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

Semb, Anne Grete (författare)
Preventive Cardio-Rheuma Clinic, Division of Rheumatology and Research, Diakonhjemmet Hospital, Oslo, Norway
Rollefstad, Silvia (författare)
Preventive Cardio-Rheuma Clinic, Division of Rheumatology and Research, Diakonhjemmet Hospital, Oslo, Norway
Ikdahl, Eirik (författare)
Preventive Cardio-Rheuma Clinic, Division of Rheumatology and Research, Diakonhjemmet Hospital, Oslo, Norway
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Wibetoe, Grunde (författare)
Preventive Cardio-Rheuma Clinic, Division of Rheumatology and Research, Diakonhjemmet Hospital, Oslo, Norway
Sexton, Joseph (författare)
Division of Rheumatology and Research, Diakonhjemmet Hospital, Oslo, Norway
Crowson, Cindy (författare)
Health Sciences Research, Mayo Clinic Rochester, MN, Rochester, United States
Van Riel, Piet (författare)
Rheumatology, Radboud University Nijmegen, Nijmegen, Netherlands
Kitas, George (författare)
Department of Rheumatology, Dudley Group of Hospitals NHS Trust, Dudley, United Kingdom
Graham, Ian (författare)
Cardiology, Trinity College Dublin, Dublin, Ireland
Rantapää-Dahlqvist, Solbritt (författare)
Umeå universitet,Reumatologi
Karpouzas, George Athanasios (författare)
Internal Medicine-Rheumatology, Harbor-UCLA Medical Center, CA, Torrance, United States
Myasoedova, Elena (författare)
Division of Rheumatology, Department of Internal Medicine, Mayo Clinic Rochester, MN, Rochester, United States
Gonzalez-Gay, Miguel A. (författare)
Rheumatology, Hospital Universitario Marques de Valdecilla, Santander, Spain
Sfikakis, Petros P. (författare)
First Department of Propedeutic Medicine, Medical School of University of Athens, Athens, Greece
Tektonidou, Maria G.G. (författare)
First Department of Propaedeutic Internal Medicine, University of Athens, Athens, Greece
Lazarini, Argyro (författare)
2nd Department of Medicine and Laboratory, Clinical Immunology-Rheumatology Unit, National and Kapodistrian University of Athens School of Medicine, Athens, Greece
Vassilopoulos, Dimitrios (författare)
2nd Department of Medicine and Laboratory, Clinical Immunology-Rheumatology Unit, National and Kapodistrian University of Athens School of Medicine, Athens, Greece
Kuriya, Bindee (författare)
Medicine, Mount Sinai Hospital, ON, Toronto, Canada
Hitchon, Carol (författare)
Rheumatology, University of Manitoba, MN, Winnipeg, Canada
Stoenoiu, Maria Simona (författare)
Rheumatology, Université Catholique de Louvain, Louvain-la-Neuve, Belgium
Durez, Patrick (författare)
Rheumatology, Université Catholique de Louvain, Louvain-la-Neuve, Belgium
Pascual-Ramos, Virginia (författare)
Immunology and Rheumatology, Instituto Nacional de Ciencias Medicas y Nutricion Salvador Zubiran, Mexico City, Mexico
Galarza-Delgado, Dionicio Angel (författare)
Rheumatology, Charles University, First Faculty of Medicine, Praha, Czech Republic
Faggiano, Pompilio (författare)
Third Department of Internal Medicine, Department of Endocrinology and Metabolism, Charles University, First Faculty of Medicine, Praha, Czech Republic
Misra, Durga Prasanna (författare)
Krajska Zdravotni A.s, Masaryk Hospital in Usti Nad Labem, Usti nad Labem, Czech Republic
Borg, Andrew A. (författare)
First Medical Faculty, Charles University, Praha, Czech Republic
Mu, Rong (författare)
Department of Internal Medicine III-Nephrology Rheumatology and Endocrinology, University Hospital Olomouc, Olomoucký, Olomouc, Czech Republic
Mirrakhimov, Erkin M. (författare)
Division of Rheumatology, 2nd Department of Internal Medicine-Gastroenterology, Charles University, First Faculty of Medicine, Praha, Czech Republic
Gheta, Diane (författare)
Medicine, Tallaght University Hospital, Dublin, Ireland
Douglas, Karen (författare)
Department of Rheumatology, Dudley Group of Hospitals NHS Trust, Dudley, United Kingdom
Agarwal, Vikas (författare)
Department of Clinical Immunology and Rheumatology, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Uttar Pradesh, Lucknow, India
Myasoedova, Svetlana (författare)
Rheumatology, Ivanovo State Medical Academy, Ivanovo, Ivanovskaa oblast', Russian Federation
Krougly, Lev (författare)
Rheumatology, FSBi National Medical and Surgical Center Named after N i Pirogov, Ministry of Healthcare of the Russian Federation, Moskva, Russian Federation
Valentinovna Popkova, Tatiana (författare)
Research Institute of Rheumatology, Russian Academy of Medical Sciences, Moskva, Russian Federation
TuchyÅ ová, Alena (författare)
Rheumatology, Narodny Ustav Reumatickych Chorob, Piestany, Slovakia
Tomcik, Michal (författare)
Rheumatology, Charles University, First Faculty of Medicine, Praha, Czech Republic
Vrablik, Michal (författare)
Third Department of Internal Medicine, Department of Endocrinology and Metabolism, Charles University, First Faculty of Medicine, Praha, Czech Republic
Lastuvka, Jiri (författare)
Krajska Zdravotni A.s, Masaryk Hospital in Usti Nad Labem, Usti nad Labem, Czech Republic; First Medical Faculty, Charles University, Praha, Czech Republic
Horak, Pavel (författare)
Department of Internal Medicine III-Nephrology Rheumatology and Endocrinology, University Hospital Olomouc, Olomoucký, Olomouc, Czech Republic
Medkova, Helena Kaspar (författare)
Division of Rheumatology, 2nd Department of Internal Medicine-Gastroenterology, Charles University, First Faculty of Medicine, Praha, Czech Republic
Kerola, Anne M. (författare)
Preventive Cardio-Rheuma Clinic, Division of Rheumatology and Research, Diakonhjemmet Hospital, Oslo, Norway
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 (creator_code:org_t)
2021-07-08
2021
Engelska.
Ingår i: RMD Open. - : BMJ Publishing Group Ltd. - 2056-5933. ; 7:2
  • Tidskriftsartikel (refereegranskat)
Abstract Ämnesord
Stäng  
  • 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.

Ämnesord

MEDICIN OCH HÄLSOVETENSKAP  -- Klinisk medicin -- Kardiologi (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Clinical Medicine -- Cardiac and Cardiovascular Systems (hsv//eng)

Nyckelord

arthritis
atherosclerosis
cardiovascular diseases
hypertension
lipids
rheumatoid

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