Rheumatoid arthritis

The changing incidence of rheumatoid arthritis over time in north-west Greece: data from a referral centre

Scand J RheumatolPublished Retrospective incidence study

Authors' conclusion

Our findings suggest a decrease in the incidence of RA over 40 years in a geographically defined Greek population.

Study context

Population
Adults (>16 years) newly diagnosed with rheumatoid arthritis (RA) (1987 ACR criteria) 1980–2019 at the referral university hospital of Ioannina, resident ≥1 year in a defined area of north-west Greece (population about 400,000)
Participants
1,411 incident cases
Outcome
Age-adjusted annual incidence rate of RA
Follow-up
1980–2019
Methodological detailssingle referral centre, 40-year observation period, age-adjusted incidence
  • Single referral centre
  • 40-year observation period
  • Age-adjusted incidence

Main finding

As reported in the abstract

Overall age-adjusted annual incidence rate of RA
Total observation period (1980–2019), 95% CI 8.5-10.5
9.5
1980-1989, 95% CI 10.7-13.0
11.7
1990-1999, 95% CI 9.4-10.8
10.4
2000-2009, 95% CI 8.9-10.8
9.8
2010-2019, 95% CI 5.3-6.9
6.1

Observational data: associations, not effects.

Further findings

Rheumatoid factor (RF)-positive incidence

Constant decrease in RF-positive incidence for both sexes

Sex distribution of cases

Women constituted a higher number than men (fold)
2.65
Women had a lower mean age at diagnosis

Original publication

The changing incidence of rheumatoid arthritis over time in north-west Greece: data from a referral centre. Scand J Rheumatol. Published 12 May 2022. doi:10.1080/03009742.2022.2058178

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