Rheumatoid arthritis

Correlation of Naples prognostic score with the risk of all-cause and cardiovascular mortality in individuals with rheumatoid arthritis: A cross-sectional analysis of the National Health and Nutrition Examination Survey (NHANES) 2001–2018

Joint Bone SpinePublished Cross-sectional study

Main finding · All-cause mortalityResult — go to the resultHazard ratio 2.04 95% CI 1.21–3.05

Authors' conclusion

In the US population, NPS shows a significantly positive correlation with the likelihood of all-cause and CV mortality in individuals with RA.

Study context

Population
Individuals with RA in NHANES 2001–2018, US
Participants
1,683 individuals
Exposure
Naples Prognostic Score (NPS) Group 3 vs Group 1
Outcome
All-cause and CV mortality
Methodological detailsweighted multivariate Cox regression, Kaplan-Meier survival analysis, subgroup and sensitivity analyses
  • Weighted multivariate Cox regression
  • Kaplan-Meier survival analysis
  • Subgroup and sensitivity analyses

Main finding

All-cause mortality

Hazard ratio

2.04

95% CI 1.21–3.05

P < 0.01

Group 3vs Group 1
HR 2.04 (95% CI 1.21–3.05); P < 0.01

As reported in the abstract

Notable survival discrepancies among NPS groups in all-cause and cardiovascular (CV) mortality (Kaplan-Meier)
P < 0.001

Observational data: associations, not effects.

Further findings

OutcomeHR (95% CI)P value
CV mortalityAdjusted for all confounders3.59 (1.24–10.4)P < 0.05

Subgroup and sensitivity analyses

Results were robust

Original publication

Correlation of Naples prognostic score with the risk of all-cause and cardiovascular mortality in individuals with rheumatoid arthritis: A cross-sectional analysis of the NHANES 2001–2018. Joint Bone Spine. Published 26 May 2025. doi:10.1016/j.jbspin.2025.105928

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