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  • Semb, Anne GretePreventive Cardio-Rheuma Clinic, Division of Rheumatology and Research, Diakonhjemmet Hospital, Oslo, Norway (author)

Diabetes mellitus and cardiovascular risk management in patients with rheumatoid arthritis: An international audit

  • Article/chapterEnglish2021

Publisher, publication year, extent ...

  • 2021-07-08
  • BMJ Publishing Group Ltd,2021
  • electronicrdacarrier

Numbers

  • LIBRIS-ID:oai:DiVA.org:umu-186238
  • https://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-186238URI
  • https://doi.org/10.1136/rmdopen-2021-001724DOI

Supplementary language notes

  • Language:English
  • Summary in:English

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Classification

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

Notes

  • Aim: The objective was to examine the prevalence of atherosclerotic cardiovascular disease (ASCVD) and its risk factors among patients with RA with diabetes mellitus (RA-DM) and patients with RA without diabetes mellitus (RAwoDM), and to evaluate lipid and blood pressure (BP) goal attainment in RA-DM and RAwoDM in primary and secondary prevention.Methods: The cohort was derived from the Survey of Cardiovascular Disease Risk Factors in Patients with Rheumatoid Arthritis from 53 centres/19 countries/3 continents during 2014-2019. We evaluated the prevalence of cardiovascular disease (CVD) among RA-DM and RAwoDM. The study population was divided into those with and without ASCVD, and within these groups we compared risk factors and CVD preventive treatment between RA-DM and RAwoDM.Results: The study population comprised of 10 543 patients with RA, of whom 1381 (13%) had DM. ASCVD was present in 26.7% in RA-DM compared with 11.6% RAwoDM (p<0.001). The proportion of patients with a diagnosis of hypertension, hyperlipidaemia and use of lipid-lowering or antihypertensive agents was higher among RA-DM than RAwoDM (p<0.001 for all). The majority of patients with ASCVD did not reach the lipid goal of low-density lipoprotein cholesterol <1.8 mmol/L. The lipid goal attainment was statistically and clinically significantly higher in RA-DM compared with RAwoDM both for patients with and without ASCVD. The systolic BP target of <140 mm Hg was reached by the majority of patients, and there were no statistically nor clinically significant differences in attainment of BP targets between RA-DM and RAwoDM.Conclusion: CVD preventive medication use and prevalence of ASCVD were higher in RA-DM than in RAwoDM, and lipid goals were also more frequently obtained in RA-DM. Lessons may be learnt from CVD prevention programmes in DM to clinically benefit patients with RA.

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  • Rollefstad, SilviaPreventive Cardio-Rheuma Clinic, Division of Rheumatology and Research, Diakonhjemmet Hospital, Oslo, Norway (author)
  • Ikdahl, EirikPreventive Cardio-Rheuma Clinic, Division of Rheumatology and Research, Diakonhjemmet Hospital, Oslo, Norway (author)
  • Wibetoe, GrundePreventive Cardio-Rheuma Clinic, Division of Rheumatology and Research, Diakonhjemmet Hospital, Oslo, Norway (author)
  • Sexton, JosephDivision of Rheumatology and Research, Diakonhjemmet Hospital, Oslo, Norway (author)
  • Crowson, CindyHealth Sciences Research, Mayo Clinic Rochester, MN, Rochester, United States (author)
  • Van Riel, PietRheumatology, Radboud University Nijmegen, Nijmegen, Netherlands (author)
  • Kitas, GeorgeDepartment of Rheumatology, Dudley Group of Hospitals NHS Trust, Dudley, United Kingdom (author)
  • Graham, IanCardiology, Trinity College Dublin, Dublin, Ireland (author)
  • Rantapää-Dahlqvist, SolbrittUmeå universitet,Reumatologi(Swepub:umu)sora0001 (author)
  • Karpouzas, George AthanasiosInternal Medicine-Rheumatology, Harbor-UCLA Medical Center, CA, Torrance, United States (author)
  • Myasoedova, ElenaDivision of Rheumatology, Department of Internal Medicine, Mayo Clinic Rochester, MN, Rochester, United States (author)
  • Gonzalez-Gay, Miguel A.Rheumatology, Hospital Universitario Marques de Valdecilla, Santander, Spain (author)
  • Sfikakis, Petros P.First Department of Propedeutic Medicine, Medical School of University of Athens, Athens, Greece (author)
  • Tektonidou, Maria G.G.First Department of Propaedeutic Internal Medicine, University of Athens, Athens, Greece (author)
  • Lazarini, Argyro2nd Department of Medicine and Laboratory, Clinical Immunology-Rheumatology Unit, National and Kapodistrian University of Athens School of Medicine, Athens, Greece (author)
  • Vassilopoulos, Dimitrios2nd Department of Medicine and Laboratory, Clinical Immunology-Rheumatology Unit, National and Kapodistrian University of Athens School of Medicine, Athens, Greece (author)
  • Kuriya, BindeeMedicine, Mount Sinai Hospital, ON, Toronto, Canada (author)
  • Hitchon, CarolRheumatology, University of Manitoba, MN, Winnipeg, Canada (author)
  • Stoenoiu, Maria SimonaRheumatology, Université Catholique de Louvain, Louvain-la-Neuve, Belgium (author)
  • Durez, PatrickRheumatology, Université Catholique de Louvain, Louvain-la-Neuve, Belgium (author)
  • Pascual-Ramos, VirginiaImmunology and Rheumatology, Instituto Nacional de Ciencias Medicas y Nutricion Salvador Zubiran, Mexico City, Mexico (author)
  • Galarza-Delgado, Dionicio AngelRheumatology, Charles University, First Faculty of Medicine, Praha, Czech Republic (author)
  • Faggiano, PompilioThird Department of Internal Medicine, Department of Endocrinology and Metabolism, Charles University, First Faculty of Medicine, Praha, Czech Republic (author)
  • Misra, Durga PrasannaKrajska Zdravotni A.s, Masaryk Hospital in Usti Nad Labem, Usti nad Labem, Czech Republic (author)
  • Borg, Andrew A.First Medical Faculty, Charles University, Praha, Czech Republic (author)
  • Mu, RongDepartment of Internal Medicine III-Nephrology Rheumatology and Endocrinology, University Hospital Olomouc, Olomoucký, Olomouc, Czech Republic (author)
  • Mirrakhimov, Erkin M.Division of Rheumatology, 2nd Department of Internal Medicine-Gastroenterology, Charles University, First Faculty of Medicine, Praha, Czech Republic (author)
  • Gheta, DianeMedicine, Tallaght University Hospital, Dublin, Ireland (author)
  • Douglas, KarenDepartment of Rheumatology, Dudley Group of Hospitals NHS Trust, Dudley, United Kingdom (author)
  • Agarwal, VikasDepartment of Clinical Immunology and Rheumatology, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Uttar Pradesh, Lucknow, India (author)
  • Myasoedova, SvetlanaRheumatology, Ivanovo State Medical Academy, Ivanovo, Ivanovskaa oblast', Russian Federation (author)
  • Krougly, LevRheumatology, FSBi National Medical and Surgical Center Named after N i Pirogov, Ministry of Healthcare of the Russian Federation, Moskva, Russian Federation (author)
  • Valentinovna Popkova, TatianaResearch Institute of Rheumatology, Russian Academy of Medical Sciences, Moskva, Russian Federation (author)
  • TuchyÅ ová, AlenaRheumatology, Narodny Ustav Reumatickych Chorob, Piestany, Slovakia (author)
  • Tomcik, MichalRheumatology, Charles University, First Faculty of Medicine, Praha, Czech Republic (author)
  • Vrablik, MichalThird Department of Internal Medicine, Department of Endocrinology and Metabolism, Charles University, First Faculty of Medicine, Praha, Czech Republic (author)
  • Lastuvka, JiriKrajska Zdravotni A.s, Masaryk Hospital in Usti Nad Labem, Usti nad Labem, Czech Republic; First Medical Faculty, Charles University, Praha, Czech Republic (author)
  • Horak, PavelDepartment of Internal Medicine III-Nephrology Rheumatology and Endocrinology, University Hospital Olomouc, Olomoucký, Olomouc, Czech Republic (author)
  • Medkova, Helena KasparDivision of Rheumatology, 2nd Department of Internal Medicine-Gastroenterology, Charles University, First Faculty of Medicine, Praha, Czech Republic (author)
  • Kerola, Anne M.Preventive Cardio-Rheuma Clinic, Division of Rheumatology and Research, Diakonhjemmet Hospital, Oslo, Norway (author)
  • Preventive Cardio-Rheuma Clinic, Division of Rheumatology and Research, Diakonhjemmet Hospital, Oslo, NorwayDivision of Rheumatology and Research, Diakonhjemmet Hospital, Oslo, Norway (creator_code:org_t)

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