Total (n = 561) | Cohorts | ||||
---|---|---|---|---|---|
ESCAPE (n = 197) | Pittsburgh (n = 195) | Vanderbilt (n = 169) | p | ||
Demographics | |||||
Age, years | 57.6 ± 10.5 | 59.4 ± 8.7 | 58.8 ± 10.2 | 54.2 ± 11.8 | < 0.001 |
Sex, female | 430 (77) | 118 (60) | 195 (100) | 117 (69) | < 0.001 |
BMI, kg/m2 | 28.5 ± 6.0 | 28.3 ± 5.3 | 27.9 ± 6.0 | 29.2 ± 6.8 | 0.133 |
Hip circumference, cm | |||||
Female | 106.7 ± 14.8 | 105.5 ± 14.6 | 105.9 ± 14.3 | 109.4 ± 15.6 | 0.083 |
Male | 103.0 ± 12.3 | 100.6 ± 10.7 | – | 106.7 ± 13.6 | 0.005 |
Waist circumference, cm | |||||
Female | 91.9 ± 16.4 | 91.7 ± 15.6 | 91.2 ± 16.7 | 93.1 ± 16.8 | 0.640 |
Male | 101.4 ± 14.9 | 101.6 ± 13.3 | – | 101.1 ± 17.2 | 0.839 |
Race | |||||
White | 502 (89) | 169 (86) | 184 (94) | 149 (88) | 0.017 |
Others | 57 (10) | 28 (14) | 10 (5) | 19 (11) | |
Afro-American | 44 | 18 | 8 | 18 | 0.048 |
Asian | 10 | 7 | 2 | 1 | 0.064 |
Hispanic | 3 | 3 | 0 | 0 | 0.063 |
Agatston score for CAC | |||||
CAC Agatston units | 3.12 (0–134.35) | 4.69 (0–175.00) | 2.75 (0–93.37) | 1.85 (0–150.35) | 0.798 |
CAC > 100 | 169 (30) | 69 (35) | 48 (25) | 52 (31) | |
CAC > 300 | 92 (16) | 34 (17) | 25 (13) | 33 (20) | |
CAC greater than 0 units | 307 (55) | 107 (55) | 117 (60) | 83 (51) | 0.200 |
CAC greater than 10 units | 248 (49) | 90 (46) | 86 (44) | 72 (44) | 0.889 |
CAC greater than percentile 75 | 195 (35) | 63 (32) | 75 (39) | 57 (35) | 0.421 |
CAC greater than percentile 90 | 113 (21) | 36 (18) | 39 (20) | 38 (23) | 0.520 |
Previous cardiovascular disease | |||||
Myocardial infarction | 17 (3) | 0 (0) | 6 (3) | 11 (7) | 0.001 |
Coronary artery bypass graft | 8 (1) | 0 (0) | 1 (1) | 7 (4) | 0.091 |
Percutaneous transluminal coronary angioplasty | 8 (1) | 0 (0) | 4 (2) | 4 (2) | 0.072 |
Stroke | 9 (2) | 0 (0) | 1 (1) | 8 (5) | 0.001 |
Angina | 15 (3) | 0 (0) | 7 (4) | 8 (5) | 0.012 |
Cardiac heart failure | 4 (1) | 0 (0) | 2 (1) | 2 (1) | 0.331 |
Comorbidity | |||||
Hypertension | 235 (42) | 76 (38) | 71 (36) | 88 (52) | 0.007 |
Systolic blood pressure, mmHg | 129 ± 20 | 128 ± 19 | 125 ± 19 | 133 ± 20 | < 0.001 |
Diastolic blood pressure, mmHg | 76 ± 10 | 76 ± 9 | 76 ± 10 | 75 ± 11 | 0.360 |
Use of antihypertensives | 210 (37) | 79 (40) | 67 (34) | 64 (38) | 0.497 |
Dyslipidemia | 119 (21) | 62 (31) | 57 (29) | – | 0.199 |
On lipid lowering drugs | 60 (11) | 35 (18) | 25 (13) | – | 0.174 |
Diabetes | 22 (4) | 12 (6) | 10 (5) | – | 0.670 |
Previous smoking | 291 (52) | 115 (58) | 96 (49) | 80 (47) | 0.062 |
Current smoking | 81 (14) | 23 (12) | 17 (9) | 41 (24) | < 0.001 |
Packs/years | 0 (0–22) | 7 (0–30) | 0 (0–14) | 0 (0–22) | 0.008 |
Post menopause | 249 (44) | 92 (47) | 157 (81) | - | < 0.001 |
Hormone replacement use | 85 (15) | 16 (8) | 69 (35) | - | 0.047 |
Metabolic syndrome | 90 (16) | 44 (22) | 46 (24) | - | 0.704 |
Aspirin | 102 (18) | 34 (17) | 14 (7) | 54 (32) | < 0.001 |
Analytical parameters | |||||
Total cholesterol, mg/dL | 197 ± 39 | 195 ± 38 | 208 ± 37 | 186 ± 39 | < 0.001 |
Triglycerides, mg/dL | 1116 (86–157) | – | 120 (90–156) | 111 (80–158) | 0.151 |
HDL cholesterol, mg/dL | 54 ± 16 | 49 (41–67) | 61 ± 15 | 43 (37–54) | < 0.001 |
LDL cholesterol, mg/dL | 116 ± 33 | 116 ± 31 | 120 ± 35 | 112 ± 33 | 0.100 |
Glucose, mg/dL | 91 ± 19 | 89 (83–98) | 88 (82–94) | 87 (83–94) | 0.104 |
Insulin, uU/ml | 9. 99 ± 7.17 | 5.83 (3.71–9.75) | 11.5 (8.60–14.20) | – | < 0.001 |
Homocysteine | 10.7 ± 3.6 | 9.1 (7.5–10.6) | 11.1 (9.6–13.7) | 10.5 ± 3.4 | < 0.001 |
Creatinine, mg/dL | 0.8 ± 0.3 | 0.8 ± 0.2 | 0.9 ± 0.3 | 0.8 ± 0.2 | 0.014 |
CRP, mg/L | 4.65 (1.75–12.50) | – | 5.62 (1.97–13.35) | 4.00 (1.22–13.02) | 0.035 |
RA-associated characteristics | |||||
Disease duration, years | 10 (3–20) | 9 (4–17) | 13 (7–23) | 3 (2–18) | < 0.001 |
Prednisone | |||||
Ever prednisone treatment | 458 (82) | 147 (75) | 172 (88) | 139 (82) | 0.002 |
Current treatment with prednisone | 246 (44) | 76 (39) | 78 (40) | 92 (54) | < 0.001 |
Current prednisone dosage, mg/day | 0 (0–5) | 0 (0–5) | 0 (0–5) | 2 (0–5) | 0.011 |
Hydroxychloroquine | 125 (22) | 47 (24) | 36 (18) | 42 (25) | 0.277 |
Methotrexate | 360 (64) | 125 (63) | 115 (59) | 120 (71) | 0.056 |
TNF inhibitors | 179 (32) | 85 (43) | 59 (30) | 35 (21) | < 0.001 |
Anakinra | 2 (0) | 1 (1) | 1 (1) | 0 (0) | 0.649 |
NSAIDs | 313 (73) | 127 (64) | 135 (69) | 51 (30) | < 0.001 |
COX2 inhibitors | 154 (72) | 47 (24) | 56 (29) | 51 (30) | 0.356 |
Minutes of morning stiffness | 30 (5–60) | 15 (5–30) | 30 (0–60) | 30 (10–90) | < 0.001 |
Current biologic DMARD use | 149 (27) | 89 (45) | 60 (31) | – | 0.003 |
Any current use of non-biologic DMARDs | 487 (87) | 165 (84) | 175 (90) | 147 (87) | 0.265 |
Joint surgery | 156 (28) | 55 (28) | 101 (52) | – | < 0.001 |
Rheumatoid nodules | 197 (35) | 89 (45) | 108 (55) | – | 0.012 |
Global assessment of disease activity | 24 (9–47) | 21 (5–47) | 19 (6–34) | 30 (16–55) | < 0.001 |
Modified HAQ (VU cohort only) | 0.500 (0.000–0.875) | – | – | 0.500 (0.000–0.875) | - |
DAS28 (ESCAPE and VU cohorts) | 3.72 ± 1.35 | 3.66 ± 1.08 | – | 3.79 ± 1.61 | 0.362 |
Full HAQ (ESCAPE cohort only) | 0.625 (0.125–1.250) | 0.625 (0.125–1.250) | – | – | – |
RF (> 40 units) | 363 (65) | 129 (65) | 117 (60) | 117 (69) | 0.136 |