Evidence map›Paper›PMID 40845733›Full record

ArticleSeminars in arthritis and rheumatism2025

Risk and temporal trends of heart failure subtypes in rheumatoid arthritis.

Tate M Johnson, Yangyuna Yang, Punyasha Roul, Halie Frideres, Joshua F Baker, Brian C Sauer, Grant W Cannon, Gary A Kunkel, Kaveh R Bookani, Ted R Mikuls and 1 more

Abstract read
In one paragraph

Article in Seminars in arthritis and rheumatism, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Heart failure in autoimmune rheumatic diseases.Rheumatology international · 2026
    Review
  4. Review
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

11 authors.

Tate M JohnsonVA Nebraska-Western Iowa Health Care System, Omaha, NE, USA; Division of Rheumatology & Immunology, University of Nebraska Medical Center, Omaha, NE, USA. Electronic address: tate.johnson@unmc.edu.
Yangyuna YangDivision of Rheumatology & Immunology, University of Nebraska Medical Center, Omaha, NE, USA.
Punyasha RoulDivision of Rheumatology & Immunology, University of Nebraska Medical Center, Omaha, NE, USA.
Halie FrideresDivision of Rheumatology & Immunology, University of Nebraska Medical Center, Omaha, NE, USA.
Joshua F BakerCorporal Michael J. Crescenz VA & University of Pennsylvania, Philadelphia, PA, USA.
Brian C SauerSalt Lake City VA and University of Utah, Salt Lake City, UT, USA.
Grant W CannonSalt Lake City VA and University of Utah, Salt Lake City, UT, USA.
Gary A KunkelSalt Lake City VA and University of Utah, Salt Lake City, UT, USA.
Kaveh R BookaniDivision of Cardiovascular Medicine, University of Nebraska Medical Center, Omaha, NE, USA.
Ted R MikulsVA Nebraska-Western Iowa Health Care System, Omaha, NE, USA; Division of Rheumatology & Immunology, University of Nebraska Medical Center, Omaha, NE, USA.
Bryant R EnglandVA Nebraska-Western Iowa Health Care System, Omaha, NE, USA; Division of Rheumatology & Immunology, University of Nebraska Medical Center, Omaha, NE, USA.

Funding

Tracking and Evaluation CoreU54GM115458 · NIGMS · UNIVERSITY OF NEBRASKA MEDICAL CENTER · PI HOLSTEIN, SARAH A · 2016 to 2025
$42.8M
Inflammatory Responses, Fibrotic Mediators, and Comorbidity Burden as Determinants of Myocardial Dysfunction and Heart Failure in Rheumatoid ArthritisK23AR085189 · NIAMS · UNIVERSITY OF NEBRASKA MEDICAL CENTER · PI Tate Johnson · 2025 to 2026
$344k
BLRD VA I01 BX003635BLRD VA I01 BX004660CSRD VA IK2 CX002203HSRD VA SDR 02-237NIAMS NIH HHS K23 AR085189NIAMS NIH HHS L30 AR081610NIGMS NIH HHS U54 GM115458RRD VA I01 RX003644RRD VA I01 RX004770
6 · The paper itself

Abstract

objectiveEvaluate the risk and temporal trends of heart failure (HF) with preserved (HFpEF) and reduced ejection fraction (HFrEF) in rheumatoid arthritis (RA).

methodsWe performed a retrospective, matched cohort study using Veterans Health Administration (VHA) administrative and health record data from 2000 to 2019. Patients with RA were matched up to 10 non-RA controls on age, sex, and VHA enrollment year. Incident HF and HF-related death were queried, classifying HFpEF and HFrEF using left ventricular EF data from a validated natural language processing tool. HF risk was evaluated using conditional Cox regression, adjusting for demographics, body mass index, smoking, rurality, healthcare utilization, and comorbidity burden. Trends in HF risk were evaluated, stratifying models by RA diagnosis period (2000-2005, 2006-2011, 2012-2017).

resultsWe matched 67,850 patients with RA (mean age 62.5, 87.1 % male) to 570,933 non-RA controls (mean age 61.1, 85.8 % male). HF prevalence increased in both groups over time. Over 5,663,151 person-years of follow-up, 77,440 incident HF diagnoses occurred. RA was associated with an increased risk of HFpEF (aHR 1.51, 95 % CI 1.46-1.57) and HFpEF-related death (2.05, 1.76-2.39), as well as HFrEF (1.34, 1.30-1.38) and HFrEF-related death (1.45, 1.29-1.63). HF risk was accentuated in RA patients with elevated inflammation and seropositive RA. No improvements in HF risk were observed over time (linear p-for-trend >0.05 for all outcomes).

conclusionRA was most strongly associated with HFpEF and HFpEF-related death in this national-level, observational dataset. Heightened risks of HF subtypes have not improved despite advances in RA treatment. Prospective research is needed to support the development ofprevention and management strategies to mitigate HF risk in RA.

Indexed as

Arthritis, RheumatoidHeart FailureAgedFemaleHumansIncidenceMaleMiddle AgedPrevalenceRetrospective StudiesRisk FactorsStroke VolumeUnited StatesCardiovascular diseaseEpidemiologyHeart failureInflammationRheumatoid arthritis

Identifiers

PMID40845733
PMCPMC12445436

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

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.