Vasculitis & polymyalgia rheumatica

Mortality in polymyalgia rheumatica: a 38-year prospective population-based cohort study from Southern Norway

Arthritis Res TherPublished Prospective population-based inception cohort study

Main finding · All-cause mortality, overall SMRResult — go to the resultSMR 0.97 95% CI 0.85–1.09

Authors' conclusion

In this comprehensive long-term follow-up study with nearly complete data on mortality, isolated PMR was not associated with increased mortality, reinforcing the view that it does not confer a higher mortality risk.

Study context

Population
Incident PMR and biopsy-proven GCA, Aust-Agder County, Norway, 1987–1997; followed to December 31st, 2024mean follow-up 13.7 years
Participants
337 participants
Exposure
Isolated PMR vs matched population comparators
  • Isolated PMRn = 274
  • GCAn = 63
Outcome
All-cause mortality in isolated PMR (SMR)
Methodological detailsmatched by gender, age at inclusion and residency with 15 population comparators, standard mortality ratios and Kaplan-Meier method
  • Matched by gender, age at inclusion and residency with 15 population comparators
  • Standard mortality ratios and Kaplan-Meier method

Main finding

All-cause mortality, overall SMR

Standard mortality ratios (SMR)

0.97

95% CI 0.85–1.09

As reported in the abstract

Observational data: associations, not effects.

Further findings

OutcomeSMR (95% CI)
All-cause mortality in isolated PMR, men (subgroup)Isolated PMR vs Population comparators0.77 (0.62–0.95)
All-cause mortality in isolated PMR, women (subgroup)Isolated PMR vs Population comparators1.11 (0.95–1.28)
All-cause mortality in GCA, overall SMRGCA vs Population comparators · with no gender difference1.10 (0.85–1.40)

Deceased by end of study (all patients)

Deceased by end of study, all patients
96.4%

Original publication

Mortality in polymyalgia rheumatica: a 38-year prospective population-based cohort study from Southern Norway. Arthritis Res Ther. Published 21 July 2025. doi:10.1186/s13075-025-03613-9

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