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  • Shrestha, Sarita,1991-Karolinska Institutet,Örebro universitet,Institutionen för medicinska vetenskaper (author)

Spondyloarthritis in first-degree relatives and spouses of patients with inflammatory bowel disease : A nationwide population-based cohort study from Sweden

  • Article/chapterEnglish2024

Publisher, publication year, extent ...

  • 2024
  • Oxford University Press,2024
  • printrdacarrier

Numbers

  • LIBRIS-ID:oai:DiVA.org:oru-112556
  • https://urn.kb.se/resolve?urn=urn:nbn:se:oru:diva-112556URI
  • https://doi.org/10.1093/ecco-jcc/jjae041DOI
  • http://kipublications.ki.se/Default.aspx?queryparsed=id:238518097URI
  • http://kipublications.ki.se/Default.aspx?queryparsed=id:155405999URI

Supplementary language notes

  • Language:English
  • Summary in:English

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  • Subject category:ref swepub-contenttype
  • Subject category:art swepub-publicationtype

Notes

  • Funding agency:Danish National Research Foundation DNRF148
  • BACKGROUND AND AIMS: Register-based research suggests a shared pathophysiology between inflammatory bowel disease [IBD] and spondyloarthritis [SpA], but the role of familial [genetic and environmental] factors in this shared susceptibility is largely unknown. We compared the risk of SpA in first-degree relatives [FDRs] and spouses of IBD patients with FDRs and spouses of matched population-based reference individuals.METHODS: We identified 147,080 FDRs and 25,945 spouses of patients with incident IBD [N=39,203] during 2006-2016 and 1,453,429 FDRs and 258,098 spouses of matched reference individuals [N=390,490], by linking nationwide Swedish registers and gastrointestinal biopsy data. Study participants were followed 1987-2017. Cox regression was used to estimate hazard ratios [HRs] of SpA.RESULTS: During follow-up, 2,430 FDRs of IBD patients [6.5/10,000 person-years] and 17,761 FDRs of reference individuals [4.8/10,000 person-years] were diagnosed with SpA, corresponding to an HR of 1.35 [95%CI:1.29,1.41]. In subgroup analyses, the increased risk of SpA was most pronounced in FDRs of Crohn's disease patients [HR=1.44; 95%CI:1.34,1.56] and of IBD patients aged <18 years at diagnosis [HR=1.46; 95%CI: 1.27,1.68]. IBD patient's spouses also had a higher SpA rate than reference individuals' spouses, but the difference was less pronounced [4.3 vs. 3.5/10,000 person-years; HR=1.22; 95%CI:1.09,1.37]. No subgroup-specific risk pattern was identified among spouses.CONCLUSIONS: The observed shared familial risks between IBD and SpA support shared genetic factors in their pathogenesis. However, spouses of IBD patients were also at increased risk for SpA, reflecting the influence of environmental exposures or similarities in health-seeking patterns.

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  • Brand, Judith S.Population Health Sciences, Bristol Medical School, University of Bristol, United Kingdom; Medical Research Council Integrative Epidemiology Unit, University of Bristol, Bristol, United Kingdom; Clinical Epidemiology and Biostatistics, School of Medical Sciences, Faculty of Medicine and Health, Örebro University Hospital, Örebro, Sweden (author)
  • Osooli, MehdiKarolinska Institutet (author)
  • Eriksson, Carl,1981-Örebro universitet,Institutionen för medicinska vetenskaper,Region Örebro län,Clinical Epidemiology Division, Department of Medicine Solna, Karolinska Institutet, Stockholm, Sweden; Department of Gastroenterology, Faculty of Medicine and Health, Örebro University, Örebro, Sweden(Swepub:oru)clen (author)
  • Schoultz, Ida,1979-Örebro universitet,Institutionen för medicinska vetenskaper(Swepub:oru)isz (author)
  • Askling, JohanKarolinska Institutet (author)
  • Jess, TineCenter for Molecular Prediction of Inflammatory Bowel Disease (PREDICT), Department of Clinical Medicine, Aalborg University, Copenhagen, Denmark, Department of Gastroenterology & Hepatology, Aalborg University Hospital, Aalborg, Denmark (author)
  • Montgomery, Scott,1961-Clinical Epidemiology and Biostatistics, School of Medical Sciences, Faculty of Medicine and Health, Örebro University Hospital, Örebro, Sweden; Clinical Epidemiology Division, Department of Medicine Solna, Karolinska Institutet, Stockholm, Sweden; Department of Epidemiology and Public Health, University College London, London, United Kingdom(Swepub:oru)smy (author)
  • Olén, OlaKarolinska Institutet (author)
  • Halfvarson, Jonas,1970-Örebro universitet,Institutionen för medicinska vetenskaper,Department of Gastroenterology, Faculty of Medicine and Health, Örebro University, Örebro, Sweden(Swepub:oru)jshn (author)
  • Örebro universitetInstitutionen för medicinska vetenskaper (creator_code:org_t)

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  • In:Journal of Crohn's & Colitis: Oxford University Press1873-99461876-4479

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