Spondyloarthritis & psoriatic arthritis

The risk of cardiovascular events following treatment for PsA with a biological agent

Rheumatology (Oxford)Published Retrospective cohort study

Main finding · MACEResult — go to the resultHazard ratio 0.65 95% CI 0.43–0.96

Authors' conclusion

bDMARDs may reduce cardiovascular events and mortality in PsA, but infection risks warrant close monitoring.

Study context

Population
Patients with PsA who had used at least one DMARD, Chang Gung Memorial Research Database, Taiwan, 2001–2022
Participants
2,383 patients
Exposure
bDMARDs vs conventional DMARDs
  • bDMARDsn = 1,190
  • cDMARDsn = 1,193reference
Outcome
Major adverse cardiovascular event (MACE), including stroke, MI, cardiovascular mortality or coronary revascularization
Methodological detailsinverse probability of treatment weighting
  • Inverse probability of treatment weighting

Main finding

MACE

Hazard ratio

0.65

95% CI 0.43–0.96

By group

bDMARDsvs cDMARDs
HR 0.65 (95% CI 0.43–0.96)

As reported in the abstract

Observational data: associations, not effects.

Further findings

Per 100 person-years

OutcomebDMARDscDMARDsHR (95% CI)
All-cause mortality0.731.860.44 (0.35–0.57)
Cardiovascular mortality0.54 (0.32–0.92)

Safety

OutcomeSubdistribution HR (95% CI)
Infection-related admission1.45 (1.18–1.78)

Original publication

The risk of cardiovascular events following treatment for PsA with a biological agent. Rheumatology (Oxford). Published 13 October 2025. doi:10.1093/rheumatology/keaf487

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

Get them every week

New studies on this topic in My Week and in your Monday e-mail.

We e-mail you a sign-in link and a code. No password, no spam.