Predictors for orthopaedic surgery in patients with rheumatoid arthritis: results from a retrospective cohort study of 1010 patients diagnosed from 1972 to 2009 and followed up until 2015

Nystad, T. W.; Fenstad, A.M.; Furnes, Ove; Fevang, Bjørg‐Tilde Svanes

doi:10.1080/03009742.2017.1397188

Cited by 8 publications

(5 citation statements)

References 26 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…In contrast, another cohort study [34] did not mention BMI ≥ 30 kg/m 2 as a predictive factor for orthopedic surgeries among these patients. Another investigation also demonstrated that high BMI is associated with increased total knee arthroplasty in RA patients [35]. In addition, our results showed that the mean age and BMI of patients with any surgery history were higher than those without surgery.…”

Section: Resultssupporting

confidence: 73%

See 1 more Smart Citation

Prevalence of different types of surgery in Rheumatoid arthritis patients: A study based on registry data of Rheumatologic clinic, Rafsanjan 2022

2024

View full text Add to dashboard Cite

Rheumatoid arthritis (RA) is a chronic systemic autoimmune disease that can affect many organs, and due to its systemic nature, it seems that some types of surgeries are more prevalent in this disease. This study aimed to investigate the prevalence of different types of surgery in RA patients. This retrospective study using the RA registry was performed on 639 RA patients in the rheumatology clinic of Rafsanjan, Iran, 2022. All patients fulfilled the ACR/EULAR 2010 classification criteria for RA. Demographic information, clinical parameters, laboratory information, surgical history, and surgery time were collected from the medical records. The sample comprises 555 (86.9%) women and 84 (13.1%) men. The average age was 55.08 ± 12.52, and the mean duration of the disease was 7.32 ± 5.94. There was a history of at least one surgery in 252 (39.4%) patients. The prevalence of gastrointestinal, gynecological, orthopedic, eye, ear, nose, and throat, cardiovascular and urological surgeries was 18%, 16.4%, 9.2%, 8.3%, 3.9%, 0.9% and 0.9%, respectively. There were 69.8% of eye surgeries and 57.6% of orthopedic surgeries after disease diagnosis; other surgeries were more prevalent before the diagnosis. The average age (58.16 ± 11.89 vs. 53.07 ± 12.53, P-value < 0.001) and body mass index (29.65 ± 5.68 vs 28.63 ± 5.56, P-value = 0.025) were higher in participants with surgery than those with no surgery. The most prevalent surgeries were gastrointestinal, gynecological, and orthopedic surgeries, and Cardiovascular and urological surgeries were the least. The mean age and body mass index in patients with surgery were significantly higher than those without surgery. Also, physical activity was significantly lower in the participants with surgery.

show abstract

Section: Resultssupporting

confidence: 73%

“…Decreased physical activity can lead to obesity and high BMI [36], which can exacerbate the inflammatory process and destruction of joints, such as affected knees in RA patients. It can increase the risk of orthopedic surgeries [33,35]. Furthermore, orthopedic surgeries were more prevalent in housekeepers than the others in our study.…”

Section: Resultsmentioning

confidence: 65%

Prevalence of different types of surgery in Rheumatoid arthritis patients: A study based on registry data of Rheumatologic clinic, Rafsanjan 2022

2024

View full text Add to dashboard Cite

show abstract

“…Treatment with methotrexate and biologics is associated with a lower risk of cardiovascular events [13][14][15][16][17]. The increased use of methotrexate and biologics over time is evident in our cohort as shown in a previous study, and could explain the low AMI and IHD risk seen in RA patients diagnosed after 1998 [37]. Probably, the improved drugs and treatment strategies have reduced in ammation-driven atherosclerosis su ciently to render the IHD risk similar to the general population.…”

Section: Discussionsupporting

confidence: 64%

Declining risk of ischemic heart disease over time in rheumatoid arthritis: 1821 patients from 1972 to 2017.

Alsing¹,

Nystad²,

Igland³

et al. 2021

Preprint

View full text Add to dashboard Cite

Objectives: To evaluate trends of acute myocardial infarction (AMI) and ischemic heart disease (IHD) in rheumatoid arthritis (RA) patients compared with the general population over time. Methods: We performed a retrospective cohort study of 1821 RA patients diagnosed from 1972 to 2013. The total population of the same county (Hordaland, Norway) and time period was used for comparison. Information on AMI and IHD events was obtained from hospital patient administrative systems or cardiovascular registries. We estimated incidence rates and standardized event ratios (SER) compared with the general population by Poisson regression.Results: There was an average annual decline of 1.6% in age- and sex-adjusted AMI incidence rates from 1972 to 2017 (incidence rate ratio 0.984, 95% CI 0.971–0.998). Excess events in RA patients compared with the general population declined on average 1.3% per year for AMI and 2.3% for IHD from 1972 to 2014. The total RA cohort had 49% (SER 1.49, 95% CI 1.30–1.69) more AMI events and 63% (SER 1.63, 95% CI 1.52–1.74) more IHD events compared with the general population. There were no significant excess AMI and IHD events for RA patients diagnosed after 1998 compared with the general population.Conclusion: Incidence rates and excess events of AMI and IHD in RA patients declined from 1972 to 2017. There were no excess AMI or IHD events in RA patients diagnosed after 1998 compared with the general population.

show abstract

“…A artrite inflamatória provocada pela AR causa deformidades articulares principalmente nos pés e nas mãos, gerando incapacidades e redução da qualidade de vida de portadores desta doença (2,10) . Mesmo com o surgimento de novos medicamentos para o controle desta morbidade, que provocou um declínio no número de intervenções ortopédicas, ainda se encontra um número considerável de indivíduos portadores de AR com deformidades nos pés (18) . Em nossa amostra 80% era do sexo feminino, com idade média de 71anos, sendo que esta prevalência de AR acompanha os dados da literatura (15) .…”

Section: Discussionunclassified

Surgical treatment of rheumatoid forefoot

et al. 2018

View full text Add to dashboard Cite

Objective: To evaluate the functional outcome and quality of life of patients with rheumatoid arthritis (RA) who underwent resection arthroplasty of the first to fifth metatarsal heads. Methods: Prospective case series study in which 8 feet of 5 patients underwent resection arthroplasty of the five metatarsal heads via a plantarapproach to the lateral rays and via a medial approach to the first metatarsal. Dressing and orthotics were used for 3 months to correct the position of the toes. Patients were evaluated in the preoperative period and at least one year after the procedure using two functional evaluation scales (AOFAS lesser toes and AOFAS hallux) and one quality of life scale (EQ-5D). All results were subjected to statistical validation using theMann-Whitney U test. Results: The subjects had a mean age of 71 years, with a prevalence of the female gender. The mean AOFAS lesser toe and AOFAS hallux scores increased from 38.6 and 24.5 preoperatively to 85.7 and 83.1 postoperatively, respectively (p<0.001). The quality of life scores measured through the EQ-5D improved from 8.0 to 5.6, on average. Conclusion: Resection arthroplasty of the five metatarsal heads improves the function and quality of life in the short term of patients with rheumatoid foot.Level of Evidence IV; Therapeutic Studies; Case Series.

show abstract

Predictors for orthopaedic surgery in patients with rheumatoid arthritis: results from a retrospective cohort study of 1010 patients diagnosed from 1972 to 2009 and followed up until 2015

Abstract: Patients with a diagnosis in the early years had a greatly increased risk of having orthopaedic surgery performed. This is probably due to the year of diagnosis being a proxy for the type and intensity of medical treatment.

Cited by 8 publications

References 26 publications

Prevalence of different types of surgery in Rheumatoid arthritis patients: A study based on registry data of Rheumatologic clinic, Rafsanjan 2022

Prevalence of different types of surgery in Rheumatoid arthritis patients: A study based on registry data of Rheumatologic clinic, Rafsanjan 2022

Declining risk of ischemic heart disease over time in rheumatoid arthritis: 1821 patients from 1972 to 2017.

Surgical treatment of rheumatoid forefoot

Contact Info

Product

Resources

About