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Table 3 Multivariable analysis of the differences between reclassified or not reclassified patients

From: Disease activity influences the reclassification of rheumatoid arthritis into very high cardiovascular risk

 

Not reclassified (n = 684)

Reclassified (n = 578)

p

Reclassification

OR (95% CI), p*

cIMT, μm

650 ± 140

740 ± 140

0.000

 

Age, years

54 ± 14

62 ± 9

0.000

 

Female, n (%)

531 (78)

437 (76)

0.40

 

BMI, kg/m2

27 ± 6

28 ± 5

0.39

 

Abdominal circumference, cm

94 ± 15

94 ± 14

0.92

 

Cardiovascular data

 CV risk factors, n (%)

  Current smoker

169 (25)

153 (26)

0.47

 

  Obesity

193 (28)

155 (27)

0.58

 

  Dyslipidemia

275 (40)

332 (57)

0.000

 

  Hypertension

192 (28)

271 (47)

0.000

 

 Blood pressure, mmHg

  Systolic

130 ± 18

132 ± 16

0.024

 

  Diastolic

78 ± 10

79 ± 9

0.58

 

 Lipids

  Total cholesterol, mmol/l

5.26 ± 0.96

5.28 ± 0.96

0.66

 

  Triglycerides, mmol/l

1.24 ± 0.71

1.28 ± 0.68

0.35

 

  HDL cholesterol, mmol/l

1.58 ± 0.44

1.58 ± 0.44

0.90

 

  LDL cholesterol, mmol/l

3.10 ± 0.80

3.10 ± 0.83

0.94

 

  Atherogenic index

3.56 ± 1.11

3.53 ± 0.97

0.63

 

 Statins, n (%)

113 (17)

188 (33)

0.000

 

 Aspirin, n (%)

16 (2)

27 (5)

0.018

 

 Antihypertensive treatment, n (%)

140 (20)

190 (33)

0.000

 

Disease-related data

 Disease duration, years

5 (2–12)

5 (2–12)

0.62

 

 CRP at time of study, mg/l

2.5 (0.9–6.4)

3.0 (1.0–7.0)

0.71

 

 ESR at time of study, mm/ 1° hour

11 (5 − 21)

13 (6–25)

0.007

1.00 (0.99–1.01), 0.79

 Rheumatoid factor, n (%)

380 (56)

360 (62)

0.019

1.58 (1.19–2.11), 0.002

 ACPA, n (%)

352 (51)

320 (55)

0.097

1.46 (1.09–1.94), 0.011

 DAS28-ESR

2.96 ± 1.50

3.27 ± 1.46

0.000

1.09 (1.02–1.19), 0.028

 DAS28-PCR

2.91 ± 1.28

3.10 ± 1.28

0.010

1.04 (0.93–1.16), 0.095

 SDAI

3.20 ± 2.05

3.10 ± 2.02

0.73

 

 CDAI

8 (3–16)

9 (4–17)

0.078

1.00 (0.99–1.02), 0.52

 HAQ

0.690 (0250–1.250)

0.750 (0250–1.250)

0.36

 

 RAPID

3.20 ± 2.05

3.10 ± 2.02

0.61

 

 Current drugs, n (%)

  Prednisone

330 (48)

291 (50)

0.46

 

  Prednisone doses, mg/day

5 (2.5–6)

5 (5–7.5)

0.42

 

  NSAIDs

282 (41)

205 (35)

0.036

0.93 (0.70–1.24), 0.62

  DMARDs

525 (77)

444 (77)

0.98

 

  Methotrexate

395 (58)

324 (56)

0.55

 

  Leflunomide

70 (10)

68 (12)

0.39

 

  Hydroxychloroquine

147 (21)

132 (23)

0.57

 

  Sulphasalazine

19 (3)

24 (4)

0.18

1.69 (0.84–3.41), 0.15

  Anti-TNF therapy

91 (13)

72 (12)

0.66

 

   Adalimumab

26 (4)

28 (5)

0.36

 

   Infliximab

12 (2)

6 (1)

0.29

 

   Etanercept

40 (6)

26 (4)

0.28

 

   Golimumab

1 (0)

3 (1)

0.34

 

  Tocilizumab

37 (5)

27 (5)

0.56

 

  Rituximab

9 (1)

11 (2)

0.40

 

  Abatacept

8 (1)

13 (2)

0.14

2.13 (0.77–5.97), 0.15

  Baricitinib

5 (1)

6 (1)

0.56

 

  Tofacitinib

9 (1)

5 (1)

0.45

 

Historical disease-related data

 History of extraarticular manif., n (%)

112 (16)

119 (21)

0.058

1.07 (0.75–1.52), 0.72

 Erosions, n (%)

230 (34)

216 (37)

0.048

1.26 (0.93–1.72), 0.13

 CRP at time of disease diagnosis, mg/l

7 (2–19)

8 (3–22)

0.28

 

 CRP > 3 at time of diagnosis, n (%)

354 (52)

324 (56)

0.068

1.13 (0.78–1.64), 0.52

 ESR at the time of diagnosis, mm/1st hour

20 (11–37)

23 (12–40)

0.28

 
  1. Data represent means ± SD or median (IQR) when data were not normally distributed
  2. CV cardiovascular, LDL low-density lipoprotein, HDL high-density lipoprotein, CRP C-reactive protein, NSAID nonsteroidal anti-inflammatory drugs, DMARD disease-modifying antirheumatic drug, TNF tumor necrosis factor, obesity, ESR erythrocyte sedimentation rate, BMI body mass index, DAS28 Disease Activity Score in 28 joints, ACPA anti-citrullinated protein antibodies, RAPID routine assessment of patient index, CDAI Clinical Disease Activity Index, SDAI Simple Disease Activity Index, HAQ Health Assessment Questionnaire
  3. *Multivariable analysis is adjusted for age, dyslipidemia, hypertension, and statins and aspirin intake