Rheumatoid arthritis

Cognitive impairment risk in patients with rheumatoid arthritis: a population-based cohort study

RMD OpenPublished Population-based matched cohort study

Main finding · Incident cognitive impairmentResult — go to the resultAdjusted subdistribution hazard ratio 1.222 95% CI 1.171–1.275

Authors' conclusion

These findings suggest that cognitive impairment may represent an important comorbidity in patients with RA

Study context

Population
Patients newly diagnosed with rheumatoid arthritis (RA) (2011–2014) and matched controls, Korean nationwide claims database; follow-up to December 2022matched cohort
Participants
26,437 vs 26,437
Exposure
Newly diagnosed RA vs matched controls
  • RAn = 26,437
  • Controlsn = 26,437reference
Outcome
Incident cognitive impairment (ICD-10 F00-F03, F31.82, F06.7, G30 and G31.00)
Methodological details1:1 age-, sex- and index-year-matched, Korean nationwide claims database, multivariable stratified competing risks regression (death as competing risk)
  • 1:1 age-, sex- and index-year-matched
  • Korean nationwide claims database
  • Multivariable stratified competing risks regression (death as competing risk)

Main finding

Incident cognitive impairment · mean follow-up 9.410±2.271 (RA) and 9.508±2.217 (Controls) years

Adjusted subdistribution hazard ratio

1.222

95% CI 1.171–1.275

Events by group

RAvs Controls
adjusted SHR 1.222 (95% CI 1.171–1.275)

As reported in the abstract

Observational data: associations, not effects.

Original publication

Cognitive impairment risk in patients with rheumatoid arthritis: a population-based cohort study. RMD Open. Published 28 April 2026. doi:10.1136/rmdopen-2025-006685

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