Reumatizam, Vol. 61 No. 2, 2014.
Review article
Comorbidities in patients with rheumatoid arthritis
Silva Pukšić
; Department for Clinical Immunology and Rheumatology, Clinic for Internal Medicine of the School of Medicine, University of Zagreb, Clinical Hospital Dubrava, Zagreb, Croatia
Jadranka Morović-Vergles
; Department for Clinical Immunology and Rheumatology, Clinic for Internal Medicine of the School of Medicine, University of Zagreb, Clinical Hospital Dubrava, Zagreb, Croatia
Abstract
Comorbidity in rheumatoid arthritis (RA) patients significantly impairs and limits management of primary disease, decreases general quality of life, and worsens outcomes. Cardiovascular comorbidity is the leading cause of excess mortality in RA patients, which is up to two times higher compared to the general population. Infections, pulmonary disease and malignant diseases also contribute to excess mortality, while fatigue, depression and osteoporosis are related to decreased quality of life. Adequate management of RA patients should therefore, besides tight control of disease activity, also include comorbidity screening and management. This approach should improve both RA and comorbidity related outcomes.
Keywords
comorbidity; rheumatoid arthritis; cardiovascular diseases; osteoporosis; depression; infections
Hrčak ID:
137894
URI
Publication date:
23.10.2014.
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