Evidence map›Paper›PMID 29438604›Full record

ArticleArthritis care & research2018

Increased Burden of Psychiatric Disorders in Rheumatoid Arthritis.

Ruth Ann Marrie, Carol A Hitchon, Randy Walld, Scott B Patten, James M Bolton, Jitender Sareen, John R Walker, Alexander Singer, Lisa M Lix, Renée El-Gabalawy and 4 more

Abstract read
In one paragraph

Article in Arthritis care & research, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 58 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
58citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

58 citing papers in PubMed, 3 syntheses or guidelines pooled it.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors.

Ruth Ann MarrieMax Rady College of Medicine, University of Manitoba, Winnipeg, Manitoba, Canada.
Carol A HitchonMax Rady College of Medicine, University of Manitoba, Winnipeg, Manitoba, Canada.
Randy WalldMax Rady College of Medicine, University of Manitoba, Winnipeg, Manitoba, Canada.
Scott B PattenCumming School of Medicine, University of Calgary, Calgary, Alberta, Canada.
James M BoltonMax Rady College of Medicine, University of Manitoba, Winnipeg, Manitoba, Canada.
Jitender SareenMax Rady College of Medicine, University of Manitoba, Winnipeg, Manitoba, Canada.
John R WalkerMax Rady College of Medicine, University of Manitoba, Winnipeg, Manitoba, Canada.
Alexander SingerMax Rady College of Medicine, University of Manitoba, Winnipeg, Manitoba, Canada.
Lisa M LixMax Rady College of Medicine, University of Manitoba, Winnipeg, Manitoba, Canada.
Renée El-GabalawyMax Rady College of Medicine, University of Manitoba, Winnipeg, Manitoba, Canada.
Alan KatzMax Rady College of Medicine, University of Manitoba, Winnipeg, Manitoba, Canada.
John D FiskDalhousie University, Halifax, Nova Scotia, Canada.
Charles N BernsteinMax Rady College of Medicine, University of Manitoba, Winnipeg, Manitoba, Canada.
Canadian Institutes of Health Research Team in Defining the Burden and Managing the Effects of Psychiatric Comorbidity in Chronic Immunoinflammatory Disease

Funding

CIHR 333252CIHR THC-135234
6 · The paper itself

Abstract

objectiveWe estimated the incidence and prevalence of depression, anxiety disorder, bipolar disorder, and schizophrenia in a population-based cohort with rheumatoid arthritis (RA) as compared to an age-, sex-, and geographically matched cohort without RA.

methodsUsing population-based administrative health data from Manitoba, Canada, we identified persons with incident RA between 1989 and 2012, and a cohort from the general population matched 5:1 on year of birth, sex, and region of residence. We applied validated algorithms for depression, anxiety disorder, bipolar disorder, and schizophrenia to determine the annual incidence of these conditions after the diagnosis of RA, and their lifetime and annual period prevalence. We compared findings between cohorts using negative binomial regression models.

resultsWe identified 10,206 incident cases of RA and 50,960 matched individuals. After adjustment for age, sex, socioeconomic status, region of residence, number of physician visits, and year, the incidence of depression was higher in the RA cohort over the study period (incidence rate ratio [IRR] 1.46 [95% confidence interval (95% CI) 1.35-1.58]), as was the incidence of anxiety disorder (IRR 1.24 [95% CI 1.15-1.34]) and bipolar disorder (IRR 1.21 [95% CI 1.00-1.47]). The incidence of schizophrenia did not differ between groups (IRR 0.96 [95% CI 0.61-1.50]). Incidence rates of psychiatric disorders declined minimally over time. The lifetime and annual period prevalence of depression and anxiety disorder were also higher in the RA than in the matched cohort over the study period.

conclusionThe incidence and prevalence of depression, anxiety disorder, and bipolar disorder are elevated in the RA population as compared to a matched population.

Indexed as

Cost of IllnessAdolescentAdultAgedArthritis, RheumatoidCohort StudiesFemaleHumansMaleManitobaMental DisordersMiddle AgedRetrospective StudiesYoung Adult

Identifiers

PMID29438604
PMCPMC6033023

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.