Rheumatoid arthritis

Vagotomy and the incidence of rheumatoid arthritis and osteoarthritis: a Danish register-based study

Arthritis Res TherPublished Register-based matched cohort study

Authors' conclusion

Truncal vagotomy was associated with an increased incidence of RA; this association was not observed with superselective vagotomy. No association with either form of vagotomy was seen with OA.

Study context

Population
Patients in Denmark who underwent truncal or superselective vagotomy, 1977–1995, and matched general-population comparatorsmatched cohort
Participants
2,260 / 22,610 / 3,810 / 38,090
Exposure
Truncal or superselective vagotomy vs matched general-population comparators
  • Truncal vagotomyn = 2,260
  • Truncal comparatorsn = 22,610reference
  • Superselective vagotomyn = 3,810
  • Superselective comparatorsn = 38,090reference
Outcome
Incident rheumatoid arthritis (RA) or OA
Methodological detailsnationwide health registries, matched 10:1 on birth year, sex, and calendar year, Cox proportional hazards models
  • Nationwide health registries
  • Matched 10:1 on birth year, sex, and calendar year
  • Cox proportional hazards models

Main finding

As reported in the abstract

Incident RA
Adjusted hazard ratio (95% CI)
Truncal vagotomyvs Truncal comparators
2.62(1.47–4.67)
Superselective vagotomyvs Superselective comparators
1.05(0.51–2.17)

Observational data: associations, not effects.

Further findings

Incident osteoarthritis (OA)

Risk of OA not significantly different for either vagotomy cohort vs comparison cohorts

Original publication

Vagotomy and the incidence of rheumatoid arthritis and osteoarthritis: a Danish register-based study. Arthritis Res Ther. Published 16 May 2025. doi:10.1186/s13075-025-03567-y

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