality in osteoarthritis, inflammatory arthritis, and unclassified arthritis patients: a national prospective cohort study. Arthritis Res Ther. Published 16 October 2024. doi:10.1186/s13075-024-03410-w

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