Spondyloarthritis & psoriatic arthritis

Nonsteroidal anti-inflammatory drug use and incident hypertension in axial spondyloarthritis: Data from des Spondylarthopathies Indifférenciées Récentes (DESIR) cohort

Joint Bone SpinePublished Prospective cohort study

Main finding · Incident hypertension with NSAID use (time-varying)Result — go to the resultHazard ratio 1.01 95% CI 1.00–1.02

Authors' conclusion

In this axSpA inception cohort, we found no significant association between NSAID use and the development of hypertension.

Study context

Population
Patients with recent onset axial spondyloarthritis (axSpA) without baseline hypertension, DESIR cohort (mean age 33 years, 54% female)88 incident hypertension
Participants
631 patients
Exposure
High-dose NSAID use vs low/no use
  • High-dosen = 247
Outcome
Incident hypertension (association with time-varying NSAID use; main analysis)
Methodological detailsinception cohort, Cox proportional hazards models with time-varying NSAID exposure, confounder adjustment
  • Inception cohort
  • Cox proportional hazards models with time-varying NSAID exposure
  • Confounder adjustment

Main finding

As reported in the abstract

Incident hypertension with NSAID use (time-varying) · 10-year follow-up

Hazard ratio

1.01

95% CI 1.00–1.02

High-dose NSAID use (ASAS NSAID index ≥50)vs low/no use
HR 1.01 (95% CI 1.00–1.02)

Observational data: associations, not effects.

Original publication

Nonsteroidal anti-inflammatory drug use and incident hypertension in axial spondyloarthritis: Data from DESIR cohort. Joint Bone Spine. Published 25 March 2026. doi:10.1016/j.jbspin.2026.106059

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