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Research ArticleSpondyloarthritis

Prevalence of Comorbidities and Risk Factors for Comorbidities in Patients with Spondyloarthritis in Latin America: A Comparative Study with the General Population and Data from the ASAS-COMOSPA Study

Wilson Bautista-Molano, Robert Landewé, Rubén Burgos-Vargas, José Maldonado-Cocco, Anna Moltó, Filip van den Bosch, Rafael Valle-Oñate, Maxime Dougados and Désirée van der Heijde
The Journal of Rheumatology February 2018, 45 (2) 206-212; DOI: https://doi.org/10.3899/jrheum.170520
Wilson Bautista-Molano
From the Rheumatology Department, Leiden University Medical Center, Leiden, the Netherlands; School of Medicine, Universidad Militar Nueva Granada and Rheumatology Department, Hospital Militar, Bogotá, Colombia; Amsterdam Rheumatology and Clinical Immunology Center, Amsterdam; Zuyderland Medical Center Heerlen, Heerlen, the Netherlands; Servicio de Reumatología, Hospital General de México and Universidad Nacional Autónoma de México, Mexico City, Mexico; School of Medicine, Buenos Aires University and Argentine Rheumatologic Foundation Dr. Osvaldo Carcia Morteo, Buenos Aires, Argentina; Rheumatology B Department, Paris Descartes University, Cochin Hospital, AP-HP; INSERM (U1153): Clinical epidemiology and biostatistics, PRES Sorbonne Paris-Cité, Paris, France; Department of Rheumatology, Ghent University Hospital, Ghent, Belgium.
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  • For correspondence: wilson.bautista@gmail.com
Robert Landewé
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Rubén Burgos-Vargas
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José Maldonado-Cocco
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Anna Moltó
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Filip van den Bosch
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Rafael Valle-Oñate
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Maxime Dougados
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Désirée van der Heijde
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Article Figures & Data

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    Table 1.

    Demographic, disease characteristics, and comorbidities of the Latin America countries and the global ASAS-COMOSPA study. All values are %, except for n (%) for categorical or mean (SD) for continuous variables.

    CharacteristicsASAS-COMOSPALatin AmericaArgentinaColombiaMexico
    No. patients39843902368569
    Male65.063.861.960.075.4
    Age, yrs44 (14)44.6 (14.7)45.4 (14.5)44.1 (13.9)42.6 (16.3)
    Education level, university42.442.634.750.659.4
    Smoking status, current23.016.722.010.65.8
    Disease duration, yrs8.2 (9.4)7.0 (8.1)6.7 (8.3)5.2 (5.6)9.3 (8.7)
    Disease symptoms
      Axial involvement88.784.278.392.994.0
      Arthritis56.473.977.070.667.2
      Enthesitis38.062.557.977.659.7
      Dactylitis15.623.825.524.716.4
      Uveitis20.315.814.911.823.9
      Psoriasis22.523.033.24.710.4
      IBD5.23.33.43.53.0
    ASDAS-CRP2.0 (1.1)1.9 (1.1)1.8 (1.1)2.0 (1.0)1.8 (1.4)
    BASFI3.0 (2.7)3.4 (2.8)3.1 (2.8)4.3 (2.2)3.7 (3.0)
    NSAID use, last 3 mos67.871.871.968.276.1
    Methotrexate, ever32.747.648.742.350.7
    Sulfasalazine, ever43.943.525.470.287
    Biological (TNFi), ever43.934.135.636.426.1
    • ASAS-COMOSPA: Assessment of SpondyloArthritis international Society of COMOrbidities in SpA; SpA: spondyloarthritis; IBD: inflammatory bowel disease; ASDAS-CRP: Ankylosing Spondylitis Disease Activity Score–C-reactive protein; BASFI: Bath Ankylosing Spondylitis Functional Index; NSAID: nonsteroidal antiinflammatory drug; TNFi: tumor necrosis factor inhibitor.

    • View popup
    Table 2.

    Observed prevalence of AHT in the ASAS-COMOSPA study (Latin America) compared with the expected prevalence in the general population and the prevalence of Global ASAS-COMOSPA for reference.

    SexAge, yrsObserved LA ASAS-COMOSPAExpected General Population Prevalence (%)SRR (CI 95%)Global ASAS-COMOSPA
    n(%)n(%)
    Men≤ 2400NA—32.65
    25–34412.53.63.4498.47
    35–4428.77.81.115224.4
    45–54628.514.61.924743.3
    55–64457.130.91.824061.1
    ≥ 65770.0NA—20184.1
    Total2322.312.91.4 (0.9–2.2)89234.4
    Women≤ 2400NA—00
    25–3418.30.99.2177.4
    35–44215.33.84.06116.8
    45–54541.617.02.413236.8
    55–64111.134.30.310445.6
    ≥ 65125.0NA—10268.6
    Total1019.612.11.5 (0.8–2.8)41629.8
    Total (men/women)3321.412.51.5 (1.0–2.1)130833.1
    • Hypertension defined as a history of hypertension or antihypertensive therapy use or blood pressure ≥ 140/90 mm Hg at the study visit. LA: Latin America (data confined to patients from Colombia and Mexico); SRR: standardized risk ratio (ratio calculated for the age of 25–64 yrs); n: number with a diagnosis of arterial hypertension (AHT) in each sex and age group; ASAS-COMOSPA: Assessment of SpondyloArthritis international Society of COMOrbidities in SpA; SpA: spondyloarthritis; NA: not available.

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    Table 3.

    Observed prevalence of TB in the ASAS-COMOSPA study (Latin America) compared with the expected prevalence in the general population and the prevalence of Global ASAS-COMOSPA for reference.

    SexAge, yrsObserved LA ASAS-COMOSPAExpected General Population Prevalence (%)SRR (CI 95%)Global ASAS-COMOSPA
    n(%)n(%)
    Men20–24000.29—00
    25–34000.21—162.7
    35–4423.30.2314.3152.4
    45–5424.30.4010.7183.1
    55–6427.40.7310.1123.1
    ≥ 6514.01.143.5177.1
    Total men72.80.416.8 (3.2–13.9)783.0
    Women20–24000.22—00
    25–34000.13—10.4
    35–4425.60.1537.341.1
    45–5412.80.1914.761.7
    55–6427.40.3720.0114.8
    ≥ 6517.10.4117.310.7
    Total women64.20.2318.2 (8.5–40.6)231.6
    Total (men/women)133.30.3210.3 (6.1–17.8)1012.5
    • LA: Latin America; TB: tuberculosis; SRR: standardized risk ratio; ASAS-COMOSPA: Assessment of SpondyloArthritis international Society of COMOrbidities in SpA; SpA: spondyloarthritis.

    • View popup
    Table 4.

    Observed prevalence of all malignancies in the ASAS-COMOSPA study (Latin America) compared with the expected prevalence in the general population and prevalence of Global ASAS-COMOSPA for reference.

    SexAge, yrsObserved LA ASAS-COMOSPAExpected General Population Prevalence (%)SRR (CI 95%)Global ASAS-COMOSPA
    n(%)n(%)
    Men20–39000.41—40.3
    40–44000.76—20.6
    45–49001.29—51.6
    50–5415.02.392.083.0
    55–5917.64.111.893.9
    60–6417.16.491.095.4
    65–7018.39.280.81311.3
    ≥ 7017.615.170.52721.9
    Total men52.02.410.8 (0.3–1.9)772.9
    Women20–39000.54—61.2
    40–44001.91—31.6
    45–4914.32.701.542.2
    50–54215.33.534.3116.0
    55–59213.34.492.964.6
    60–6418.35.901.41010.0
    65–70006.98—44.8
    ≥ 70009.57—710.7
    Total women64.22.671.5 (0.7–3.4)513.6
    Total (men/women)112.82.61.0 (0.6–1.9)1283.2
    • LA: Latin America; n: number with a diagnosis of malignancies in each sex and age group; ASAS-COMOSPA: Assessment of SpondyloArthritis international Society of COMOrbidities in SpA; SpA: spondyloarthritis; SRR: standardized risk ratio.

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Vol. 45, Issue 2
1 Feb 2018
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Prevalence of Comorbidities and Risk Factors for Comorbidities in Patients with Spondyloarthritis in Latin America: A Comparative Study with the General Population and Data from the ASAS-COMOSPA Study
Wilson Bautista-Molano, Robert Landewé, Rubén Burgos-Vargas, José Maldonado-Cocco, Anna Moltó, Filip van den Bosch, Rafael Valle-Oñate, Maxime Dougados, Désirée van der Heijde
The Journal of Rheumatology Feb 2018, 45 (2) 206-212; DOI: 10.3899/jrheum.170520

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Prevalence of Comorbidities and Risk Factors for Comorbidities in Patients with Spondyloarthritis in Latin America: A Comparative Study with the General Population and Data from the ASAS-COMOSPA Study
Wilson Bautista-Molano, Robert Landewé, Rubén Burgos-Vargas, José Maldonado-Cocco, Anna Moltó, Filip van den Bosch, Rafael Valle-Oñate, Maxime Dougados, Désirée van der Heijde
The Journal of Rheumatology Feb 2018, 45 (2) 206-212; DOI: 10.3899/jrheum.170520
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Keywords

SPONDYLOARTHRITIS
RISK FACTORS
PREVALENCE

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