Spondyloarthritis & psoriatic arthritis

Risk of peripheral artery disease following ankylosing spondylitis, 2012–2023: a nationwide cohort study in South Korea

Scand J RheumatolPublished Retrospective cohort study

Main finding · PAD incidence per 1000 person-yearsResult — go to the resultIncidence rate ratio 1.40 95% CI 1.23–1.59

Authors' conclusion

AS was associated with an increased risk of PAD, particularly among younger females

Study context

Population
Korean National Health Insurance Service database, 2012–2023: patients with ankylosing spondylitis (AS) and matched controlsmatched cohort
Participants
2,846 vs 28,460
Exposure
AS vs matched controls
  • ASn = 2,846
  • Controlsn = 28,460reference
Outcome
Incident PAD (at least one outpatient visit with ICD-10 code I73.9 after the index date)
Methodological detailsnationwide, matched cohort, 3 year washout period, Cox proportional hazards models
  • Nationwide
  • Matched cohort
  • 3 year washout period
  • Cox proportional hazards models

Main finding

PAD incidence per 1000 person-years · mean follow-up 4.1 years

Incidence rate ratio

1.40

95% CI 1.23–1.59

By group

ASvs Controls
IRR 1.40 (95% CI 1.23–1.59)

As reported in the abstract

Observational data: associations, not effects.

Further findings

Peripheral artery disease (PAD) in females aged <60 years (subgroup)

IRR, females aged <60 years (highest excess risk)
1.77

PAD in males aged ≥60 years (subgroup)

IRR, males aged ≥60 years (second-highest excess risk)
1.64

PAD-free survival (Kaplan-Meier)

Lower PAD-free survival in patients with AS (log-rank p < 0.0001)

Original publication

Risk of peripheral artery disease following ankylosing spondylitis, 2012–2023: a nationwide cohort study in South Korea. Scand J Rheumatol. Published 16 September 2026. doi:10.1080/03009742.2026.2722472

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