Rheumatoid arthritis

Incident rheumatoid arthritis in patients living in Turkey and in Denmark: a comparative clinical, genetic, and serological study

Scand J RheumatolPublished Prospective comparative cohort study

Authors' conclusion

This study substantiates the north-south gradient hypothesis, highlighting that new-onset RA patients in Denmark tend to experience an older age of onset and more severe disease activity than their Turkish counterparts.

Study context

Population
Treatment-naïve, new-onset rheumatoid arthritis (RA) patients meeting the 2010 ACR/EULAR criteria in Denmark and Turkey
Participants
223 participants
Exposure
Danish vs Turkish treatment-naïve, new-onset RA patients
  • Danishn = 109
  • Turkishn = 114reference
Outcome
Age at onset
Methodological detailsprospective data collection, 2010 ACR/EULAR criteria, genetic comparison with normal controls
  • Prospective data collection
  • 2010 ACR/EULAR criteria
  • Genetic comparison with normal controls

Main finding

As reported in the abstract

Danish

60

median · years

Turkish

51

years

P = 0.0007

Observational data: associations, not effects.

Further findings

Swollen and tender joints; DAS28-CRP

Danish cohort had significantly more swollen and tender joints, resulting in higher DAS28-CRP

SE alleles in patients and controls

Danish patients and controls had more RA risk-enhancing (S2 + S3P) and fewer risk-protective (S1 + S3D) alleles than Turkish patients and controls

Original publication

Incident rheumatoid arthritis in patients living in Turkey and in Denmark: a comparative clinical, genetic, and serological study. Scand J Rheumatol. Published 25 November 2024. doi:10.1080/03009742.2024.2424083

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