Vasculitis & polymyalgia rheumatica

Incidence of systemic vasculitides after Mycobacterium tuberculosis infection: a population-based cohort study in Korea

Rheumatology (Oxford)Published Retrospective cohort study

Main finding · SVResult — go to the resultAdjusted hazard ratio 1.72 95% CI 1.45–2.05

Authors' conclusion

Patients with TB have an increased risk of SV, which is prominent in extrapulmonary TB.

Study context

Population
South Korean National Claims database: patients with tuberculosis (TB) and controls who had undergone appendectomymean follow-up 7.5 years
Participants
418,677 vs 160,289
Exposure
TB vs controls
  • TBn = 418,677
  • Controlsn = 160,289reference
Outcome
Incidence of systemic vasculitides (SV)
Methodological detailspopulation-based, national claims database, adjusted Cox proportional hazards regression, stabilized inverse probability of treatment weighting sensitivity analysis
  • Population-based
  • National claims database
  • Adjusted Cox proportional hazards regression
  • Stabilized inverse probability of treatment weighting sensitivity analysis

Main finding

SV

Adjusted hazard ratio

1.72

95% CI 1.45–2.05

TBvs Controls
aHR 1.72 (95% CI 1.45–2.05)

As reported in the abstract

Overall systemic vasculitides (SV) incidence rate
192/1 000 000 person-years

Observational data: associations, not effects.

Further findings

OutcomeaHR (95% CI)
SV in extrapulmonary TB (subgroup)Extrapulmonary TBvs Controls4.28 (3.52–5.21)

Original publication

Incidence of systemic vasculitides after Mycobacterium tuberculosis infection: a population-based cohort study in Korea. Rheumatology (Oxford). Published 20 March 2024. doi:10.1093/rheumatology/keae185

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