Evidence map›Paper›PMID 40795208›Full record

ArticleRheumatology (Oxford, England)2025

Risk of venous thromboembolism in people with RA: a population-based study in the UK.

Mark D Russell, Katie Bechman, Mark Gibson, Victoria Basey, Michael Mclean, Saqib Rana, Anna Barkaway, Simon de Lusignan, Maya H Buch, James B Galloway

Abstract read
In one paragraph

Article in Rheumatology (Oxford, England), 2025. 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
–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

2 citing papers in PubMed.

  1. The risk of venous thromboembolism in RA.Rheumatology (Oxford, England) · 2026
    Review
  2. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors.

Mark D RussellCentre for Rheumatic Diseases, King's College London, London, UK.ORCID 0000-0001-8171-7772
Katie BechmanCentre for Rheumatic Diseases, King's College London, London, UK.
Mark GibsonCentre for Rheumatic Diseases, King's College London, London, UK.
Victoria BaseyPfizer Ltd, Tadworth, UK.
Michael McleanPfizer Ltd, Tadworth, UK.
Saqib RanaPfizer Ltd, Tadworth, UK.
Anna BarkawayPfizer Ltd, Tadworth, UK.
Simon de LusignanNuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, UK.ORCID 0000-0002-8553-2641
Maya H BuchCentre for Musculoskeletal Research, Division of Musculoskeletal & Dermatological Sciences, Faculty of Biology, Medicine & Health, University of Manchester, Manchester, UK.ORCID 0000-0002-8962-5642
James B GallowayCentre for Rheumatic Diseases, King's College London, London, UK.ORCID 0000-0002-1230-2781

Funding

NIHRPfizer
6 · The paper itself

Abstract

objectivesTo evaluate the absolute and relative risk of venous thromboembolism (VTE) in individuals with RA, with relation to age, sex, BMI, disease duration and exposure to exogenous oestrogens.

methodsIndividuals with RA, registered with the UK Oxford-RCGP RSC primary care database between 1999 and 2018, were matched 1:4 with individuals without RA. Multivariable-adjusted Cox proportional hazards was used to compare VTE risk, stratified by age, sex, BMI, disease duration and prescription of oestrogen-containing contraceptives or hormone replacement therapy (HRT).

resultsVTE risk was higher in individuals with RA (n = 23 410) than the matched controls (n = 93 640): adjusted hazard ratio 1.46 (95% CI 1.36, 1.56). Absolute risk of VTE increased with age and higher BMI. Compared with the controls, however, the relative excess risk of VTE was higher in younger than older individuals: 18-49 years (2.13; 95% CI 1.62, 2.79); 50-69 years (1.57; 95% CI 1.38, 1.78); ≥70 years (1.34; 95% CI 1.14, 1.60) and higher in individuals with normal vs elevated BMI: <25 kg/m2 (1.66; 95% CI 1.39, 1.98); 25-30 kg/m2 (1.60; 95% CI 1.36, 1.88); >30 kg/m2 (1.41; 95% CI 1.19, 1.68). VTE risk remained elevated irrespective of disease duration, was similar between women prescribed vs not prescribed oestrogen-containing contraceptives and higher for women prescribed HRT than those not prescribed HRT.

conclusionIndividuals with RA are at increased risk of VTE regardless of age, sex, BMI, disease duration and exposure to exogenous oestrogens. This highlights the need to consider VTE risk in all individuals with RA.

Indexed as

Arthritis, RheumatoidVenous ThromboembolismAdolescentAdultAgedAge FactorsBody Mass IndexCase-Control StudiesEstrogen Replacement TherapyFemaleHumansMaleMiddle AgedRisk AssessmentRisk FactorsUnited Kingdomepidemiologyobesitypulmonary embolismRAsafetyvenous thromboembolism

Identifiers

PMID40795208
PMCPMC12671859

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LicenceCC BY
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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.