Bruk av videokonsultasjon ved en revmatologisk poliklinikk

På grunn av covid-19-pandemien ble implementering av videokonsultasjon som alternativ til fysisk oppmøte ved polikliniske konsultasjoner fremskyndet for personer med revmatisk sykdom ved Diakonhjemmet Sykehus. Videokonsultasjon ble innført i mars 2020, og vi presenterer her erfaringer blant behandlere og pasienter

Cardiovascular disease risk profiles in inflammatory joint disease entities

Background Patients with inflammatory joint diseases (IJD) have increased risk of cardiovascular disease (CVD). Our aim was to compare CVD risk profiles in patients with IJD, including rheumatoid arthritis (RA), axial spondyloarthritis (axSpA) and psoriatic arthritis (PsA) and evaluate the future risk of CVD. Methods The prevalence and numbers of major CVD risk factors (CVD-RFs) (hypertension, elevated cholesterol, obesity, smoking, and diabetes mellitus) were estimated in patients with RA, axSpA and PsA. Relative and absolute risk of CVD according to Systematic Coronary Risk Evaluation (SCORE) was calculated. Results In total, 3791 patients were included. CVD was present in 274 patients (7.2%). Of those without established CVD; hypertension and elevated cholesterol were the most frequent CVD-RFs, occurring in 49.8% and 32.8% of patients. Patients with PsA were more often hypertensive and obese. Overall, 73.6% of patients had a minimum of one CVD-RF, which increased from 53.2% among patients aged 30 to <45 years, to 86.2% of patients aged 60 to ≤80 years. Most patients (93.5%) had low/moderate estimated risk of CVD according to SCORE. According to relative risk estimations, 35.2% and 24.7% of patients had two or three times risk or higher, respectively, compared to individuals with no CVD-RFs. Conclusions In this nationwide Norwegian project, we have shown for the first time that prevalence and numbers of CVD-RFs were relatively comparable across the three major IJD entities. Furthermore, estimated absolute CVD risk was low, but the relative risk of CVD was markedly high in patients with IJD. Our findings indicate the need for CVD risk assessment in all patients with IJD

Additional file 1: of Cardiovascular disease risk profiles in inflammatory joint disease entities

Table S1 Sensitivity analyses of prevalence of cardiovascular disease risk factors across age strata in patients with rheumatoid arthritis, axial spondylitis and psoriatic arthritis. Table S2 Quantity of conventional cardiovascular risk factors. Table S3 Ten year risk of fatal cardiovascular disease events. Table S4 Cardiovascular risk categories. Table S5 Relative risk in patients with inflammatory joint diseases. Table S6 Data availability for cardiovascular risk factors. Table S7 Patient characteristics and cardiovascular risk factors according to rheumatic disease activity. Table S8 Characteristics of rheumatoid arthritis patients according to rheumatoid factor and anti-citrullinated protein antibody positivity. Table S9 Patient characteristics and cardiovascular risk factors according to current use of biologic agents. (DOCX 58 kb