Staff Publications

Staff Publications

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    'Staff publications' is the digital repository of Wageningen University & Research

    'Staff publications' contains references to publications authored by Wageningen University staff from 1976 onward.

    Publications authored by the staff of the Research Institutes are available from 1995 onwards.

    Full text documents are added when available. The database is updated daily and currently holds about 240,000 items, of which 72,000 in open access.

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Record number 508584
Title Trend in and predictors for cardiovascular mortality in patients with rheumatoid arthritis over a period of 15 years : A prospective cohort study
Author(s) Hoek, Joëlle van den; Roorda, Leo D.; Boshuizen, Hendriek C.; Tijhuis, Gerard J.; Dekker, Joost; Bos, Geertrudis A. van den; Nurmohamed, Michael T.
Source Clinical and Experimental Rheumatology 34 (2016)5. - ISSN 0392-856X - p. 813 - 819.
Department(s) Human Nutrition (HNE)
VLAG
Publication type Refereed Article in a scientific journal
Publication year 2016
Keyword(s) Cardiovascular - Cohort study - Comorbidity - Longitudinal studies - Mortality - Rheumatoid arthritis
Abstract

Objectives: To investigate a) the cardiovascular (CV) mortality in a clinical cohort of patients with established rheumatoid arthritis (RA) in comparison with the general population over 15 years, b) the trend in this CV mortality during the study period, and c) for a broad range of predictors, which baseline variables predict CV mortality. Methods In 1997, a sample of 1222 patients was randomly selected from the register of a rheumatology outpatient clinic in Amsterdam. Their CV mortality between 1997 and 2012 was obtained from Statistics Netherlands. The standardised mortality ratio (SMR) for CV mortality was calculated. A linear poisson regression analysis was performed to investigate if there was a trend in SMR over time. A Cox regression analysis was performed to determine which baseline variables predicted CV mortality. Results: Mean age of the population at baseline was 60.4 (SD 15.4) years and 72.6% of the patients were women. Estimated SMR (95% confidence interval) for CV mortality was 1.24 (1.05, 1.43). The SMR decreased with 3% annually (p=0.16). Higher age, higher erythrocyte sedimentation rate, having CV comorbidity and diabetes mellitus (DM) were predictors for CV mortality. Conclusions: CV mortality among patients with RA in the past 15 years was still higher than in the general population. CV mortality decrease was not statistically significant. As CV mortality in RA is still higher than in the general population, continued attention for CV diseases in RA is important. Both tight control of disease activity and good care for comorbid conditions (CV diseases and DM) are advocated.

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