The age- and sex-standardized prevalence of each of the co-morbidities considered was increased in at least one of the inflammatory RMDS compared with the control population (Table 2, Fig. 1). The prevalence of all co-morbidities considered was increased in participants with RA compared with controls (Table 2). In participants with SLE, the prevalence of the following co-morbidities was particularly increased: angina [SMR (95% CI): 3.1 (2.2, 4.2)], myocardial infarction [3.3 (2.1, 4.9)] and stroke [4.9 (3.6, 6.6)]. Participants with each of the inflammatory RMDs had an increased prevalence of the following co-morbidities compared with controls: angina [SMR (95% CI), RA: 1.9 (1.7, 2.1), PsA: 1.5 (1.1, 2.0), AS: 1.4 (1.1, 1.7), SLE: 3.1 (2.2, 4.2)], hypertension [RA: 1.2 (1.2, 1.3), PsA: 1.4 (1.3, 1.6), AS: 1.2 (1.1, 1.3), SLE: 1.4 (1.3, 1.6)] and depression [RA: 1.2 (1.1, 1.3), PsA: 1.3 (1.0, 1.7), AS: 1.5 (1.2, 1.8), SLE: 1.4 (1.0, 1.8)]. Only participants with RA had an increased prevalence of diabetes [1.5 (1.4, 1.6)] compared with the control population. Similar results were seen in sensitivity analysis comparing the prevalence of the co-morbidities in people who self-reported an inflammatory RMD and were also taking s/bDMARDs compared with the control population (Supplementary Table S2, available at Rheumatology online).
Prevalence of co-morbidities in participants with a rheumatic/musculoskeletal disease
. | RA . | PsA . | AS . | SLE . | ||||
---|---|---|---|---|---|---|---|---|
. | n (%) . | Standardized morbidity ratioa . | n (%) . | Standardized morbidity ratioa . | n (%) . | Standardized morbidity ratioa . | n (%) . | Standardized morbidity ratioa . |
Myocardial | ||||||||
Angina | 350 (0.06) | 1.9 (1.7–2.1)* | 42 (0.05) | 1.5 (1.1–2.0)* | 71 (0.05) | 1.4 (1.1–1.7)* | 41 (0.06) | 3.1 (2.2–4.2)* |
MI | 224 (0.04) | 1.9 (1.6–2.1)* | 26 (0.03) | 1.3 (0.8–1.9) | 53 (0.04) | 1.3 (1.0–1.7)* | 23 (0.04) | 3.3 (2.1–4.9)* |
Vascular | ||||||||
Stroke/ischaemic stroke | 180 (0.03) | 1.6 (1.4–1.9)* | 16 (0.02) | 1.0 (0.6–1.6) | 40 (0.03) | 1.5 (1.0–2.0)* | 45 (0.07) | 4.9 (3.6–6.6)* |
Hypertension | 2043 (36.5) | 1.2 (1.2–1.3)* | 345 (38.7) | 1.4 (1.3–1.6)* | 462 (34.8) | 1.2 (1.1–1.3)* | 218 (39.2) | 1.4 (1.3–1.6)* |
Pulmonary | ||||||||
Pulmonary disease (COPD/ emphysema/bronchitis) | 284 (5.1) | 2.1 (1.9–2.4)* | 25 (2.8) | 1.3 (0.8–1.9) | 63 (4.8) | 2.0 (1.6–2.6)* | 30 (4.7) | 2.4 (1.6–3.4)* |
Endocrine | ||||||||
Diabetes | 443 (7.9) | 1.5 (1.4–1.6)* | 57 (6.4) | 1.2 (0.9–1.6) | 84 (6.3) | 1.0 (0.8–1.3) | 36 (5.6) | 1.4 (1.0–2.0) |
Psychological | ||||||||
Depression | 367 (6.5) | 1.2 (1.1–1.3)* | 62 (7.0) | 1.3 (1.0–1.7)* | 94 (7.1) | 1.5 (1.2–1.8)* | 56 (8.7) | 1.4 (1.0–1.8)* |
. | RA . | PsA . | AS . | SLE . | ||||
---|---|---|---|---|---|---|---|---|
. | n (%) . | Standardized morbidity ratioa . | n (%) . | Standardized morbidity ratioa . | n (%) . | Standardized morbidity ratioa . | n (%) . | Standardized morbidity ratioa . |
Myocardial | ||||||||
Angina | 350 (0.06) | 1.9 (1.7–2.1)* | 42 (0.05) | 1.5 (1.1–2.0)* | 71 (0.05) | 1.4 (1.1–1.7)* | 41 (0.06) | 3.1 (2.2–4.2)* |
MI | 224 (0.04) | 1.9 (1.6–2.1)* | 26 (0.03) | 1.3 (0.8–1.9) | 53 (0.04) | 1.3 (1.0–1.7)* | 23 (0.04) | 3.3 (2.1–4.9)* |
Vascular | ||||||||
Stroke/ischaemic stroke | 180 (0.03) | 1.6 (1.4–1.9)* | 16 (0.02) | 1.0 (0.6–1.6) | 40 (0.03) | 1.5 (1.0–2.0)* | 45 (0.07) | 4.9 (3.6–6.6)* |
Hypertension | 2043 (36.5) | 1.2 (1.2–1.3)* | 345 (38.7) | 1.4 (1.3–1.6)* | 462 (34.8) | 1.2 (1.1–1.3)* | 218 (39.2) | 1.4 (1.3–1.6)* |
Pulmonary | ||||||||
Pulmonary disease (COPD/ emphysema/bronchitis) | 284 (5.1) | 2.1 (1.9–2.4)* | 25 (2.8) | 1.3 (0.8–1.9) | 63 (4.8) | 2.0 (1.6–2.6)* | 30 (4.7) | 2.4 (1.6–3.4)* |
Endocrine | ||||||||
Diabetes | 443 (7.9) | 1.5 (1.4–1.6)* | 57 (6.4) | 1.2 (0.9–1.6) | 84 (6.3) | 1.0 (0.8–1.3) | 36 (5.6) | 1.4 (1.0–2.0) |
Psychological | ||||||||
Depression | 367 (6.5) | 1.2 (1.1–1.3)* | 62 (7.0) | 1.3 (1.0–1.7)* | 94 (7.1) | 1.5 (1.2–1.8)* | 56 (8.7) | 1.4 (1.0–1.8)* |
Prevalence of co-morbidities in participants with a rheumatic/musculoskeletal disease
. | RA . | PsA . | AS . | SLE . | ||||
---|---|---|---|---|---|---|---|---|
. | n (%) . | Standardized morbidity ratioa . | n (%) . | Standardized morbidity ratioa . | n (%) . | Standardized morbidity ratioa . | n (%) . | Standardized morbidity ratioa . |
Myocardial | ||||||||
Angina | 350 (0.06) | 1.9 (1.7–2.1)* | 42 (0.05) | 1.5 (1.1–2.0)* | 71 (0.05) | 1.4 (1.1–1.7)* | 41 (0.06) | 3.1 (2.2–4.2)* |
MI | 224 (0.04) | 1.9 (1.6–2.1)* | 26 (0.03) | 1.3 (0.8–1.9) | 53 (0.04) | 1.3 (1.0–1.7)* | 23 (0.04) | 3.3 (2.1–4.9)* |
Vascular | ||||||||
Stroke/ischaemic stroke | 180 (0.03) | 1.6 (1.4–1.9)* | 16 (0.02) | 1.0 (0.6–1.6) | 40 (0.03) | 1.5 (1.0–2.0)* | 45 (0.07) | 4.9 (3.6–6.6)* |
Hypertension | 2043 (36.5) | 1.2 (1.2–1.3)* | 345 (38.7) | 1.4 (1.3–1.6)* | 462 (34.8) | 1.2 (1.1–1.3)* | 218 (39.2) | 1.4 (1.3–1.6)* |
Pulmonary | ||||||||
Pulmonary disease (COPD/ emphysema/bronchitis) | 284 (5.1) | 2.1 (1.9–2.4)* | 25 (2.8) | 1.3 (0.8–1.9) | 63 (4.8) | 2.0 (1.6–2.6)* | 30 (4.7) | 2.4 (1.6–3.4)* |
Endocrine | ||||||||
Diabetes | 443 (7.9) | 1.5 (1.4–1.6)* | 57 (6.4) | 1.2 (0.9–1.6) | 84 (6.3) | 1.0 (0.8–1.3) | 36 (5.6) | 1.4 (1.0–2.0) |
Psychological | ||||||||
Depression | 367 (6.5) | 1.2 (1.1–1.3)* | 62 (7.0) | 1.3 (1.0–1.7)* | 94 (7.1) | 1.5 (1.2–1.8)* | 56 (8.7) | 1.4 (1.0–1.8)* |
. | RA . | PsA . | AS . | SLE . | ||||
---|---|---|---|---|---|---|---|---|
. | n (%) . | Standardized morbidity ratioa . | n (%) . | Standardized morbidity ratioa . | n (%) . | Standardized morbidity ratioa . | n (%) . | Standardized morbidity ratioa . |
Myocardial | ||||||||
Angina | 350 (0.06) | 1.9 (1.7–2.1)* | 42 (0.05) | 1.5 (1.1–2.0)* | 71 (0.05) | 1.4 (1.1–1.7)* | 41 (0.06) | 3.1 (2.2–4.2)* |
MI | 224 (0.04) | 1.9 (1.6–2.1)* | 26 (0.03) | 1.3 (0.8–1.9) | 53 (0.04) | 1.3 (1.0–1.7)* | 23 (0.04) | 3.3 (2.1–4.9)* |
Vascular | ||||||||
Stroke/ischaemic stroke | 180 (0.03) | 1.6 (1.4–1.9)* | 16 (0.02) | 1.0 (0.6–1.6) | 40 (0.03) | 1.5 (1.0–2.0)* | 45 (0.07) | 4.9 (3.6–6.6)* |
Hypertension | 2043 (36.5) | 1.2 (1.2–1.3)* | 345 (38.7) | 1.4 (1.3–1.6)* | 462 (34.8) | 1.2 (1.1–1.3)* | 218 (39.2) | 1.4 (1.3–1.6)* |
Pulmonary | ||||||||
Pulmonary disease (COPD/ emphysema/bronchitis) | 284 (5.1) | 2.1 (1.9–2.4)* | 25 (2.8) | 1.3 (0.8–1.9) | 63 (4.8) | 2.0 (1.6–2.6)* | 30 (4.7) | 2.4 (1.6–3.4)* |
Endocrine | ||||||||
Diabetes | 443 (7.9) | 1.5 (1.4–1.6)* | 57 (6.4) | 1.2 (0.9–1.6) | 84 (6.3) | 1.0 (0.8–1.3) | 36 (5.6) | 1.4 (1.0–2.0) |
Psychological | ||||||||
Depression | 367 (6.5) | 1.2 (1.1–1.3)* | 62 (7.0) | 1.3 (1.0–1.7)* | 94 (7.1) | 1.5 (1.2–1.8)* | 56 (8.7) | 1.4 (1.0–1.8)* |
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