Vasculitis & polymyalgia rheumatica

Mortality in patients with giant cell arteritis in Spain: results from the ARTESER registry

Arthritis Res TherPublished Retrospective cohort study

Authors' conclusion

The overall five-year age- and sex-adjusted cumulative mortality rate in GCA is similar compared to the general population.

Study context

Population
GCA patients in the ARTESER registry of the Spanish Society of Rheumatology, June 2013 to March 2019mean (SD) follow-up 2.18 (1.53) years
Participants
1,200 patients
Exposure
GCA patients vs Spanish general population
  • GCAn = 1,200
Outcome
Mortality rate (deaths per 1000 person-years), compared with the general population
Follow-up
5 years
Methodological detailsmulticentre registry, Kaplan-Meier survival analysis, Cox regression
  • Multicentre registry
  • Kaplan-Meier survival analysis
  • Cox regression

Main finding

As reported in the abstract

Age- and sex-adjusted cumulative mortality rate

GCA

19.75

Spanish general population

20.72

P = 0.559

Observational data: associations, not effects.

Further findings

OutcomeMalesFemalesP value
Cumulative mortality rate by sexMales vs Females59.0429.06P < 0.001

Overall five-year cumulative mortality rate per 1000 patients/year · 5 years

Overall five-year cumulative mortality rate (95%CI) per 1000 patients/year
37.86 (31.75-43.96)

Factors associated with mortality (multivariate Cox analysis)

Older age, HR
1.11 (1.073-1.142) (95%CI)
Male sex, HR
1.775 (1.214-2.594) (95%CI)
Headache, HR
0.55 (0.362-0.843) (95%CI)
High hemoglobin levels, HR
0.85 (0.744-0.970) (95%CI)
  • Multivariate analysis

Original publication

Mortality in patients with giant cell arteritis in Spain: results from the ARTESER registry. Arthritis Res Ther. Published 7 January 2025. doi:10.1186/s13075-024-03468-6

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