Rheumatoid arthritis

The Fibrosis-4 Index (FIB-4) correlates with cardiovascular risk and insulin resistance in patients with rheumatoid arthritis

Rheumatology (Oxford)Published Cross-sectional study

Authors' conclusion

Up to 20% of RA patients show an abnormal FIB-4 index, which correlates with cardiovascular risk and insulin resistance.

Study context

Population
Patients with rheumatoid arthritis (RA)
Participants
465 patients
Exposure
Low vs Indeterminate vs High
Outcome
FIB-4 index and its association with disease characteristics and cardiovascular (CV) comorbidities (lipid profile, subclinical carotid atherosclerosis, insulin resistance indices)
Methodological detailsmultivariable linear regression
  • Multivariable linear regression

Main finding

As reported in the abstract

FIB-4 indicating indeterminate or high risk for hepatic fibrosis

RA patients with indeterminate or high FIB-4

20%

Observational data: associations, not effects.

Original publication

The Fibrosis-4 Index (FIB-4) correlates with cardiovascular risk and insulin resistance in patients with rheumatoid arthritis. Rheumatology (Oxford). Published 21 May 2025. doi:10.1093/rheumatology/keaf263

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