Socioeconomic Inequalities in All-Cause and Cause-Specific Mortality Among Patients With Osteoarthritis in the Skåne Region of Sweden.
Objective: To assess the association between education and all-cause and cause-specific mortality among patients with osteoarthritis (OA) in comparison to an OA-free reference cohort.Methods: Using data from the Skåne Healthcare Register, we identified all residents age ≥45 years in the region of Sk...
| Publicado en: | Arthritis Care & Research Vol. 74; no. 10; pp. 1704 - 1713 |
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| Autores principales: | , , , |
| Formato: | research Journal Article |
| Publicado: |
Wiley-Blackwell
Oct2022
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=159376607&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 159376607 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 2151464X B8M4 jtl: Arthritis Care & Research issn: 2151464X maglogo: N pubinfo: dt: Oct2022 vid: 74 iid: 10 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 159376607 157851050 159376607 NLM33811479 159376607 10.1002/acr.24613 NLM33811479 159376607 ppf: 1704 ppct: 9 formats: tig: atl: Socioeconomic Inequalities in All-Cause and Cause-Specific Mortality Among Patients With Osteoarthritis in the Skåne Region of Sweden. aug: au: Lindéus, Maria Turkiewicz, Aleksandra Englund, Martin Kiadaliri, Ali affil: Lund University, Faculty of Medicine, Lund, Sweden sug: subj: Osteoarthritis Diagnosis Educational Status Sweden Cause of Death Socioeconomic Factors Middle Age Middle Aged: 45-64 years ab: Objective: To assess the association between education and all-cause and cause-specific mortality among patients with osteoarthritis (OA) in comparison to an OA-free reference cohort.Methods: Using data from the Skåne Healthcare Register, we identified all residents age ≥45 years in the region of Skåne in southern Sweden with doctor-diagnosed OA of peripheral joints between 1998 and 2013 (n = 123,993). We created an age- and sex-matched reference cohort without OA diagnosis (n = 121,318). Subjects were followed until death, relocation outside Skåne, or the end of 2014. The relative index of inequality (RII) and the slope index of inequality (SII) were estimated by the Cox model and Aalen's additive hazard model, respectively.Results: We found an inverse association between education and mortality. The magnitude of relative inequalities in all-cause mortality were comparable in the OA, with an RII of 1.53 (95% confidence interval [95% CI] 1.46, 1.61), and reference cohorts (RII 1.54 [95% CI 1.47, 1.62]). The absolute inequalities were smaller in the OA cohort (all-cause deaths per 100,000 person-years, SII 937 [95% CI 811, 1,063]) compared with the reference cohort (SII 1,265 [95% CI 1,109, 1,421]). Cardiovascular mortality contributed more to the absolute inequalities in the OA cohort than in the reference cohort (60.1% versus 48.1%) while the opposite was observed for cancer mortality (8.5% versus 22.3%).Conclusion: We found higher all-cause and cause-specific mortality in OA patients with lower education. The observed inequalities in the OA cohort reflect the inequalities in the population at large. The greater burden of cardiovascular diseases in OA patients suggests that proper management of cardiovascular risk factors in OA patients is important. pubtype: Academic Journal doctype: research Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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