Utilisation of cardiovascular preventive services in a rheumatoid arthritis population-based cohort
Authors' conclusion
RA patients undergo CVD preventive screening at rates at least comparable to the general population. However, patients with RA as their sole CVD risk factor were less likely to undergo screenings, despite an equivalent-to-higher risk as the traditional CVD risk factors.
Study context
- Population
- Adults (≥18 years) with rheumatoid arthritis (RA) in eight Minnesota counties on 1 January 2015 and matched non-RA comparatorsmatched cohort
- Participants
- 1,614 vs 1,599
- Exposure
- RA vs matched non-RA comparators
- RAn = 1,614
- Non-RAn = 1,599reference
- Outcome
- Rates of screening for CVD risk factors: Diabetes mellitus (DM) (glucose), hypertension (blood pressure) and hyperlipidaemia (lipids)
Methodological detailsmatched (1:1) by sex, age and county, Cox models
- Matched (1:1) by sex, age and county
- Cox models
Main finding
As reported in the abstract
Screening for CVD risk factors
RA vs Non-RAHazard ratio (95% CI)
DM screening
1.10(1.01–1.19)
Hypertension screening
1.37(1.24–1.52)
Hyperlipidaemia screening
0.99(0.89–1.10)
Observational data: associations, not effects.
Further findings
| Outcome | HR (95% CI) | |
|---|---|---|
| Screening in RA without CVD risk factors vs non-RA with only one CVD risk factor diagnosisRA, no CVD risk factorsvs Non-RA, one CVD risk factorDiabetes screening | 0.67 (0.57–0.78) | |
| Screening in RA without CVD risk factors vs non-RA with only one CVD risk factor diagnosisRA, no CVD risk factorsvs Non-RA, one CVD risk factorHyperlipidaemia screening | 0.65 (0.54–0.79) | |
| 0.512Hazard ratio (log scale) |
Screening in RA without cardiovascular disease (CVD) risk factors vs non-RA with only one CVD risk factor diagnosis
- Hypertension screening was similar between both groups
Original publication
Utilisation of cardiovascular preventive services in a rheumatoid arthritis population-based cohort. RMD Open. Published 9 November 2023. doi:10.
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