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Prevalence of comorbidities in Mexican mestizo patients with rheumatoid arthritis

  • Epidemiology of RMD
  • Published:
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Abstract

Patients with rheumatoid arthritis (RA) have a high risk for comorbid conditions which increase mortality, hospital admissions, costs of care and inability. To evaluate the prevalence of comorbidities in Mexican mestizo patients with RA and determine the associated risk factors. Cross-sectional study in which RA patients admitted to our outpatient clinic were consecutively enrolled. We collected data regarding demographics, disease characteristics and comorbidities at the time of the patient’s visit to the clinic. We analyzed 225 patients. Their mean age was 55.7 ± 8.3 years; disease duration, 9.5 (3.8–15.5) years; female gender, 93.8%; Disease Activity Score using 28 joints-C-reactive protein, 3 (2–4); methotrexate use, 84.9%; use of any other conventional disease modifying anti-rheumatic drug, 65.7%; use of biological agents, 8%. The most frequently associated diseases were: hypertension, 29.8%; dyslipidemia, 27.1%; osteoporosis, 19.1%; diabetes, 12.4%; hypothyroidism, 6.2%; solid malignancies 4.4%. Risk factors were also evaluated, the most prevalent was overweight in 101 (44.9%) of our patients. A total of 71 (31.6%) had obesity. We also detected high blood pressure in 12.4%, hyperglycemia in 27.1% and hyperlipidemia in 49.8%. Due to the high frequency of comorbidities among RA patients, it is important to follow existing recommendations for their timely detection and management. Cardiovascular diseases must be evaluated with priority. The initial evaluation should include a thorough examination to prevent the deleterious effect of comorbidities in RA.

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Authors and Affiliations

  1. Rheumatology Division, Internal Medicine Department, “Dr. Jose Eleuterio Gonzalez” University Hospital, Universidad Autónoma de Nuevo León, Monterrey, Nuevo León, Mexico

    Dionicio A. Galarza-Delgado, Iris J. Colunga-Pedraza, Ray E. Ramos-Cázares, Aldo Valdovinos-Bañuelos, Jorge Antonio Esquivel-Valerio & Mario A. Garza-Elizondo

  2. Cardiology Division, Internal Medicine Department, “Dr. Jose Eleuterio Gonzalez” University Hospital, Universidad Autónoma de Nuevo León, Monterrey, Nuevo León, Mexico

    Jose R. Azpiri-Lopez & Francisco J. Torres-Quintanilla

  3. Internal Medicine Department, “Dr. Jose Eleuterio Gonzalez” University Hospital, Universidad Autónoma de Nuevo León, Monterrey, Nuevo León, Mexico

    Jesus A. Cárdenas-de la Garza, Raymundo Vera-Pineda, Martín Wah-Suárez, Rosa I. Arvizu-Rivera & Adrian Martínez-Moreno

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  1. Dionicio A. Galarza-Delgado
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  2. Jose R. Azpiri-Lopez
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  3. Iris J. Colunga-Pedraza
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  8. Adrian Martínez-Moreno
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  10. Francisco J. Torres-Quintanilla
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  11. Aldo Valdovinos-Bañuelos
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  12. Jorge Antonio Esquivel-Valerio
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  13. Mario A. Garza-Elizondo
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Corresponding author

Correspondence to Dionicio A. Galarza-Delgado.

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None of the authors declare any conflict of interest.

Ethical statement

All procedures performed in this study were in accordance with the ethical standards of the institutional research committee and with the 1964 Helsinki declaration and its later amendments.

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This study received no external funding.

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Galarza-Delgado, D.A., Azpiri-Lopez, J.R., Colunga-Pedraza, I.J. et al. Prevalence of comorbidities in Mexican mestizo patients with rheumatoid arthritis. Rheumatol Int 37, 1507–1511 (2017). https://doi.org/10.1007/s00296-017-3769-3

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