Event Type | Decade | Totala (Events) | HR (95% CI)b | P | HR (95% CI)c | P | HR (95% CI)d | P | HR (95% CI)e | P |
---|---|---|---|---|---|---|---|---|---|---|
Any CVD event (Ml/stroke) | 1980–89 | 191 (48) | Ref | – | Ref | – | Ref | – | Ref | – |
1990–99 | 291 (47) | 0.84 (0.55–1.29) | 0.43 | 0.89 (0.57–1.39) | 0.60 | 0.87 (0.56–1.36) | 0.55 | 1.02 (0.63–1.64) | 0.94 | |
2000–09 | 392 (25) | 0.58 (0.34–0.98) | 0.04 | 0.53 (0.31–0.93) | 0.03 | 0.63 (0.37–1.08) | 0.10 | 0.64 (0.34–1.22) | 0.18 | |
MI | 1980–89 | 195 (26) | Ref | – | Ref | – | Ref | – | Ref | – |
1990–99 | 292 (24) | 0.82 (0.45–1.49) | 0.51 | 0.77 (0.41–1.45) | 0.43 | 0.76 (0.41–1.40) | 0.38 | 0.95 (0.48–1.86) | 0.87 | |
2000–09 | 394 (10) | 0.44 (0.20–0.97) | 0.04 | 0.36 (0.16–0.81) | 0.01 | 0.45 (0.20–0.99) | 0.046 | 0.47 (0.18–1.19) | 0.11 | |
Stroke (ischemic or hemorrhagic) | 1980–89 | 196 (27) | Ref | – | Ref | – | Ref | – | Ref | – |
1990–99 | 297 (28) | 0.84 (0.48–1.46) | 0.53 | 0.95 (0.53–1.70) | 0.86 | 0.97 (0.54–1.73) | 0.91 | 1.05 (0.57–1.94) | 0.87 | |
2000–09 | 402 (18) | 0.75 (0.38–1.45) | 0.38 | 0.77 (0.38–1.56) | 0.47 | 0.88 (0.44–1.73) | 0.70 | 0.92 (0.41–2.04) | 0.83 | |
MI/revascularization procedure | 1980–89 | 194 (36) | Ref | – | Ref | – | Ref | – | Ref | – |
1990–99 | 281 (37) | 0.83 (0.51–1.33) | 0.43 | 0.82 (0.49–1.34) | 0.42 | 0.81 (0.49–1.32) | 0.40 | 0.99 (0.58–1.71) | 0.97 | |
2000–09 | 382 (13) | 0.36 (0.18–0.70) | 0.003 | 0.30 (0.15–0.59) | < 0.001 | 0.37 (0.19–0.72) | 0.003 | 0.40 (0.18–0.87) | 0.02 |
↵a Excludes patients with events prior to RA incidence/index.
↵b Adjusted for age and sex.
↵c Adjusted for age, sex, current and former smoking, obesity, DM, HTN, and dyslipidemia.
↵d Adjusted for age, sex, and highest ESR.
↵e Adjusted for age, sex, current and former smoking, obesity, DM, HTN, dyslipidemia, time-dependent methotrexate, time-dependent hydroxychloroquine, time-dependent other cDMARDs, and time-dependent bDMARDs. bDMARD: biologic DMARD; cDMARD: conventional DMARD; CVD: cardiovascular disease; DM: diabetes mellitus; DMARD: disease-modifying antirheumatic drug; ESR: erythrocyte sedimentation rate; HTN: hypertension; MI: myocardial infarction; RA: rheumatoid arthritis.