More Gastro Events in Patients With Rheumatoid Arthritis

Upper and lower gastrointestinal events linked with increased mortality among patients with RA

WEDNESDAY, April 11 (HealthDay News) -- The incidence of upper and lower gastrointestinal (GI) events is higher among patients with rheumatoid arthritis (RA), as is the risk of mortality due to GI events, when compared to individuals without RA, according to a study published online April 1 in the Journal of Rheumatology.

Elena Myasoedova, M.D., Ph.D., of the Mayo Clinic College of Medicine in Rochester, Minn., and colleagues used data from a population-based cohort of patients with RA and individuals without RA in Olmsted County, Minn., to measure the incidence of upper and lower GI events. A total of 813 patients with RA and 813 controls were followed for a mean of 10.3 and 10.8 years, respectively.

The researchers found that the rates of both upper and lower GI events per 100 person-years were significantly higher among individuals with RA compared with those without RA (2.9 versus 1.7 for upper events [rate ratio, 1.7] and 2.1 versus 1.4 for lower GI events [rate ratio, 1.5]). Both upper and lower events correlated with increased mortality risk in patients with RA. Glucocorticoid exposure, previous upper GI bleed, abdominal surgery, and smoking were linked with lower GI events in patients with RA. Over time, the incidence of lower GI events remained unchanged, and the rate of upper GI bleeds, perforations, ulcers, obstruction, or other upper GI events decreased.

"There is increased risk of serious upper and lower GI events in RA compared to non-RA subjects, and increased GI-related mortality in RA," the authors write.

The study was funded by Roche Pharmaceuticals.

Full Text (subscription or payment may be required)

Copyright © 2012 HealthDay. All rights reserved.

Powered by

jQuery UI Accordion - Default functionality

For life-long learning and continuing professional development, come to Lippincott's NursingCenter.

Nursing Jobs Plus
Featured Jobs
Recommended CE Articles

Blunt Chest Trauma
Journal of Trauma Nursing, November/December 2014
Expires: 12/31/2016 CE:2 $21.95

The School Age Child with Congenital Heart Disease
MCN, The American Journal of Maternal/Child Nursing, January/February 2015
Expires: 2/28/2017 CE:2.5 $24.95

Understanding multiple myeloma
Nursing Made Incredibly Easy!, January/February 2015
Expires: 2/28/2017 CE:2 $21.95

More CE Articles

Subscribe to Recommended CE

Recommended Nursing Articles

Comprehensive Care: Looking Beyond the Presenting Problem
Journal of Christian Nursing, January/March 2015
Free access will expire on March 2, 2015.

Pain and Alzheimer dementia: A largely unrecognized problem
Nursing Made Incredibly Easy!, January/February 2015
Free access will expire on February 16, 2015.

Glycemic control in hospitalized patients
Nursing2015 Critical Care, January 2015
Free access will expire on February 16, 2015.

More Recommended Articles

Subscribe to Recommended Articles

Evidence Based Practice Skin Care Network NursingCenter Quick Links What’s Trending Events