Evidence map›Paper›PMID 37945289›Full record

ArticleRMD open2023

Utilisation of cardiovascular preventive services in a rheumatoid arthritis population-based cohort.

Daniel Montes, Cassondra A Hulshizer, Elena Myasoedova, John M Davis, Andrew C Hanson, Ali Duarte-Garcia, Gabriel Figueroa-Parra, Baptiste Chevet, Cynthia S Crowson

Open access · goldAbstract read
In one paragraph

Article in RMD open, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.7field-weighted citation impact, top 25% of its field
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

2 citing papers in PubMed, 3 citations in OpenAlex.

  1. Article
  2. Article
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

9 authors at 3 institutions in 2 countries.

Daniel MontesInternal Medicine, Mayo Clinic, Rochester, Minnesota, USA.ORCID 0000-0002-2503-7737
Cassondra A HulshizerDepartment of Quantitative Health Sciences, Mayo Clinic, Rochester, Minnesota, USA.
Elena MyasoedovaDepartment of Quantitative Health Sciences, Mayo Clinic, Rochester, Minnesota, USA.ORCID 0000-0003-2006-1436
John M DavisDivision of Rheumatology, Mayo Clinic, Rochester, Minnesota, USA.
Andrew C HansonDepartment of Quantitative Health Sciences, Mayo Clinic, Rochester, Minnesota, USA.
Ali Duarte-GarciaDivision of Rheumatology, Mayo Clinic, Rochester, Minnesota, USA.
Gabriel Figueroa-ParraDivision of Rheumatology, Mayo Clinic, Rochester, Minnesota, USA.ORCID 0000-0002-6077-8899
Baptiste ChevetSpécialité de Rhumatologie, Centre Hospitalier Universitaire de Brest, Brest, France.
Cynthia S CrowsonDepartment of Quantitative Health Sciences, Mayo Clinic, Rochester, Minnesota, USA crowson@mayo.edu.ORCID 0000-0001-5847-7475
Mayo Clinic · USMayo Clinic in Florida · USCentre Hospitalier Régional Universitaire de Brest · FR

Funding

HEART DISEASE IN RHEUMATOID ARTHRITISR01AR046849 · NIAMS · MAYO CLINIC ROCHESTER · PI CROWSON, CYNTHIA S · 2000 to 2022
$11.3M
Role of Systemic Inflammation in Cognitive Decline: Rheumatoid Arthritis as a PrototypeR01AG068192 · NIA · MAYO CLINIC ROCHESTER · PI Elena Myasoedova · 2020 to 2026
$4.4M
Interdisciplinary Infrastructure for Aging Research: Rochester Epidemiology ProjectR33AG058738 · NIA · MAYO CLINIC ROCHESTER · PI LEBRASSEUR, NATHAN K, OLSON, JANET E · 2020 to 2022
$2.4M
Temporal associations between systemic inflammation, cardiovascular risk profile and development of Alzheimer’s disease and related dementias in patients with rheumatoid arthritisK24AG078179 · NIA · MAYO CLINIC ROCHESTER · PI Elena Myasoedova · 2022 to 2026
$951k
Interdisciplinary Infrastructure for Aging Research: Rochester Epidemiology ProjectR21AG058738 · NIA · MAYO CLINIC ROCHESTER · PI LEBRASSEUR, NATHAN K, OLSON, JANET E · 2018 to 2019
$437k
Population-Based Outcomes Research for Rheumatoid Arthritis: Rural Health DisparitiesR56AR046849 · NIAMS · MAYO CLINIC ROCHESTER · PI CROWSON, CYNTHIA S · 2023 to 2023
$150k
NIAMS NIH HHS R01 AR046849NIAMS NIH HHS R56 AR046849NIA NIH HHS K24 AG078179NIA NIH HHS R01 AG068192NIA NIH HHS R21 AG058738NIA NIH HHS R33 AG058738
6 · The paper itself

Abstract

objectivesThe objective is to examine utilisation of cardiovascular preventive services in patients with rheumatoid arthritis (RA), compared with a non-RA population, and to examine cardiovascular disease (CVD) screening rates among RA patients without diabetes mellitus (DM), hypertension or hyperlipidaemia to non-RA patients with one of these diagnoses.

methodsAll ≥18-year-old patients with an RA diagnosis living in one of eight Minnesota counties on 1 January 2015 were included and matched (1:1) by sex, age and county to non-RA comparators. Rates of screening for CVD risk factors, including DM (ie, glucose), hypertension (ie, blood pressure) and hyperlipidaemia (ie, lipids), were compared between groups using Cox models.

resultsThe study included 1614 patients with RA and 1599 non-RA comparators. DM screening was more common among patients with RA (HR: 1.10, 95% CI: 1.01 to 1.19), as was hypertension screening (HR: 1.37, 95% CI: 1.24 to 1.52). Hyperlipidaemia screening in RA was similar to comparators (HR: 0.99, 95% CI: 0.89 to 1.10). Conversely, patients with RA and no CVD risk factors had a lower probability of undergoing diabetes (HR: 0.67, 95% CI: 0.57 to 0.78) and hyperlipidaemia screening (HR: 0.65, 95% CI: 0.54 to 0.79) than non-RA patients with only one CVD risk factor diagnosis. Hypertension screening was similar between both groups.

conclusionsRA patients undergo CVD preventive screening at rates at least comparable to the general population. However, patients with RA as their sole CVD risk factor were less likely to undergo screenings, despite an equivalent-to-higher risk as the traditional CVD risk factors. These findings demonstrate opportunities for improvement of RA patient care.

Indexed as

Arthritis, RheumatoidCardiovascular DiseasesDiabetes MellitusHyperlipidemiasHypertensionAdolescentHumansRisk FactorsCardiovascular DiseasesHypertensionRheumatoid Arthritis

Identifiers

PMID37945289
PMCPMC10649903
OpenAlexW4388524804

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

None linked

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.