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Comorbidities of rheumatoid arthritis: Results from the Korean National Health and Nutrition Examination Survey.

Abstract This study aimed to evaluate the prevalence of comorbidities in patients with rheumatoid arthritis (RA) compared with the non-RA population. The 2010-2012 Korea National Health and Nutrition Examination Survey (KNHANES), which assesses the general health status of populations in South Korea using interviews and basic health assessment, was analyzed retrospectively. Weighted prevalence and odds ratio (OR) of comorbidities were analyzed in patients with RA compared with the non-RA population. The overall weighted (n = 37,453,158) prevalence of RA was 1.5%. Patients with RA were older and more female predominant than subjects without RA. The prevalence of living in an urban area, college graduation, alcohol consumption and smoking was lower in patients with RA than non-RA. Patients with RA had more comorbidities including hypertension, dyslipidemia, myocardial infarction (MI) or angina, stoke, osteoarthritis, lung cancer, colon cancer, pulmonary tuberculosis, asthma, diabetes, depression, thyroid disease and chronic kidney disease. After adjusting socioeconomic and lifestyle characteristics, RA was associated with an increased prevalence of MI or angina (OR 1.86, 95% CI 1.17-2.96, p = 0.009), pulmonary TB (OR 1.95, 95% CI 1.24-3.09, p = 0.004), asthma (OR 1.97, 95% CI 1.05-3.71, p = 0.036), thyroid disease (OR 1.71, 95% CI 1.05-2.77), depression (OR 2.38, 95% CI 1.47-3.85, p < 0.001) and hepatitis B (OR 2.34, 95% CI 1.15-4.80, p = 0.020) compared with the non-RA population. Prevalence of solid cancer was not significantly associated with RA after adjustment.
PMID
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Authors

Mayor MeshTerms
Keywords
Journal Title plos one
Publication Year Start




PMID- 28423031
OWN - NLM
STAT- MEDLINE
DA  - 20170419
DCOM- 20170425
LR  - 20170425
IS  - 1932-6203 (Electronic)
IS  - 1932-6203 (Linking)
VI  - 12
IP  - 4
DP  - 2017
TI  - Comorbidities of rheumatoid arthritis: Results from the Korean National Health
      and Nutrition Examination Survey.
PG  - e0176260
LID - 10.1371/journal.pone.0176260 [doi]
AB  - This study aimed to evaluate the prevalence of comorbidities in patients with
      rheumatoid arthritis (RA) compared with the non-RA population. The 2010-2012
      Korea National Health and Nutrition Examination Survey (KNHANES), which assesses 
      the general health status of populations in South Korea using interviews and
      basic health assessment, was analyzed retrospectively. Weighted prevalence and
      odds ratio (OR) of comorbidities were analyzed in patients with RA compared with 
      the non-RA population. The overall weighted (n = 37,453,158) prevalence of RA was
      1.5%. Patients with RA were older and more female predominant than subjects
      without RA. The prevalence of living in an urban area, college graduation,
      alcohol consumption and smoking was lower in patients with RA than non-RA.
      Patients with RA had more comorbidities including hypertension, dyslipidemia,
      myocardial infarction (MI) or angina, stoke, osteoarthritis, lung cancer, colon
      cancer, pulmonary tuberculosis, asthma, diabetes, depression, thyroid disease and
      chronic kidney disease. After adjusting socioeconomic and lifestyle
      characteristics, RA was associated with an increased prevalence of MI or angina
      (OR 1.86, 95% CI 1.17-2.96, p = 0.009), pulmonary TB (OR 1.95, 95% CI 1.24-3.09, 
      p = 0.004), asthma (OR 1.97, 95% CI 1.05-3.71, p = 0.036), thyroid disease (OR
      1.71, 95% CI 1.05-2.77), depression (OR 2.38, 95% CI 1.47-3.85, p &lt; 0.001) and
      hepatitis B (OR 2.34, 95% CI 1.15-4.80, p = 0.020) compared with the non-RA
      population. Prevalence of solid cancer was not significantly associated with RA
      after adjustment.
FAU - Jeong, Hyemin
AU  - Jeong H
AD  - Department of Medicine, Samsung Medical Center, Sungkyunkwan University School of
      Medicine, Seoul, South Korea.
FAU - Baek, Sun Young
AU  - Baek SY
AD  - Biostatic and clinical epidemiology Center, Samsung Medical Center, Seoul, South 
      Korea.
FAU - Kim, Seon Woo
AU  - Kim SW
AD  - Biostatic and clinical epidemiology Center, Samsung Medical Center, Seoul, South 
      Korea.
FAU - Eun, Yeong Hee
AU  - Eun YH
AD  - Department of Medicine, Samsung Medical Center, Sungkyunkwan University School of
      Medicine, Seoul, South Korea.
FAU - Kim, In Young
AU  - Kim IY
AD  - Department of Medicine, Samsung Medical Center, Sungkyunkwan University School of
      Medicine, Seoul, South Korea.
FAU - Kim, Hyungjin
AU  - Kim H
AD  - Department of Medicine, Samsung Medical Center, Sungkyunkwan University School of
      Medicine, Seoul, South Korea.
FAU - Lee, Jaejoon
AU  - Lee J
AD  - Department of Medicine, Samsung Medical Center, Sungkyunkwan University School of
      Medicine, Seoul, South Korea.
FAU - Koh, Eun-Mi
AU  - Koh EM
AD  - Department of Medicine, Samsung Medical Center, Sungkyunkwan University School of
      Medicine, Seoul, South Korea.
FAU - Cha, Hoon-Suk
AU  - Cha HS
AD  - Department of Medicine, Samsung Medical Center, Sungkyunkwan University School of
      Medicine, Seoul, South Korea.
LA  - eng
PT  - Journal Article
DEP - 20170419
PL  - United States
TA  - PLoS One
JT  - PloS one
JID - 101285081
SB  - IM
MH  - Alcohol Drinking/physiopathology
MH  - Angina Pectoris/diagnosis/*epidemiology
MH  - Arthritis, Rheumatoid/diagnosis/*epidemiology
MH  - Comorbidity
MH  - Depression/diagnosis/*epidemiology
MH  - Female
MH  - Hepatitis B/diagnosis/*epidemiology
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Myocardial Infarction/diagnosis/*epidemiology
MH  - Nutrition Surveys/statistics &amp; numerical data
MH  - Odds Ratio
MH  - Prevalence
MH  - Republic of Korea/epidemiology
MH  - Retrospective Studies
MH  - Risk Factors
MH  - Smoking/physiopathology
MH  - Social Class
MH  - Thyroid Diseases/diagnosis/*epidemiology
MH  - Tuberculosis, Pulmonary/diagnosis/*epidemiology
EDAT- 2017/04/20 06:00
MHDA- 2017/04/26 06:00
CRDT- 2017/04/20 06:00
PHST- 2016/09/29 [received]
PHST- 2017/04/07 [accepted]
AID - 10.1371/journal.pone.0176260 [doi]
AID - PONE-D-16-38950 [pii]
PST - epublish
SO  - PLoS One. 2017 Apr 19;12(4):e0176260. doi: 10.1371/journal.pone.0176260.
      eCollection 2017.

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