Rheumatoid arthritis

Impact of disease duration on proteomic bioprofile and prognosis in rheumatoid arthritis patients

Clin Exp RheumatolPublished Prospective cohort study

Main finding · Subsequent CV hospitalisation or CV deathResult — go to the resultHazard ratio 2.71 95% CI 1.06–6.92

Authors' conclusion

RA patients with longer disease duration had more organ damage and worse outcomes than those with shorter disease duration.

Study context

Population
Rheumatoid arthritis (RA) patients with detailed clinical, echocardiographic and proteomic phenotyping
Participants
399 patients
Exposure
Tertiles of RA disease duration
Outcome
CV hospitalisation or CV death
Methodological detailsCox proportional models, comparison across tertiles of RA disease duration
  • Cox proportional models
  • Comparison across tertiles of RA disease duration

Main finding

Subsequent CV hospitalisation or CV death

Hazard ratio

2.71

95% CI 1.06–6.92

P = 0.04

Tertile 3vs Tertile 1
HR 2.71 (95% CI 1.06–6.92); P = 0.04

As reported in the abstract

Observational data: associations, not effects.

Further findings

Clinical characteristics, tertile 3 vs tertile 1

Tertile 3 older, more erosive disease, more frequent echocardiographic alterations, lower haemoglobin and shorter 6MWT distance

Biomarkers

Natriuretic peptides, cathepsin L1, galectin 9, MMP-12, adrenomedullin and TNF receptor 11A higher with longer disease duration

Original publication

Impact of disease duration on proteomic bioprofile and prognosis in rheumatoid arthritis patients. Clin Exp Rheumatol. Published 24 November 2022. doi:10.55563/clinexprheumatol/ua087b

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