Vasculitis & polymyalgia rheumatica

Risk of hospitalization with pneumonia in patients with giant cell arteritis and anti-neutrophil cytoplasmic antibody associated vasculitis

Rheumatology (Oxford)Published Population-based cohort study

Authors' conclusion

Patients with GCA or AAV had increased risk of HP compared with matched controls. Comorbidities and recent immunosuppressive treatment were associated with higher risk of HP

Study context

Population
Patients with GCA and ANCA associated vasculitis (AAV) diagnosed 2000–2021, Danish National Patient Registry, and matched controls
Participants
9,307 / 92,806 / 2,401 / 24,013
Exposure
GCA or AAV vs matched controls
  • GCAn = 9,307
  • GCA controlsn = 92,806reference
  • AAVn = 2,401
  • AAV controlsn = 24,013reference
Outcome
Risk of hospitalization with pneumonia (HP): cumulative incidence proportion (CIP) and risk difference (RD) vs matched controls
Follow-up
After one, two and five years
Methodological detailsmatched 1:10 on sex and year of birth, pseudo-observation method, nested case-control analysis, Danish National Patient Registry
  • Matched 1:10 on sex and year of birth
  • Pseudo-observation method
  • Nested case-control analysis
  • Danish National Patient Registry

Main finding

As reported in the abstract

Hospitalization with pneumonia: CIP and RD vs matched controls

GCA

Cumulative incidence proportion (CIP) after one year
6.0% (5.5-6.5)
CIP after two years
9.4% (8.8-10.0)
CIP after five years
17.6% (16.8-18.4)

AAV

CIP after one year
12.6% (11.2-13.9)
CIP after two years
17.9% (16.3-19.5)
CIP after five years
28.3% (26.4-30.3)

Cumulative incidence proportion (CIP) after one year

GCA6.0% (5.5-6.5)
AAV12.6% (11.2-13.9)

CIP after two years

GCA9.4% (8.8-10.0)
AAV17.9% (16.3-19.5)

CIP after five years

GCA17.6% (16.8-18.4)
AAV28.3% (26.4-30.3)
RD (CI)
GCAvs Matched controlsafter one year
3.0%(2.6–3.5)
GCAvs Matched controlsafter two years
3.8%(3.2–4.4)
GCAvs Matched controlsafter five years
5.3%(4.5–6.1)
AAVvs Matched controlsafter one year
10.1%(8.8–11.5)
AAVvs Matched controlsafter two years
14.8%(12.3–15.4)
AAVvs Matched controlsafter five years
20.4%(17.9–21.8)

Observational data: associations, not effects.

Further findings

Variables affecting risk of hospitalization with pneumonia (HP) (nested case-control analysis)

Comorbidities and immunosuppressive treatment associated with higher risk of HP

Original publication

Risk of hospitalization with pneumonia in patients with giant cell arteritis and anti-neutrophil cytoplasmic antibody associated vasculitis. Rheumatology (Oxford). Published 29 October 2025. doi:10.1093/rheumatology/keaf564

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

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