Spondyloarthritis & psoriatic arthritis

Risk of cardiovascular disease associated with long-term use of non-steroidal anti-inflammatory drugs in ankylosing spondylitis

Rheumatology (Oxford)Published Population-based cohort study

Authors' conclusion

Prolonged NSAID treatment in AS patients may not be as harmful as in the general population regarding cardiovascular risk.

Study context

Population
Adults newly diagnosed with AS without prior CVD (2010–2018) and matched controls without AS, Korean National Health Insurance Databasematched cohort
Participants
19,775 vs 59,325
Exposure
Long-term NSAID use in AS and in non-AS controls
  • ASn = 19,775
  • Non-AS controlsn = 59,325reference
Outcome
CVD: composite of ischaemic heart disease, stroke or congestive HF
Methodological detailsnationwide, matched controls (age, sex, index year)
  • Nationwide
  • Matched controls (age, sex, index year)

Main finding

As reported in the abstract

Incident CVD with long-term NSAID use
Adjusted hazard ratio (95% CI)
Long-term NSAID use in ASvs No long-term NSAID use in ASadjusted for age, sex, socioeconomic status, BMI, smoking, hypertension, diabetes, hyperlipidemia and TNFi use
1.06(0.94–1.20)
Long-term NSAID use in non-AS controlsvs No long-term NSAID use in non-AS controls
1.64(1.48–1.82)

Observational data: associations, not effects.

Original publication

Risk of cardiovascular disease associated with long-term use of non-steroidal anti-inflammatory drugs in ankylosing spondylitis. Rheumatology (Oxford). Published 12 January 2024. doi:10.1093/rheumatology/kead684

Composed by AI from the published abstract and checked against it. How Briefs are made →

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