Rheumatoid arthritis

Prevalence of Cardiovascular and Cancer Risk Factors Among Rheumatoid Arthritis Patients Prescribed JAK Inhibitors and Tumor Necrosis Factor Inhibitors: A Cross‐Sectional Study

Arthritis Care Res (Hoboken)Published Cross-sectional study

Authors' conclusion

In recent years, JAKi and TNFi were used in similar proportions to treat RA among commercially-insured patients at elevated cardiovascular and cancer risk.

Study context

Population
Commercially-insured patients with rheumatoid arthritis (RA), August 16, 2019 to March 31, 2022, continuously eligible 12 months before index date
Participants
12,673 patients
Exposure
Tumor necrosis factor inhibitors (TNFi) vs JAK inhibitors (JAKi), first dispensed treatment
  • TNFin = 7,748reference
  • JAKin = 4,925
Outcome
Prevalence of elevated cardiovascular and cancer risk (age ≥65 years, smoking, or history of MACE, VTE or cancer)
Follow-up
Baseline (12 months before index date)
Methodological detailsclaims database (Merative MarketScan Commercial and Medicare)
  • Claims database (Merative MarketScan Commercial and Medicare)

Main finding

As reported in the abstract

Prevalence of elevated risk

Observational data: associations, not effects.

Further findings

≥1 primary modifiable risk factor, elevated vs low risk, JAKi (subgroup)

PD 21% (18%–24%)

≥1 primary modifiable risk factor, elevated vs low risk, TNFi (subgroup)

PD 21% (19%–23%)

Original publication

Prevalence of Cardiovascular and Cancer Risk Factors Among Rheumatoid Arthritis Patients Prescribed JAK Inhibitors and Tumor Necrosis Factor Inhibitors: A Cross‐Sectional Study. Arthritis Care Res (Hoboken). Published 21 May 2024. doi:10.1002/acr.25356

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