Prevalence and incidence of celiac disease in patients with rheumatoid arthritis: a case-control study based on the RECORD cohort

BackgroundThe reported prevalence of coeliac disease (CD) in rheumatoid arthritis (RA) is variable.ObjectiveTo evaluate the prevalence and incidence of CD in RA and controls.DesignCase-control study on administrative data.MethodsThe RECord linkage On Rheumatic Disease database (administrative data,...

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Main Authors: Garifallia Sakellariou, Annalisa Schiepatti, Anna Zanetti, Carlomaurizio Montecucco, Federico Biagi, Carlo Alberto Scirè
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-01-01
Series:Frontiers in Medicine
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Online Access:https://www.frontiersin.org/articles/10.3389/fmed.2024.1470855/full
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author Garifallia Sakellariou
Garifallia Sakellariou
Annalisa Schiepatti
Annalisa Schiepatti
Anna Zanetti
Carlomaurizio Montecucco
Carlomaurizio Montecucco
Federico Biagi
Federico Biagi
Carlo Alberto Scirè
Carlo Alberto Scirè
author_facet Garifallia Sakellariou
Garifallia Sakellariou
Annalisa Schiepatti
Annalisa Schiepatti
Anna Zanetti
Carlomaurizio Montecucco
Carlomaurizio Montecucco
Federico Biagi
Federico Biagi
Carlo Alberto Scirè
Carlo Alberto Scirè
author_sort Garifallia Sakellariou
collection DOAJ
description BackgroundThe reported prevalence of coeliac disease (CD) in rheumatoid arthritis (RA) is variable.ObjectiveTo evaluate the prevalence and incidence of CD in RA and controls.DesignCase-control study on administrative data.MethodsThe RECord linkage On Rheumatic Disease database (administrative data, 2004–2013) was used to retrieve patients with RA and age and sex-matched controls. Prevalence and incidence of CD were calculated and stratified according to age, gender, and calendar year.ResultsThe cohort included 346,956 subjects (mean age 59.9 (14.5), 70.7% females), of which 70,061 RA and 276,895 controls. Median follow-up was 9 years (IQR 9–9). The prevalence of CD was higher in RA (171/70,061 = 0.24% (0.2–0.3%) vs 398/276895 = 0.14% (0.1–0.2%), p < 0.001). The prevalence of CD among females with RA was increased compared to controls (0.3% vs 0.08%, p < 0.001), but was not increased in males with RA. The incidence was higher in RA and remained stable throughout the observation period.ConclusionThe prevalence and incidence of CD were increased in RA, particularly in females.
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spelling doaj-art-733148b6153841b1b2a4acfd8a1296522025-01-20T07:19:39ZengFrontiers Media S.A.Frontiers in Medicine2296-858X2025-01-011110.3389/fmed.2024.14708551470855Prevalence and incidence of celiac disease in patients with rheumatoid arthritis: a case-control study based on the RECORD cohortGarifallia Sakellariou0Garifallia Sakellariou1Annalisa Schiepatti2Annalisa Schiepatti3Anna Zanetti4Carlomaurizio Montecucco5Carlomaurizio Montecucco6Federico Biagi7Federico Biagi8Carlo Alberto Scirè9Carlo Alberto Scirè10Department of Internal Medicine and Therapeutics, Università di Pavia, Pavia, ItalyIstituti Clinici Scientifici Maugeri IRCCS, Pavia, ItalyDepartment of Internal Medicine and Therapeutics, Università di Pavia, Pavia, ItalyGastroenterology Unit, Istituti Clinici Scientifici Maugeri IRCCS, Pavia, ItalyEpidemiology Research Unit, Italian Society for Rheumatology, Milan, ItalyDepartment of Internal Medicine and Therapeutics, Università di Pavia, Pavia, ItalyDivision of Rheumatology, Fondazione IRCCS Policlinico San Matteo, Pavia, ItalyDepartment of Internal Medicine and Therapeutics, Università di Pavia, Pavia, ItalyGastroenterology Unit, Istituti Clinici Scientifici Maugeri IRCCS, Pavia, ItalyEpidemiology Research Unit, Italian Society for Rheumatology, Milan, ItalySchool of Medicine, University of Milano Bicocca, Milan, ItalyBackgroundThe reported prevalence of coeliac disease (CD) in rheumatoid arthritis (RA) is variable.ObjectiveTo evaluate the prevalence and incidence of CD in RA and controls.DesignCase-control study on administrative data.MethodsThe RECord linkage On Rheumatic Disease database (administrative data, 2004–2013) was used to retrieve patients with RA and age and sex-matched controls. Prevalence and incidence of CD were calculated and stratified according to age, gender, and calendar year.ResultsThe cohort included 346,956 subjects (mean age 59.9 (14.5), 70.7% females), of which 70,061 RA and 276,895 controls. Median follow-up was 9 years (IQR 9–9). The prevalence of CD was higher in RA (171/70,061 = 0.24% (0.2–0.3%) vs 398/276895 = 0.14% (0.1–0.2%), p < 0.001). The prevalence of CD among females with RA was increased compared to controls (0.3% vs 0.08%, p < 0.001), but was not increased in males with RA. The incidence was higher in RA and remained stable throughout the observation period.ConclusionThe prevalence and incidence of CD were increased in RA, particularly in females.https://www.frontiersin.org/articles/10.3389/fmed.2024.1470855/fullrheumatoid arthritiscoeliac diseaseepidemiologycomorbiditydisability
spellingShingle Garifallia Sakellariou
Garifallia Sakellariou
Annalisa Schiepatti
Annalisa Schiepatti
Anna Zanetti
Carlomaurizio Montecucco
Carlomaurizio Montecucco
Federico Biagi
Federico Biagi
Carlo Alberto Scirè
Carlo Alberto Scirè
Prevalence and incidence of celiac disease in patients with rheumatoid arthritis: a case-control study based on the RECORD cohort
Frontiers in Medicine
rheumatoid arthritis
coeliac disease
epidemiology
comorbidity
disability
title Prevalence and incidence of celiac disease in patients with rheumatoid arthritis: a case-control study based on the RECORD cohort
title_full Prevalence and incidence of celiac disease in patients with rheumatoid arthritis: a case-control study based on the RECORD cohort
title_fullStr Prevalence and incidence of celiac disease in patients with rheumatoid arthritis: a case-control study based on the RECORD cohort
title_full_unstemmed Prevalence and incidence of celiac disease in patients with rheumatoid arthritis: a case-control study based on the RECORD cohort
title_short Prevalence and incidence of celiac disease in patients with rheumatoid arthritis: a case-control study based on the RECORD cohort
title_sort prevalence and incidence of celiac disease in patients with rheumatoid arthritis a case control study based on the record cohort
topic rheumatoid arthritis
coeliac disease
epidemiology
comorbidity
disability
url https://www.frontiersin.org/articles/10.3389/fmed.2024.1470855/full
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