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Retrospective cohort study on risk of hearing loss in patients with rheumatoid arthritis using claims data
OBJECTIVES: Population studies on hearing loss (HL) associated with rheumatoid arthritis (RA) are lacking. This study investigated the risk of developing HL in patients with RA using a nationwide population cohort. SETTING: The population-based insurance claims data in the Taiwan National Health Ins...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BMJ Publishing Group
2018
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5780710/ https://www.ncbi.nlm.nih.gov/pubmed/29306884 http://dx.doi.org/10.1136/bmjopen-2017-018134 |
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author | Huang, Chung-Ming Chen, Hsuan-Ju Huang, Po-Hao Tsay, Gregory J Lan, Joung-Liang Sung, Fung-Chang |
author_facet | Huang, Chung-Ming Chen, Hsuan-Ju Huang, Po-Hao Tsay, Gregory J Lan, Joung-Liang Sung, Fung-Chang |
author_sort | Huang, Chung-Ming |
collection | PubMed |
description | OBJECTIVES: Population studies on hearing loss (HL) associated with rheumatoid arthritis (RA) are lacking. This study investigated the risk of developing HL in patients with RA using a nationwide population cohort. SETTING: The population-based insurance claims data in the Taiwan National Health Insurance Research Database. DESIGN: Retrospective cohort study followed up RA cohort and control cohort without RA frequency matched by sex, age and diagnosis year. STUDY POPULATION: 18 267 patients with RA newly diagnosed in 2000–2006 and 73 068 controls without RA. MAIN OUTCOMES: Incidences of HL by the end of 2011 and the RA cohort to non-RA cohort HRs after adjusting for sex, age and comorbidities. RESULTS: The HL incidence was higher in the RA cohort than in the non-RA cohort (3.08 vs 1.62 per 1000 person-years), with an adjusted HR (aHR) of 1.91 (95% CI 1.70 to 2.14) for the RA cohort relative to the non-RA cohort after controlling for age, sex and comorbidities. Men and the elderly are at a higher risk. Cardiovascular comorbidities were associated with a further increased HL risk for patients with RA. Medications were associated with reduced HL incidence; patients with RA who used non-steroidal anti-inflammatory drugs (NSAIDs) had an aHR of 0.12 (95% CI 0.07 to 0.20), compared with non-users. CONCLUSIONS: This study demonstrates that patients with RA are at an increased risk of developing HL. Findings highlight the need of disease-modifying treatment and scheduled auditory examinations for HL prevention and early detection for patients with RA. |
format | Online Article Text |
id | pubmed-5780710 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | BMJ Publishing Group |
record_format | MEDLINE/PubMed |
spelling | pubmed-57807102018-01-31 Retrospective cohort study on risk of hearing loss in patients with rheumatoid arthritis using claims data Huang, Chung-Ming Chen, Hsuan-Ju Huang, Po-Hao Tsay, Gregory J Lan, Joung-Liang Sung, Fung-Chang BMJ Open Rheumatology OBJECTIVES: Population studies on hearing loss (HL) associated with rheumatoid arthritis (RA) are lacking. This study investigated the risk of developing HL in patients with RA using a nationwide population cohort. SETTING: The population-based insurance claims data in the Taiwan National Health Insurance Research Database. DESIGN: Retrospective cohort study followed up RA cohort and control cohort without RA frequency matched by sex, age and diagnosis year. STUDY POPULATION: 18 267 patients with RA newly diagnosed in 2000–2006 and 73 068 controls without RA. MAIN OUTCOMES: Incidences of HL by the end of 2011 and the RA cohort to non-RA cohort HRs after adjusting for sex, age and comorbidities. RESULTS: The HL incidence was higher in the RA cohort than in the non-RA cohort (3.08 vs 1.62 per 1000 person-years), with an adjusted HR (aHR) of 1.91 (95% CI 1.70 to 2.14) for the RA cohort relative to the non-RA cohort after controlling for age, sex and comorbidities. Men and the elderly are at a higher risk. Cardiovascular comorbidities were associated with a further increased HL risk for patients with RA. Medications were associated with reduced HL incidence; patients with RA who used non-steroidal anti-inflammatory drugs (NSAIDs) had an aHR of 0.12 (95% CI 0.07 to 0.20), compared with non-users. CONCLUSIONS: This study demonstrates that patients with RA are at an increased risk of developing HL. Findings highlight the need of disease-modifying treatment and scheduled auditory examinations for HL prevention and early detection for patients with RA. BMJ Publishing Group 2018-01-05 /pmc/articles/PMC5780710/ /pubmed/29306884 http://dx.doi.org/10.1136/bmjopen-2017-018134 Text en © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2018. All rights reserved. No commercial use is permitted unless otherwise expressly granted. This is an Open Access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/ |
spellingShingle | Rheumatology Huang, Chung-Ming Chen, Hsuan-Ju Huang, Po-Hao Tsay, Gregory J Lan, Joung-Liang Sung, Fung-Chang Retrospective cohort study on risk of hearing loss in patients with rheumatoid arthritis using claims data |
title | Retrospective cohort study on risk of hearing loss in patients with rheumatoid arthritis using claims data |
title_full | Retrospective cohort study on risk of hearing loss in patients with rheumatoid arthritis using claims data |
title_fullStr | Retrospective cohort study on risk of hearing loss in patients with rheumatoid arthritis using claims data |
title_full_unstemmed | Retrospective cohort study on risk of hearing loss in patients with rheumatoid arthritis using claims data |
title_short | Retrospective cohort study on risk of hearing loss in patients with rheumatoid arthritis using claims data |
title_sort | retrospective cohort study on risk of hearing loss in patients with rheumatoid arthritis using claims data |
topic | Rheumatology |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5780710/ https://www.ncbi.nlm.nih.gov/pubmed/29306884 http://dx.doi.org/10.1136/bmjopen-2017-018134 |
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