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Research ArticleArticle

Tumor Necrosis Factor-α Inhibitor Use Is Not Associated with Lipid Changes in Rheumatoid Arthritis

ANDRONIKI BILI, STEPHANIE J. MORRIS, JENNIFER A. SARTORIUS, H. LES KIRCHNER, JANA L. ANTOHE, SORINA DANCEA and MARY CHESTER WASKO
The Journal of Rheumatology May 2012, 39 (5) 946-948; DOI: https://doi.org/10.3899/jrheum.111093
ANDRONIKI BILI
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  • For correspondence: abili1@geisinger.edu
STEPHANIE J. MORRIS
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JENNIFER A. SARTORIUS
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H. LES KIRCHNER
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JANA L. ANTOHE
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SORINA DANCEA
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MARY CHESTER WASKO
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    Table 1.

    Patient characteristics by tumor necrosis factor-α inhibitor use. Data are number of patients (%) or median (interquartile range).

    CharacteristicOverall, n = 807Never Used, n = 629Ever Used, n = 178p*
    Male247 (31)187 (30)60 (34)0.282
    White775 (96)607 (96)168 (94)0.194
    Hypertension541 (67)425 (68)116 (65)0.508
    Diabetes270 (34)220 (35)50 (28)0.065
    Positive rheumatoid factor (known = 662)505 (76)394 (76)111 (77)0.932
    Medication use (ever)
      NSAID386 (48)290 (46)96 (54)0.078
      Steroids542 (67)415 (66)127 (71)0.197
      Hydroxychloroquine237 (29)194 (31)43 (24)0.062
      Methotrexate369 (46)260 (41)109 (61)< 0.001
      Etanercept98 (12)—98 (55)
      Adalimumab59 (7)—59 (33)
      Infliximab27 (3)—27 (15)
      Statins343 (43)264 (42)79 (44)0.634
        Statin potency
          Low44 (5)35 (6)9 (5)0.792
          Medium171 (21)135 (21)36 (20)0.721
          High152 (19)114 (18)38 (21)0.331
      Other lipid lowering76 (9)57 (9)19 (10)0.698
    Age at RA diagnosis, yrs60.0 (51–71)62.0 (53–71)55.0 (48–63)< 0.001
    BMI (known = 783)29.8 (26–35)29.8 (26–34)29.9 (26–36)0.178
      BMI maximum32.5 (28–38)32.5 (28–38)32.4 (28–39)0.640
      BMI closest to RA diagnosis29.8 (26–35)29.8 (26–35)29.7 (26–35)0.834
    Initial LDL105 (82–130)118 (91–144)118 (97–140)0.515
    Initial HDL53 (43–65)57 (47–69)60 (49–71)0.129
    Initial triglyceride134.5 (97–199)154 (112–219)168 (118–249)0.134
    Initial total cholesterol190 (165–219)204 (173–237)201 (185–231)0.394
    ESR (known = 673)23.5 (12–41)25 (12.5–42.5)22 (10.7–34)0.018
    • ↵* Chi-square tests (frequencies) or Wilcoxon’s test (medians). NSAID: nonsteroidal antiinflammatory drugs; RA: rheumatoid arthritis; BMI: body mass index; LDL: low-density lipoprotein; HDL: high-density lipoprotein; ESR: erythrocyte sedimentation rate.

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    Table 2.

    Final adjusted longitudinal model* estimates for tumor necrosis factor-α (TNF-α) inhibitor use status. Values are median (interquartile range).

    Total on TNF-α Inhibitors
    AllNo StatinsNo Statins or Diabetes
    Total cholesterol (TC)1.55 (−2.93, 6.04)3.45 (−3.17, 10.07)0.33 (−6.93, 7.59)
    HDL0.42 (−0.94, 1.78)1.48 (−0.75, 3.70)1.47 (−1.17, 4.10)
    LDL−1.73 (−5.52, 1.99)−2.18 (−7.52, 3.16)−0.62 (−6.67, 5.43)
    Triglyceride9.11 (−1.56, 19.77)13.31 (−2.45, 29.08)2.43 (−13.77, 18.62)
    TC/HDL0.004 (−0.12, 0.13)−0.01 (−0.19, 0.16)−0.06 (−0.26, 0.14)
    LDL/HDL−0.03 (−0.12, 0.07)−0.05 (−0.18, 0.08)−0.05 (−0.20, 0.10)
    • ↵* Adjusted for sex, age at RA diagnosis, race, body mass index (time-varying), rheumatoid factor (yes/no), diabetes, hypertension, and use (time-varying) of steroids, nonsteroidal antiinflammatory drugs, methotrexate, hydroxychloroquine, statins (classified as none, low, medium, high potency), and other lipid-lowering medications. HDL: high-density lipoprotein; LDL: low-density lipoprotein.

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1 May 2012
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Tumor Necrosis Factor-α Inhibitor Use Is Not Associated with Lipid Changes in Rheumatoid Arthritis
ANDRONIKI BILI, STEPHANIE J. MORRIS, JENNIFER A. SARTORIUS, H. LES KIRCHNER, JANA L. ANTOHE, SORINA DANCEA, MARY CHESTER WASKO
The Journal of Rheumatology May 2012, 39 (5) 946-948; DOI: 10.3899/jrheum.111093

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Tumor Necrosis Factor-α Inhibitor Use Is Not Associated with Lipid Changes in Rheumatoid Arthritis
ANDRONIKI BILI, STEPHANIE J. MORRIS, JENNIFER A. SARTORIUS, H. LES KIRCHNER, JANA L. ANTOHE, SORINA DANCEA, MARY CHESTER WASKO
The Journal of Rheumatology May 2012, 39 (5) 946-948; DOI: 10.3899/jrheum.111093
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