The Effect of Statin Use on Mortality in Systemic Autoimmune Rheumatic Diseases

The Journal of Rheumatology
April M JorgeHyon K Choi

Abstract

Systemic autoimmune rheumatic diseases (SARD) are associated with an increased risk of premature cardiovascular disease (CVD) and all-cause mortality. We examined the potential survival benefit of statin use among patients with SARD in a general population setting. We conducted an incident user cohort study using a UK general population database. Our population included patients with a SARD as determined by Read code diagnoses of systemic lupus erythematosus, systemic sclerosis, Sjögren syndrome, dermatomyositis, polymyositis, mixed connective tissue disease, Behçet disease, or antineutrophil cytoplasmic antibodies-associated vasculitis between January 1, 2000, and December 31, 2014. We compared propensity score-matched cohorts of statin initiators and noninitiators within 1-year cohort accrual blocks to account for potential confounders, including disease duration, body mass index, lifestyle factors, comorbidities, and medication use. Of 2305 statin initiators, 298 died during the followup period (mean 5.1 yrs), whereas among 2305 propensity score-matched noninitiators, 338 died during the followup period (mean 4.8 yrs). This corresponded to mortality rates of 25.4/1000 and 30.3/1000 person-years, respectively. Statin initiati...Continue Reading

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Citations

Apr 28, 2020·Endocrine Practice : Official Journal of the American College of Endocrinology and the American Association of Clinical Endocrinologists·Ying WuZhongyan Shan
Dec 7, 2018·The Journal of Rheumatology·Elisa GremeseGianfranco F Ferraccioli
Dec 2, 2020·Annals of the Rheumatic Diseases·Naomi Serling-BoydZachary S Wallace
Jan 2, 2021·Seminars in Arthritis and Rheumatism·Devin AbrahamiSamy Suissa
Jan 21, 2021·Endocrine Practice : Official Journal of the American College of Endocrinology and the American Association of Clinical Endocrinologists·Ying WuZhongyan Shan

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