Prevalence of comorbidities in rheumatoid arthritis and evaluation of their monitoring in clinical practice: the spanish cohort of the COMORA study.
Identifieur interne : 000004 ( Main/Exploration ); précédent : 000003; suivant : 000005Prevalence of comorbidities in rheumatoid arthritis and evaluation of their monitoring in clinical practice: the spanish cohort of the COMORA study.
Auteurs : Alejandro Balsa [Espagne] ; Leticia Lojo-Oliveira [Espagne] ; Mercedes Alperi-L Pez [Espagne] ; María García-Manrique [Espagne] ; Carmen Ord Ez-Ca Izares [Espagne] ; Lorena Pérez [Espagne] ; Virginia Ruiz-Esquide [Espagne] ; Alfonso Corrales [Espagne] ; Javier Narváez [Espagne] ; José Rey-Rey [Espagne] ; Carlos Rodríguez-Lozano [Espagne] ; Soledad Ojeda [Espagne] ; Santiago Mu Oz-Fernández [Espagne] ; Joan M. Nolla [Espagne] ; José García-Torr N [Espagne] ; Fernando Gamero [Espagne] ; Rosario García-Vicu A [Espagne] ; Blanca Hernández-Cruz [Espagne] ; José Campos [Espagne] ; José Rosas [Espagne] ; José Francisco García-Llorente [Espagne] ; Antonio G Mez-Centeno [Espagne] ; Rafael Cáliz [Espagne] ; Raimon Sanmartí [Espagne] ; Alberto Bermúdez [Espagne] ; Lydia Abasolo-Alcázar [Espagne] ; Antonio Fernández-Nebro [Espagne] ; Luis Rodríguez-Rodríguez [Espagne] ; Carlos Marras [Espagne] ; Miguel Ngel González-Gay [Espagne] ; Ihsane Hmamouchi [Maroc] ; Emilio Martín-Mola [Espagne]Source :
- Reumatologia clinica [ 1885-1398 ]
Descripteurs français
- KwdFr :
- Adolescent (MeSH), Adulte (MeSH), Adulte d'âge moyen (MeSH), Comorbidité (MeSH), Espagne (épidémiologie), Facteurs de risque (MeSH), Femelle (MeSH), Humains (MeSH), Jeune adulte (MeSH), Mâle (MeSH), Polyarthrite rhumatoïde (épidémiologie), Prévalence (MeSH), Sujet âgé (MeSH), Sujet âgé de 80 ans ou plus (MeSH), Études transversales (MeSH).
- MESH :
- Wicri :
- geographic : Espagne.
English descriptors
- KwdEn :
- Adolescent (MeSH), Adult (MeSH), Aged (MeSH), Aged, 80 and over (MeSH), Arthritis, Rheumatoid (epidemiology), Comorbidity (MeSH), Cross-Sectional Studies (MeSH), Female (MeSH), Humans (MeSH), Male (MeSH), Middle Aged (MeSH), Prevalence (MeSH), Risk Factors (MeSH), Spain (epidemiology), Young Adult (MeSH).
- MESH :
- geographic , epidemiology : Spain.
- epidemiology : Arthritis, Rheumatoid.
- Adolescent, Adult, Aged, Aged, 80 and over, Comorbidity, Cross-Sectional Studies, Female, Humans, Male, Middle Aged, Prevalence, Risk Factors, Young Adult.
Abstract
OBJECTIVES
To describe the prevalence of comorbidities in patients with RA in Spain and discuss their management and implications using data from the Spanish cohort of the multinational study on COMOrbidities in Rheumatoid Arthritis (COMORA).
METHODS
This is a national sub-analysis of the COMORA study. We studied the demographics and disease characteristics of 200 adults patients diagnosed with RA (1987 ACR), and routine practices for screening and preventing the following selected comorbidities: cardiovascular, infections, cancer, gastrointestinal, pulmonary, osteoporosis and depression.
RESULTS
Patients had a mean age of 58 years and a mean RA duration of 10 years. Mean DAS28 score was 3.3 and approximately 25% of patients were in remission (DAS28 <2.6). Forty-four (22%) patients had ≥1 comorbidity, the most frequent being depression (27%) and obesity (26%). A history of myocardial infarction or stroke was observed in 5% and 1% of patients, respectively, and any solid tumor in 6%. Having a Framingham Risk Score >20% (51%), hypercholesterolemia (46%) or hypertension (41%) and smoking (25%) were the most common CV risk factors. For prostate, colon and skin cancers, only 9%, 10% and 18% of patients, respectively, were optimally monitored. Infections were also inadequately managed, with 7% and 17% of patients vaccinated against influenza and pneumococcal, respectively, as was osteoporosis, with 47% of patients supplemented with vitamin D and 56% with a bone densitometry performed.
CONCLUSIONS
In Spain, the prevalence of comorbidities and CV risk factors in RA patients with established and advanced disease is relatively high, and their management in clinical daily practice remains suboptimal.
DOI: 10.1016/j.reuma.2017.06.002
PubMed: 28711461
Affiliations:
Links toward previous steps (curation, corpus...)
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Madrid</wicri:regionArea><placeName><settlement type="city">Madrid</settlement><region nuts="2" type="region">Communauté de Madrid</region></placeName></affiliation></author><author><name sortKey="Ruiz Esquide, Virginia" sort="Ruiz Esquide, Virginia" uniqKey="Ruiz Esquide V" first="Virginia" last="Ruiz-Esquide">Virginia Ruiz-Esquide</name><affiliation wicri:level="3"><nlm:affiliation>Hospital Clínic IdiBAPS, Barcelona, Spain.</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>Hospital Clínic IdiBAPS, Barcelona</wicri:regionArea><placeName><settlement type="city">Barcelone</settlement><region nuts="2" type="region">Catalogne</region></placeName></affiliation></author><author><name sortKey="Corrales, Alfonso" sort="Corrales, Alfonso" uniqKey="Corrales A" first="Alfonso" last="Corrales">Alfonso Corrales</name><affiliation wicri:level="1"><nlm:affiliation>Hospital Universitario Marqués de Valdecilla IDIVAL, Santander, Spain.</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>Hospital Universitario Marqués de Valdecilla IDIVAL, Santander</wicri:regionArea><wicri:noRegion>Santander</wicri:noRegion></affiliation></author><author><name sortKey="Narvaez, Javier" sort="Narvaez, Javier" uniqKey="Narvaez J" first="Javier" last="Narváez">Javier Narváez</name><affiliation wicri:level="3"><nlm:affiliation>IDIBELL-Hospital Universitario de Bellvitge, Barcelona, Spain.</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>IDIBELL-Hospital Universitario de Bellvitge, Barcelona</wicri:regionArea><placeName><settlement type="city">Barcelone</settlement><region nuts="2" type="region">Catalogne</region></placeName></affiliation></author><author><name sortKey="Rey Rey, Jose" sort="Rey Rey, Jose" uniqKey="Rey Rey J" first="José" last="Rey-Rey">José Rey-Rey</name><affiliation wicri:level="1"><nlm:affiliation>Hospital Virgen de la Salud, Toledo, Spain.</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>Hospital Virgen de la Salud, Toledo</wicri:regionArea><wicri:noRegion>Toledo</wicri:noRegion></affiliation></author><author><name sortKey="Rodriguez Lozano, Carlos" sort="Rodriguez Lozano, Carlos" uniqKey="Rodriguez Lozano C" first="Carlos" last="Rodríguez-Lozano">Carlos Rodríguez-Lozano</name><affiliation wicri:level="1"><nlm:affiliation>Hospital Universitario de Gran Canaria Dr. Negrín, Las Palmas de Gran Canaria, Spain.</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>Hospital Universitario de Gran Canaria Dr. Negrín, Las Palmas de Gran Canaria</wicri:regionArea><wicri:noRegion>Las Palmas de Gran Canaria</wicri:noRegion></affiliation></author><author><name sortKey="Ojeda, Soledad" sort="Ojeda, Soledad" uniqKey="Ojeda S" first="Soledad" last="Ojeda">Soledad Ojeda</name><affiliation wicri:level="1"><nlm:affiliation>Hospital Universitario de Gran Canaria Dr. Negrín, Las Palmas de Gran Canaria, Spain.</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>Hospital Universitario de Gran Canaria Dr. Negrín, Las Palmas de Gran Canaria</wicri:regionArea><wicri:noRegion>Las Palmas de Gran Canaria</wicri:noRegion></affiliation></author><author><name sortKey="Mu Oz Fernandez, Santiago" sort="Mu Oz Fernandez, Santiago" uniqKey="Mu Oz Fernandez S" first="Santiago" last="Mu Oz-Fernández">Santiago Mu Oz-Fernández</name><affiliation wicri:level="3"><nlm:affiliation>Hospital Universitario Infanta Sofía, Universidad Europea de Madrid, Madrid, Spain.</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>Hospital Universitario Infanta Sofía, Universidad Europea de Madrid, Madrid</wicri:regionArea><placeName><settlement type="city">Madrid</settlement><region nuts="2" type="region">Communauté de Madrid</region></placeName></affiliation></author><author><name sortKey="Nolla, Joan M" sort="Nolla, Joan M" uniqKey="Nolla J" first="Joan M" last="Nolla">Joan M. Nolla</name><affiliation wicri:level="3"><nlm:affiliation>IDIBELL-Hospital Universitario de Bellvitge, Barcelona, Spain.</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>IDIBELL-Hospital Universitario de Bellvitge, Barcelona</wicri:regionArea><placeName><settlement type="city">Barcelone</settlement><region nuts="2" type="region">Catalogne</region></placeName></affiliation></author><author><name sortKey="Garcia Torr N, Jose" sort="Garcia Torr N, Jose" uniqKey="Garcia Torr N J" first="José" last="García-Torr N">José García-Torr N</name><affiliation wicri:level="1"><nlm:affiliation>Hospital San Pedro de Alcántara, Cáceres, Spain.</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>Hospital San Pedro de Alcántara, Cáceres</wicri:regionArea><wicri:noRegion>Cáceres</wicri:noRegion></affiliation></author><author><name sortKey="Gamero, Fernando" sort="Gamero, Fernando" uniqKey="Gamero F" first="Fernando" last="Gamero">Fernando Gamero</name><affiliation wicri:level="1"><nlm:affiliation>Hospital San Pedro de Alcántara, Cáceres, Spain.</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>Hospital San Pedro de Alcántara, Cáceres</wicri:regionArea><wicri:noRegion>Cáceres</wicri:noRegion></affiliation></author><author><name sortKey="Garcia Vicu A, Rosario" sort="Garcia Vicu A, Rosario" uniqKey="Garcia Vicu A R" first="Rosario" last="García-Vicu A">Rosario García-Vicu A</name><affiliation wicri:level="3"><nlm:affiliation>Hospital Universitario La Princesa, IIS-IP, Madrid, Spain.</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>Hospital Universitario La Princesa, IIS-IP, Madrid</wicri:regionArea><placeName><settlement type="city">Madrid</settlement><region nuts="2" type="region">Communauté de Madrid</region></placeName></affiliation></author><author><name sortKey="Hernandez Cruz, Blanca" sort="Hernandez Cruz, Blanca" uniqKey="Hernandez Cruz B" first="Blanca" last="Hernández-Cruz">Blanca Hernández-Cruz</name><affiliation wicri:level="1"><nlm:affiliation>Hospital Universitario Virgen Macarena, Sevilla, Spain.</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>Hospital Universitario Virgen Macarena, Sevilla</wicri:regionArea><wicri:noRegion>Sevilla</wicri:noRegion></affiliation></author><author><name sortKey="Campos, Jose" sort="Campos, Jose" uniqKey="Campos J" first="José" last="Campos">José Campos</name><affiliation wicri:level="3"><nlm:affiliation>Hospital Universitario Puerta de Hierro Majadahonda, Madrid, Spain.</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>Hospital Universitario Puerta de Hierro Majadahonda, Madrid</wicri:regionArea><placeName><settlement type="city">Madrid</settlement><region nuts="2" type="region">Communauté de Madrid</region></placeName></affiliation></author><author><name sortKey="Rosas, Jose" sort="Rosas, Jose" uniqKey="Rosas J" first="José" last="Rosas">José Rosas</name><affiliation wicri:level="1"><nlm:affiliation>Hospital Marina Baixa de Villajoyosa, Alicante, Spain.</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>Hospital Marina Baixa de Villajoyosa, Alicante</wicri:regionArea><wicri:noRegion>Alicante</wicri:noRegion></affiliation></author><author><name sortKey="Garcia Llorente, Jose Francisco" sort="Garcia Llorente, Jose Francisco" uniqKey="Garcia Llorente J" first="José Francisco" last="García-Llorente">José Francisco García-Llorente</name><affiliation wicri:level="1"><nlm:affiliation>Hospital de Mendaro, Guipúzcoa, Spain.</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>Hospital de Mendaro, Guipúzcoa</wicri:regionArea><wicri:noRegion>Guipúzcoa</wicri:noRegion></affiliation></author><author><name sortKey="G Mez Centeno, Antonio" sort="G Mez Centeno, Antonio" uniqKey="G Mez Centeno A" first="Antonio" last="G Mez-Centeno">Antonio G Mez-Centeno</name><affiliation wicri:level="3"><nlm:affiliation>Hospital Parc Taulí, Sabadell, Barcelona, Spain.</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>Hospital Parc Taulí, Sabadell, Barcelona</wicri:regionArea><placeName><settlement type="city">Barcelone</settlement><region nuts="2" type="region">Catalogne</region></placeName></affiliation></author><author><name sortKey="Caliz, Rafael" sort="Caliz, Rafael" uniqKey="Caliz R" first="Rafael" last="Cáliz">Rafael Cáliz</name><affiliation wicri:level="1"><nlm:affiliation>Hospital Virgen de las Nieves, Granada, Spain.</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>Hospital Virgen de las Nieves, Granada</wicri:regionArea><wicri:noRegion>Granada</wicri:noRegion></affiliation></author><author><name sortKey="Sanmarti, Raimon" sort="Sanmarti, Raimon" uniqKey="Sanmarti R" first="Raimon" last="Sanmartí">Raimon Sanmartí</name><affiliation wicri:level="3"><nlm:affiliation>Hospital Clínic IdiBAPS, Barcelona, Spain.</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>Hospital Clínic IdiBAPS, Barcelona</wicri:regionArea><placeName><settlement type="city">Barcelone</settlement><region nuts="2" type="region">Catalogne</region></placeName></affiliation></author><author><name sortKey="Bermudez, Alberto" sort="Bermudez, Alberto" uniqKey="Bermudez A" first="Alberto" last="Bermúdez">Alberto Bermúdez</name><affiliation wicri:level="1"><nlm:affiliation>Hospital Virgen de la Arrixaca, Murcia, Spain.</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>Hospital Virgen de la Arrixaca, Murcia</wicri:regionArea><wicri:noRegion>Murcia</wicri:noRegion></affiliation></author><author><name sortKey="Abasolo Alcazar, Lydia" sort="Abasolo Alcazar, Lydia" uniqKey="Abasolo Alcazar L" first="Lydia" last="Abasolo-Alcázar">Lydia Abasolo-Alcázar</name><affiliation wicri:level="3"><nlm:affiliation>IdISSC, Hospital Clínico San Carlos, Madrid, Spain.</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>IdISSC, Hospital Clínico San Carlos, Madrid</wicri:regionArea><placeName><settlement type="city">Madrid</settlement><region nuts="2" type="region">Communauté de Madrid</region></placeName></affiliation></author><author><name sortKey="Fernandez Nebro, Antonio" sort="Fernandez Nebro, Antonio" uniqKey="Fernandez Nebro A" first="Antonio" last="Fernández-Nebro">Antonio Fernández-Nebro</name><affiliation wicri:level="1"><nlm:affiliation>Instituto de Investigación Biomédica de Málaga (IBIMA), Hospital Regional Universitario de Málaga, Universidad de Málaga, Málaga, Spain.</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>Instituto de Investigación Biomédica de Málaga (IBIMA), Hospital Regional Universitario de Málaga, Universidad de Málaga, Málaga</wicri:regionArea><wicri:noRegion>Málaga</wicri:noRegion></affiliation></author><author><name sortKey="Rodriguez Rodriguez, Luis" sort="Rodriguez Rodriguez, Luis" uniqKey="Rodriguez Rodriguez L" first="Luis" last="Rodríguez-Rodríguez">Luis Rodríguez-Rodríguez</name><affiliation wicri:level="3"><nlm:affiliation>IdISSC, Hospital Clínico San Carlos, Madrid, Spain.</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>IdISSC, Hospital Clínico San Carlos, Madrid</wicri:regionArea><placeName><settlement type="city">Madrid</settlement><region nuts="2" type="region">Communauté de Madrid</region></placeName></affiliation></author><author><name sortKey="Marras, Carlos" sort="Marras, Carlos" uniqKey="Marras C" first="Carlos" last="Marras">Carlos Marras</name><affiliation wicri:level="1"><nlm:affiliation>Hospital Virgen de la Arrixaca, Murcia, Spain.</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>Hospital Virgen de la Arrixaca, Murcia</wicri:regionArea><wicri:noRegion>Murcia</wicri:noRegion></affiliation></author><author><name sortKey="Gonzalez Gay, Miguel Ngel" sort="Gonzalez Gay, Miguel Ngel" uniqKey="Gonzalez Gay M" first="Miguel Ngel" last="González-Gay">Miguel Ngel González-Gay</name><affiliation wicri:level="1"><nlm:affiliation>Hospital Universitario Marqués de Valdecilla IDIVAL, Santander, Spain.</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>Hospital Universitario Marqués de Valdecilla IDIVAL, Santander</wicri:regionArea><wicri:noRegion>Santander</wicri:noRegion></affiliation></author><author><name sortKey="Hmamouchi, Ihsane" sort="Hmamouchi, Ihsane" uniqKey="Hmamouchi I" first="Ihsane" last="Hmamouchi">Ihsane Hmamouchi</name><affiliation wicri:level="3"><nlm:affiliation>Hôpital Provincial de Khémisset Laboratoire de Biostatistique, de Recherche Clinique et d'Epidémiologie (LBRCE), Faculté de Médecine et de Pharmacie, Université Mohamed-V, Rabat, Morocco.</nlm:affiliation><country xml:lang="fr">Maroc</country><wicri:regionArea>Hôpital Provincial de Khémisset Laboratoire de Biostatistique, de Recherche Clinique et d'Epidémiologie (LBRCE), Faculté de Médecine et de Pharmacie, Université Mohamed-V, Rabat</wicri:regionArea><placeName><settlement type="city">Rabat</settlement><region nuts="2">Rabat-Salé-Kénitra</region></placeName></affiliation></author><author><name sortKey="Martin Mola, Emilio" sort="Martin Mola, Emilio" uniqKey="Martin Mola E" first="Emilio" last="Martín-Mola">Emilio Martín-Mola</name><affiliation wicri:level="3"><nlm:affiliation>Hospital Universitario La Paz IdiPAZ, Madrid, Spain.</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>Hospital Universitario La Paz IdiPAZ, Madrid</wicri:regionArea><placeName><settlement type="city">Madrid</settlement><region nuts="2" type="region">Communauté de Madrid</region></placeName></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2019">2019 Mar - Apr</date><idno type="RBID">pubmed:28711461</idno><idno type="pmid">28711461</idno><idno type="doi">10.1016/j.reuma.2017.06.002</idno><idno type="wicri:Area/Main/Corpus">00087</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Corpus" wicri:corpus="PubMed">00087</idno><idno type="wicri:Area/Main/Curation">000087</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Curation">000087</idno><idno type="wicri:Area/Main/Exploration">000087</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Prevalence of comorbidities in rheumatoid arthritis and evaluation of their monitoring in clinical practice: the spanish cohort of the COMORA study.</title><author><name sortKey="Balsa, Alejandro" sort="Balsa, Alejandro" uniqKey="Balsa A" first="Alejandro" last="Balsa">Alejandro Balsa</name><affiliation wicri:level="3"><nlm:affiliation>Hospital Universitario La Paz IdiPAZ, Madrid, Spain. Electronic address: alejandro.balsa@salud.madrid.org.</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>Hospital Universitario La Paz IdiPAZ, Madrid</wicri:regionArea><placeName><settlement type="city">Madrid</settlement><region nuts="2" type="region">Communauté de Madrid</region></placeName></affiliation></author><author><name sortKey="Lojo Oliveira, Leticia" sort="Lojo Oliveira, Leticia" uniqKey="Lojo Oliveira L" first="Leticia" last="Lojo-Oliveira">Leticia Lojo-Oliveira</name><affiliation wicri:level="3"><nlm:affiliation>Hospital Universitario La Paz IdiPAZ, Madrid, Spain.</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>Hospital Universitario La Paz IdiPAZ, Madrid</wicri:regionArea><placeName><settlement type="city">Madrid</settlement><region nuts="2" type="region">Communauté de Madrid</region></placeName></affiliation></author><author><name sortKey="Alperi L Pez, Mercedes" sort="Alperi L Pez, Mercedes" uniqKey="Alperi L Pez M" first="Mercedes" last="Alperi-L Pez">Mercedes Alperi-L Pez</name><affiliation wicri:level="1"><nlm:affiliation>Hospital Universitario Central de Asturias, Asturias, Spain.</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>Hospital Universitario Central de Asturias, Asturias</wicri:regionArea><wicri:noRegion>Asturias</wicri:noRegion></affiliation></author><author><name sortKey="Garcia Manrique, Maria" sort="Garcia Manrique, Maria" uniqKey="Garcia Manrique M" first="María" last="García-Manrique">María García-Manrique</name><affiliation wicri:level="3"><nlm:affiliation>Hospital Parc Taulí, Sabadell, Barcelona, Spain.</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>Hospital Parc Taulí, Sabadell, Barcelona</wicri:regionArea><placeName><settlement type="city">Barcelone</settlement><region nuts="2" type="region">Catalogne</region></placeName></affiliation></author><author><name sortKey="Ord Ez Ca Izares, Carmen" sort="Ord Ez Ca Izares, Carmen" uniqKey="Ord Ez Ca Izares C" first="Carmen" last="Ord Ez-Ca Izares">Carmen Ord Ez-Ca Izares</name><affiliation wicri:level="1"><nlm:affiliation>Instituto de Investigación Biomédica de Málaga (IBIMA), Hospital Regional Universitario de Málaga, Universidad de Málaga, Málaga, Spain.</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>Instituto de Investigación Biomédica de Málaga (IBIMA), Hospital Regional Universitario de Málaga, Universidad de Málaga, Málaga</wicri:regionArea><wicri:noRegion>Málaga</wicri:noRegion></affiliation></author><author><name sortKey="Perez, Lorena" sort="Perez, Lorena" uniqKey="Perez L" first="Lorena" last="Pérez">Lorena Pérez</name><affiliation wicri:level="3"><nlm:affiliation>Hospital Universitario Infanta Sofía, Universidad Europea de Madrid, Madrid, Spain.</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>Hospital Universitario Infanta Sofía, Universidad Europea de Madrid, Madrid</wicri:regionArea><placeName><settlement type="city">Madrid</settlement><region nuts="2" type="region">Communauté de Madrid</region></placeName></affiliation></author><author><name sortKey="Ruiz Esquide, Virginia" sort="Ruiz Esquide, Virginia" uniqKey="Ruiz Esquide V" first="Virginia" last="Ruiz-Esquide">Virginia Ruiz-Esquide</name><affiliation wicri:level="3"><nlm:affiliation>Hospital Clínic IdiBAPS, Barcelona, Spain.</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>Hospital Clínic IdiBAPS, Barcelona</wicri:regionArea><placeName><settlement type="city">Barcelone</settlement><region nuts="2" type="region">Catalogne</region></placeName></affiliation></author><author><name sortKey="Corrales, Alfonso" sort="Corrales, Alfonso" uniqKey="Corrales A" first="Alfonso" last="Corrales">Alfonso Corrales</name><affiliation wicri:level="1"><nlm:affiliation>Hospital Universitario Marqués de Valdecilla IDIVAL, Santander, Spain.</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>Hospital Universitario Marqués de Valdecilla IDIVAL, Santander</wicri:regionArea><wicri:noRegion>Santander</wicri:noRegion></affiliation></author><author><name sortKey="Narvaez, Javier" sort="Narvaez, Javier" uniqKey="Narvaez J" first="Javier" last="Narváez">Javier Narváez</name><affiliation wicri:level="3"><nlm:affiliation>IDIBELL-Hospital Universitario de Bellvitge, Barcelona, Spain.</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>IDIBELL-Hospital Universitario de Bellvitge, Barcelona</wicri:regionArea><placeName><settlement type="city">Barcelone</settlement><region nuts="2" type="region">Catalogne</region></placeName></affiliation></author><author><name sortKey="Rey Rey, Jose" sort="Rey Rey, Jose" uniqKey="Rey Rey J" first="José" last="Rey-Rey">José Rey-Rey</name><affiliation wicri:level="1"><nlm:affiliation>Hospital Virgen de la Salud, Toledo, Spain.</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>Hospital Virgen de la Salud, Toledo</wicri:regionArea><wicri:noRegion>Toledo</wicri:noRegion></affiliation></author><author><name sortKey="Rodriguez Lozano, Carlos" sort="Rodriguez Lozano, Carlos" uniqKey="Rodriguez Lozano C" first="Carlos" last="Rodríguez-Lozano">Carlos Rodríguez-Lozano</name><affiliation wicri:level="1"><nlm:affiliation>Hospital Universitario de Gran Canaria Dr. Negrín, Las Palmas de Gran Canaria, Spain.</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>Hospital Universitario de Gran Canaria Dr. Negrín, Las Palmas de Gran Canaria</wicri:regionArea><wicri:noRegion>Las Palmas de Gran Canaria</wicri:noRegion></affiliation></author><author><name sortKey="Ojeda, Soledad" sort="Ojeda, Soledad" uniqKey="Ojeda S" first="Soledad" last="Ojeda">Soledad Ojeda</name><affiliation wicri:level="1"><nlm:affiliation>Hospital Universitario de Gran Canaria Dr. Negrín, Las Palmas de Gran Canaria, Spain.</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>Hospital Universitario de Gran Canaria Dr. Negrín, Las Palmas de Gran Canaria</wicri:regionArea><wicri:noRegion>Las Palmas de Gran Canaria</wicri:noRegion></affiliation></author><author><name sortKey="Mu Oz Fernandez, Santiago" sort="Mu Oz Fernandez, Santiago" uniqKey="Mu Oz Fernandez S" first="Santiago" last="Mu Oz-Fernández">Santiago Mu Oz-Fernández</name><affiliation wicri:level="3"><nlm:affiliation>Hospital Universitario Infanta Sofía, Universidad Europea de Madrid, Madrid, Spain.</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>Hospital Universitario Infanta Sofía, Universidad Europea de Madrid, Madrid</wicri:regionArea><placeName><settlement type="city">Madrid</settlement><region nuts="2" type="region">Communauté de Madrid</region></placeName></affiliation></author><author><name sortKey="Nolla, Joan M" sort="Nolla, Joan M" uniqKey="Nolla J" first="Joan M" last="Nolla">Joan M. Nolla</name><affiliation wicri:level="3"><nlm:affiliation>IDIBELL-Hospital Universitario de Bellvitge, Barcelona, Spain.</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>IDIBELL-Hospital Universitario de Bellvitge, Barcelona</wicri:regionArea><placeName><settlement type="city">Barcelone</settlement><region nuts="2" type="region">Catalogne</region></placeName></affiliation></author><author><name sortKey="Garcia Torr N, Jose" sort="Garcia Torr N, Jose" uniqKey="Garcia Torr N J" first="José" last="García-Torr N">José García-Torr N</name><affiliation wicri:level="1"><nlm:affiliation>Hospital San Pedro de Alcántara, Cáceres, Spain.</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>Hospital San Pedro de Alcántara, Cáceres</wicri:regionArea><wicri:noRegion>Cáceres</wicri:noRegion></affiliation></author><author><name sortKey="Gamero, Fernando" sort="Gamero, Fernando" uniqKey="Gamero F" first="Fernando" last="Gamero">Fernando Gamero</name><affiliation wicri:level="1"><nlm:affiliation>Hospital San Pedro de Alcántara, Cáceres, Spain.</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>Hospital San Pedro de Alcántara, Cáceres</wicri:regionArea><wicri:noRegion>Cáceres</wicri:noRegion></affiliation></author><author><name sortKey="Garcia Vicu A, Rosario" sort="Garcia Vicu A, Rosario" uniqKey="Garcia Vicu A R" first="Rosario" last="García-Vicu A">Rosario García-Vicu A</name><affiliation wicri:level="3"><nlm:affiliation>Hospital Universitario La Princesa, IIS-IP, Madrid, Spain.</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>Hospital Universitario La Princesa, IIS-IP, Madrid</wicri:regionArea><placeName><settlement type="city">Madrid</settlement><region nuts="2" type="region">Communauté de Madrid</region></placeName></affiliation></author><author><name sortKey="Hernandez Cruz, Blanca" sort="Hernandez Cruz, Blanca" uniqKey="Hernandez Cruz B" first="Blanca" last="Hernández-Cruz">Blanca Hernández-Cruz</name><affiliation wicri:level="1"><nlm:affiliation>Hospital Universitario Virgen Macarena, Sevilla, Spain.</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>Hospital Universitario Virgen Macarena, Sevilla</wicri:regionArea><wicri:noRegion>Sevilla</wicri:noRegion></affiliation></author><author><name sortKey="Campos, Jose" sort="Campos, Jose" uniqKey="Campos J" first="José" last="Campos">José Campos</name><affiliation wicri:level="3"><nlm:affiliation>Hospital Universitario Puerta de Hierro Majadahonda, Madrid, Spain.</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>Hospital Universitario Puerta de Hierro Majadahonda, Madrid</wicri:regionArea><placeName><settlement type="city">Madrid</settlement><region nuts="2" type="region">Communauté de Madrid</region></placeName></affiliation></author><author><name sortKey="Rosas, Jose" sort="Rosas, Jose" uniqKey="Rosas J" first="José" last="Rosas">José Rosas</name><affiliation wicri:level="1"><nlm:affiliation>Hospital Marina Baixa de Villajoyosa, Alicante, Spain.</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>Hospital Marina Baixa de Villajoyosa, Alicante</wicri:regionArea><wicri:noRegion>Alicante</wicri:noRegion></affiliation></author><author><name sortKey="Garcia Llorente, Jose Francisco" sort="Garcia Llorente, Jose Francisco" uniqKey="Garcia Llorente J" first="José Francisco" last="García-Llorente">José Francisco García-Llorente</name><affiliation wicri:level="1"><nlm:affiliation>Hospital de Mendaro, Guipúzcoa, Spain.</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>Hospital de Mendaro, Guipúzcoa</wicri:regionArea><wicri:noRegion>Guipúzcoa</wicri:noRegion></affiliation></author><author><name sortKey="G Mez Centeno, Antonio" sort="G Mez Centeno, Antonio" uniqKey="G Mez Centeno A" first="Antonio" last="G Mez-Centeno">Antonio G Mez-Centeno</name><affiliation wicri:level="3"><nlm:affiliation>Hospital Parc Taulí, Sabadell, Barcelona, Spain.</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>Hospital Parc Taulí, Sabadell, Barcelona</wicri:regionArea><placeName><settlement type="city">Barcelone</settlement><region nuts="2" type="region">Catalogne</region></placeName></affiliation></author><author><name sortKey="Caliz, Rafael" sort="Caliz, Rafael" uniqKey="Caliz R" first="Rafael" last="Cáliz">Rafael Cáliz</name><affiliation wicri:level="1"><nlm:affiliation>Hospital Virgen de las Nieves, Granada, Spain.</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>Hospital Virgen de las Nieves, Granada</wicri:regionArea><wicri:noRegion>Granada</wicri:noRegion></affiliation></author><author><name sortKey="Sanmarti, Raimon" sort="Sanmarti, Raimon" uniqKey="Sanmarti R" first="Raimon" last="Sanmartí">Raimon Sanmartí</name><affiliation wicri:level="3"><nlm:affiliation>Hospital Clínic IdiBAPS, Barcelona, Spain.</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>Hospital Clínic IdiBAPS, Barcelona</wicri:regionArea><placeName><settlement type="city">Barcelone</settlement><region nuts="2" type="region">Catalogne</region></placeName></affiliation></author><author><name sortKey="Bermudez, Alberto" sort="Bermudez, Alberto" uniqKey="Bermudez A" first="Alberto" last="Bermúdez">Alberto Bermúdez</name><affiliation wicri:level="1"><nlm:affiliation>Hospital Virgen de la Arrixaca, Murcia, Spain.</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>Hospital Virgen de la Arrixaca, Murcia</wicri:regionArea><wicri:noRegion>Murcia</wicri:noRegion></affiliation></author><author><name sortKey="Abasolo Alcazar, Lydia" sort="Abasolo Alcazar, Lydia" uniqKey="Abasolo Alcazar L" first="Lydia" last="Abasolo-Alcázar">Lydia Abasolo-Alcázar</name><affiliation wicri:level="3"><nlm:affiliation>IdISSC, Hospital Clínico San Carlos, Madrid, Spain.</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>IdISSC, Hospital Clínico San Carlos, Madrid</wicri:regionArea><placeName><settlement type="city">Madrid</settlement><region nuts="2" type="region">Communauté de Madrid</region></placeName></affiliation></author><author><name sortKey="Fernandez Nebro, Antonio" sort="Fernandez Nebro, Antonio" uniqKey="Fernandez Nebro A" first="Antonio" last="Fernández-Nebro">Antonio Fernández-Nebro</name><affiliation wicri:level="1"><nlm:affiliation>Instituto de Investigación Biomédica de Málaga (IBIMA), Hospital Regional Universitario de Málaga, Universidad de Málaga, Málaga, Spain.</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>Instituto de Investigación Biomédica de Málaga (IBIMA), Hospital Regional Universitario de Málaga, Universidad de Málaga, Málaga</wicri:regionArea><wicri:noRegion>Málaga</wicri:noRegion></affiliation></author><author><name sortKey="Rodriguez Rodriguez, Luis" sort="Rodriguez Rodriguez, Luis" uniqKey="Rodriguez Rodriguez L" first="Luis" last="Rodríguez-Rodríguez">Luis Rodríguez-Rodríguez</name><affiliation wicri:level="3"><nlm:affiliation>IdISSC, Hospital Clínico San Carlos, Madrid, Spain.</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>IdISSC, Hospital Clínico San Carlos, Madrid</wicri:regionArea><placeName><settlement type="city">Madrid</settlement><region nuts="2" type="region">Communauté de Madrid</region></placeName></affiliation></author><author><name sortKey="Marras, Carlos" sort="Marras, Carlos" uniqKey="Marras C" first="Carlos" last="Marras">Carlos Marras</name><affiliation wicri:level="1"><nlm:affiliation>Hospital Virgen de la Arrixaca, Murcia, Spain.</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>Hospital Virgen de la Arrixaca, Murcia</wicri:regionArea><wicri:noRegion>Murcia</wicri:noRegion></affiliation></author><author><name sortKey="Gonzalez Gay, Miguel Ngel" sort="Gonzalez Gay, Miguel Ngel" uniqKey="Gonzalez Gay M" first="Miguel Ngel" last="González-Gay">Miguel Ngel González-Gay</name><affiliation wicri:level="1"><nlm:affiliation>Hospital Universitario Marqués de Valdecilla IDIVAL, Santander, Spain.</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>Hospital Universitario Marqués de Valdecilla IDIVAL, Santander</wicri:regionArea><wicri:noRegion>Santander</wicri:noRegion></affiliation></author><author><name sortKey="Hmamouchi, Ihsane" sort="Hmamouchi, Ihsane" uniqKey="Hmamouchi I" first="Ihsane" last="Hmamouchi">Ihsane Hmamouchi</name><affiliation wicri:level="3"><nlm:affiliation>Hôpital Provincial de Khémisset Laboratoire de Biostatistique, de Recherche Clinique et d'Epidémiologie (LBRCE), Faculté de Médecine et de Pharmacie, Université Mohamed-V, Rabat, Morocco.</nlm:affiliation><country xml:lang="fr">Maroc</country><wicri:regionArea>Hôpital Provincial de Khémisset Laboratoire de Biostatistique, de Recherche Clinique et d'Epidémiologie (LBRCE), Faculté de Médecine et de Pharmacie, Université Mohamed-V, Rabat</wicri:regionArea><placeName><settlement type="city">Rabat</settlement><region nuts="2">Rabat-Salé-Kénitra</region></placeName></affiliation></author><author><name sortKey="Martin Mola, Emilio" sort="Martin Mola, Emilio" uniqKey="Martin Mola E" first="Emilio" last="Martín-Mola">Emilio Martín-Mola</name><affiliation wicri:level="3"><nlm:affiliation>Hospital Universitario La Paz IdiPAZ, Madrid, Spain.</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>Hospital Universitario La Paz IdiPAZ, Madrid</wicri:regionArea><placeName><settlement type="city">Madrid</settlement><region nuts="2" type="region">Communauté de Madrid</region></placeName></affiliation></author></analytic><series><title level="j">Reumatologia clinica</title><idno type="eISSN">1885-1398</idno></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adolescent (MeSH)</term><term>Adult (MeSH)</term><term>Aged (MeSH)</term><term>Aged, 80 and over (MeSH)</term><term>Arthritis, Rheumatoid (epidemiology)</term><term>Comorbidity (MeSH)</term><term>Cross-Sectional Studies (MeSH)</term><term>Female (MeSH)</term><term>Humans (MeSH)</term><term>Male (MeSH)</term><term>Middle Aged (MeSH)</term><term>Prevalence (MeSH)</term><term>Risk Factors (MeSH)</term><term>Spain (epidemiology)</term><term>Young Adult (MeSH)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adolescent (MeSH)</term><term>Adulte (MeSH)</term><term>Adulte d'âge moyen (MeSH)</term><term>Comorbidité (MeSH)</term><term>Espagne (épidémiologie)</term><term>Facteurs de risque (MeSH)</term><term>Femelle (MeSH)</term><term>Humains (MeSH)</term><term>Jeune adulte (MeSH)</term><term>Mâle (MeSH)</term><term>Polyarthrite rhumatoïde (épidémiologie)</term><term>Prévalence (MeSH)</term><term>Sujet âgé (MeSH)</term><term>Sujet âgé de 80 ans ou plus (MeSH)</term><term>Études transversales (MeSH)</term></keywords><keywords scheme="MESH" type="geographic" qualifier="epidemiology" xml:lang="en"><term>Spain</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Arthritis, Rheumatoid</term></keywords><keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Espagne</term><term>Polyarthrite rhumatoïde</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adolescent</term><term>Adult</term><term>Aged</term><term>Aged, 80 and over</term><term>Comorbidity</term><term>Cross-Sectional Studies</term><term>Female</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Prevalence</term><term>Risk Factors</term><term>Young Adult</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adolescent</term><term>Adulte</term><term>Adulte d'âge moyen</term><term>Comorbidité</term><term>Facteurs de risque</term><term>Femelle</term><term>Humains</term><term>Jeune adulte</term><term>Mâle</term><term>Prévalence</term><term>Sujet âgé</term><term>Sujet âgé de 80 ans ou plus</term><term>Études transversales</term></keywords><keywords scheme="Wicri" type="geographic" xml:lang="fr"><term>Espagne</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>OBJECTIVES</b></p><p>To describe the prevalence of comorbidities in patients with RA in Spain and discuss their management and implications using data from the Spanish cohort of the multinational study on COMOrbidities in Rheumatoid Arthritis (COMORA).</p></div><div type="abstract" xml:lang="en"><p><b>METHODS</b></p><p>This is a national sub-analysis of the COMORA study. We studied the demographics and disease characteristics of 200 adults patients diagnosed with RA (1987 ACR), and routine practices for screening and preventing the following selected comorbidities: cardiovascular, infections, cancer, gastrointestinal, pulmonary, osteoporosis and depression.</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>Patients had a mean age of 58 years and a mean RA duration of 10 years. Mean DAS28 score was 3.3 and approximately 25% of patients were in remission (DAS28 <2.6). Forty-four (22%) patients had ≥1 comorbidity, the most frequent being depression (27%) and obesity (26%). A history of myocardial infarction or stroke was observed in 5% and 1% of patients, respectively, and any solid tumor in 6%. Having a Framingham Risk Score >20% (51%), hypercholesterolemia (46%) or hypertension (41%) and smoking (25%) were the most common CV risk factors. For prostate, colon and skin cancers, only 9%, 10% and 18% of patients, respectively, were optimally monitored. Infections were also inadequately managed, with 7% and 17% of patients vaccinated against influenza and pneumococcal, respectively, as was osteoporosis, with 47% of patients supplemented with vitamin D and 56% with a bone densitometry performed.</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSIONS</b></p><p>In Spain, the prevalence of comorbidities and CV risk factors in RA patients with established and advanced disease is relatively high, and their management in clinical daily practice remains suboptimal.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">28711461</PMID><DateCompleted><Year>2019</Year><Month>07</Month><Day>26</Day></DateCompleted><DateRevised><Year>2019</Year><Month>07</Month><Day>26</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1885-1398</ISSN><JournalIssue CitedMedium="Internet"><Volume>15</Volume><Issue>2</Issue><PubDate><MedlineDate>2019 Mar - Apr</MedlineDate></PubDate></JournalIssue><Title>Reumatologia clinica</Title><ISOAbbreviation>Reumatol Clin</ISOAbbreviation></Journal><ArticleTitle>Prevalence of comorbidities in rheumatoid arthritis and evaluation of their monitoring in clinical practice: the spanish cohort of the COMORA study.</ArticleTitle><Pagination><MedlinePgn>102-108</MedlinePgn></Pagination><ELocationID EIdType="pii" ValidYN="Y">S1699-258X(17)30134-1</ELocationID><ELocationID EIdType="doi" ValidYN="Y">10.1016/j.reuma.2017.06.002</ELocationID><Abstract><AbstractText Label="OBJECTIVES" NlmCategory="OBJECTIVE">To describe the prevalence of comorbidities in patients with RA in Spain and discuss their management and implications using data from the Spanish cohort of the multinational study on COMOrbidities in Rheumatoid Arthritis (COMORA).</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">This is a national sub-analysis of the COMORA study. We studied the demographics and disease characteristics of 200 adults patients diagnosed with RA (1987 ACR), and routine practices for screening and preventing the following selected comorbidities: cardiovascular, infections, cancer, gastrointestinal, pulmonary, osteoporosis and depression.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">Patients had a mean age of 58 years and a mean RA duration of 10 years. Mean DAS28 score was 3.3 and approximately 25% of patients were in remission (DAS28 <2.6). Forty-four (22%) patients had ≥1 comorbidity, the most frequent being depression (27%) and obesity (26%). A history of myocardial infarction or stroke was observed in 5% and 1% of patients, respectively, and any solid tumor in 6%. Having a Framingham Risk Score >20% (51%), hypercholesterolemia (46%) or hypertension (41%) and smoking (25%) were the most common CV risk factors. For prostate, colon and skin cancers, only 9%, 10% and 18% of patients, respectively, were optimally monitored. Infections were also inadequately managed, with 7% and 17% of patients vaccinated against influenza and pneumococcal, respectively, as was osteoporosis, with 47% of patients supplemented with vitamin D and 56% with a bone densitometry performed.</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">In Spain, the prevalence of comorbidities and CV risk factors in RA patients with established and advanced disease is relatively high, and their management in clinical daily practice remains suboptimal.</AbstractText><CopyrightInformation>Copyright © 2017 Elsevier España, S.L.U. and Sociedad Española de Reumatología y Colegio Mexicano de Reumatología. All rights reserved.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Balsa</LastName><ForeName>Alejandro</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>Hospital Universitario La Paz IdiPAZ, Madrid, Spain. Electronic address: alejandro.balsa@salud.madrid.org.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Lojo-Oliveira</LastName><ForeName>Leticia</ForeName><Initials>L</Initials><AffiliationInfo><Affiliation>Hospital Universitario La Paz IdiPAZ, Madrid, Spain.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Alperi-López</LastName><ForeName>Mercedes</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>Hospital Universitario Central de Asturias, Asturias, Spain.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>García-Manrique</LastName><ForeName>María</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>Hospital Parc Taulí, Sabadell, Barcelona, Spain.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Ordóñez-Cañizares</LastName><ForeName>Carmen</ForeName><Initials>C</Initials><AffiliationInfo><Affiliation>Instituto de Investigación Biomédica de Málaga (IBIMA), Hospital Regional Universitario de Málaga, Universidad de Málaga, Málaga, Spain.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Pérez</LastName><ForeName>Lorena</ForeName><Initials>L</Initials><AffiliationInfo><Affiliation>Hospital Universitario Infanta Sofía, Universidad Europea de Madrid, Madrid, Spain.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Ruiz-Esquide</LastName><ForeName>Virginia</ForeName><Initials>V</Initials><AffiliationInfo><Affiliation>Hospital Clínic IdiBAPS, Barcelona, Spain.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Corrales</LastName><ForeName>Alfonso</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>Hospital Universitario Marqués de Valdecilla IDIVAL, Santander, Spain.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Narváez</LastName><ForeName>Javier</ForeName><Initials>J</Initials><AffiliationInfo><Affiliation>IDIBELL-Hospital Universitario de Bellvitge, Barcelona, Spain.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Rey-Rey</LastName><ForeName>José</ForeName><Initials>J</Initials><AffiliationInfo><Affiliation>Hospital Virgen de la Salud, Toledo, Spain.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Rodríguez-Lozano</LastName><ForeName>Carlos</ForeName><Initials>C</Initials><AffiliationInfo><Affiliation>Hospital Universitario de Gran Canaria Dr. Negrín, Las Palmas de Gran Canaria, Spain.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Ojeda</LastName><ForeName>Soledad</ForeName><Initials>S</Initials><AffiliationInfo><Affiliation>Hospital Universitario de Gran Canaria Dr. Negrín, Las Palmas de Gran Canaria, Spain.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Muñoz-Fernández</LastName><ForeName>Santiago</ForeName><Initials>S</Initials><AffiliationInfo><Affiliation>Hospital Universitario Infanta Sofía, Universidad Europea de Madrid, Madrid, Spain.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Nolla</LastName><ForeName>Joan M</ForeName><Initials>JM</Initials><AffiliationInfo><Affiliation>IDIBELL-Hospital Universitario de Bellvitge, Barcelona, Spain.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>García-Torrón</LastName><ForeName>José</ForeName><Initials>J</Initials><AffiliationInfo><Affiliation>Hospital San Pedro de Alcántara, Cáceres, Spain.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Gamero</LastName><ForeName>Fernando</ForeName><Initials>F</Initials><AffiliationInfo><Affiliation>Hospital San Pedro de Alcántara, Cáceres, Spain.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>García-Vicuña</LastName><ForeName>Rosario</ForeName><Initials>R</Initials><AffiliationInfo><Affiliation>Hospital Universitario La Princesa, IIS-IP, Madrid, Spain.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Hernández-Cruz</LastName><ForeName>Blanca</ForeName><Initials>B</Initials><AffiliationInfo><Affiliation>Hospital Universitario Virgen Macarena, Sevilla, Spain.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Campos</LastName><ForeName>José</ForeName><Initials>J</Initials><AffiliationInfo><Affiliation>Hospital Universitario Puerta de Hierro Majadahonda, Madrid, Spain.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Rosas</LastName><ForeName>José</ForeName><Initials>J</Initials><AffiliationInfo><Affiliation>Hospital Marina Baixa de Villajoyosa, Alicante, Spain.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>García-Llorente</LastName><ForeName>José Francisco</ForeName><Initials>JF</Initials><AffiliationInfo><Affiliation>Hospital de Mendaro, Guipúzcoa, Spain.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Gómez-Centeno</LastName><ForeName>Antonio</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>Hospital Parc Taulí, Sabadell, Barcelona, Spain.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Cáliz</LastName><ForeName>Rafael</ForeName><Initials>R</Initials><AffiliationInfo><Affiliation>Hospital Virgen de las Nieves, Granada, Spain.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Sanmartí</LastName><ForeName>Raimon</ForeName><Initials>R</Initials><AffiliationInfo><Affiliation>Hospital Clínic IdiBAPS, Barcelona, Spain.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Bermúdez</LastName><ForeName>Alberto</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>Hospital Virgen de la Arrixaca, Murcia, Spain.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Abasolo-Alcázar</LastName><ForeName>Lydia</ForeName><Initials>L</Initials><AffiliationInfo><Affiliation>IdISSC, Hospital Clínico San Carlos, Madrid, Spain.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Fernández-Nebro</LastName><ForeName>Antonio</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>Instituto de Investigación Biomédica de Málaga (IBIMA), Hospital Regional Universitario de Málaga, Universidad de Málaga, Málaga, Spain.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Rodríguez-Rodríguez</LastName><ForeName>Luis</ForeName><Initials>L</Initials><AffiliationInfo><Affiliation>IdISSC, Hospital Clínico San Carlos, Madrid, Spain.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Marras</LastName><ForeName>Carlos</ForeName><Initials>C</Initials><AffiliationInfo><Affiliation>Hospital Virgen de la Arrixaca, Murcia, Spain.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>González-Gay</LastName><ForeName>Miguel Ángel</ForeName><Initials>MÁ</Initials><AffiliationInfo><Affiliation>Hospital Universitario Marqués de Valdecilla IDIVAL, Santander, Spain.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Hmamouchi</LastName><ForeName>Ihsane</ForeName><Initials>I</Initials><AffiliationInfo><Affiliation>Hôpital Provincial de Khémisset Laboratoire de Biostatistique, de Recherche Clinique et d'Epidémiologie (LBRCE), Faculté de Médecine et de Pharmacie, Université Mohamed-V, Rabat, Morocco.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Martín-Mola</LastName><ForeName>Emilio</ForeName><Initials>E</Initials><AffiliationInfo><Affiliation>Hospital Universitario La Paz IdiPAZ, Madrid, Spain.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><Language>spa</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D016448">Multicenter Study</PublicationType><PublicationType UI="D064888">Observational Study</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2017</Year><Month>07</Month><Day>12</Day></ArticleDate></Article><MedlineJournalInfo><Country>Spain</Country><MedlineTA>Reumatol Clin</MedlineTA><NlmUniqueID>101293923</NlmUniqueID><ISSNLinking>1699-258X</ISSNLinking></MedlineJournalInfo><MeshHeadingList><MeshHeading><DescriptorName UI="D000293" MajorTopicYN="N">Adolescent</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000369" MajorTopicYN="N">Aged, 80 and over</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D001172" MajorTopicYN="N">Arthritis, Rheumatoid</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="Y">epidemiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D015897" MajorTopicYN="N">Comorbidity</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D003430" MajorTopicYN="N">Cross-Sectional Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D015995" MajorTopicYN="N">Prevalence</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012307" MajorTopicYN="N">Risk Factors</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D013030" MajorTopicYN="N" Type="Geographic">Spain</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D055815" MajorTopicYN="N">Young Adult</DescriptorName></MeshHeading></MeshHeadingList><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">Artritis reumatoide</Keyword><Keyword MajorTopicYN="N">Comorbidities</Keyword><Keyword MajorTopicYN="N">Comorbilidades</Keyword><Keyword MajorTopicYN="N">Factores de riesgo</Keyword><Keyword MajorTopicYN="N">Prevalence</Keyword><Keyword MajorTopicYN="N">Prevalencia</Keyword><Keyword MajorTopicYN="N">Rheumatoid arthritis</Keyword><Keyword MajorTopicYN="N">Risk factors</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2017</Year><Month>01</Month><Day>03</Day></PubMedPubDate><PubMedPubDate PubStatus="revised"><Year>2017</Year><Month>06</Month><Day>08</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2017</Year><Month>06</Month><Day>08</Day></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2017</Year><Month>7</Month><Day>18</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2019</Year><Month>7</Month><Day>28</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2017</Year><Month>7</Month><Day>17</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">28711461</ArticleId><ArticleId IdType="pii">S1699-258X(17)30134-1</ArticleId><ArticleId IdType="doi">10.1016/j.reuma.2017.06.002</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>Espagne</li><li>Maroc</li></country><region><li>Catalogne</li><li>Communauté de Madrid</li><li>Rabat-Salé-Kénitra</li></region><settlement><li>Barcelone</li><li>Madrid</li><li>Rabat</li></settlement></list><tree><country name="Espagne"><region name="Communauté de Madrid"><name sortKey="Balsa, Alejandro" sort="Balsa, Alejandro" uniqKey="Balsa A" first="Alejandro" last="Balsa">Alejandro Balsa</name></region><name sortKey="Abasolo Alcazar, Lydia" sort="Abasolo Alcazar, Lydia" uniqKey="Abasolo Alcazar L" first="Lydia" last="Abasolo-Alcázar">Lydia Abasolo-Alcázar</name><name sortKey="Alperi L Pez, Mercedes" sort="Alperi L Pez, Mercedes" uniqKey="Alperi L Pez M" first="Mercedes" last="Alperi-L Pez">Mercedes Alperi-L Pez</name><name sortKey="Bermudez, Alberto" sort="Bermudez, Alberto" uniqKey="Bermudez A" first="Alberto" last="Bermúdez">Alberto Bermúdez</name><name sortKey="Caliz, Rafael" sort="Caliz, Rafael" uniqKey="Caliz R" first="Rafael" last="Cáliz">Rafael Cáliz</name><name sortKey="Campos, Jose" sort="Campos, Jose" uniqKey="Campos J" first="José" last="Campos">José Campos</name><name sortKey="Corrales, Alfonso" sort="Corrales, Alfonso" uniqKey="Corrales A" first="Alfonso" last="Corrales">Alfonso Corrales</name><name sortKey="Fernandez Nebro, Antonio" sort="Fernandez Nebro, Antonio" uniqKey="Fernandez Nebro A" first="Antonio" last="Fernández-Nebro">Antonio Fernández-Nebro</name><name sortKey="G Mez Centeno, Antonio" sort="G Mez Centeno, Antonio" uniqKey="G Mez Centeno A" first="Antonio" last="G Mez-Centeno">Antonio G Mez-Centeno</name><name sortKey="Gamero, Fernando" sort="Gamero, Fernando" uniqKey="Gamero F" first="Fernando" last="Gamero">Fernando Gamero</name><name sortKey="Garcia Llorente, Jose Francisco" sort="Garcia Llorente, Jose Francisco" uniqKey="Garcia Llorente J" first="José Francisco" last="García-Llorente">José Francisco García-Llorente</name><name sortKey="Garcia Manrique, Maria" sort="Garcia Manrique, Maria" uniqKey="Garcia Manrique M" first="María" last="García-Manrique">María García-Manrique</name><name sortKey="Garcia Torr N, Jose" sort="Garcia Torr N, Jose" uniqKey="Garcia Torr N J" first="José" last="García-Torr N">José García-Torr N</name><name sortKey="Garcia Vicu A, Rosario" sort="Garcia Vicu A, Rosario" uniqKey="Garcia Vicu A R" first="Rosario" last="García-Vicu A">Rosario García-Vicu A</name><name sortKey="Gonzalez Gay, Miguel Ngel" sort="Gonzalez Gay, Miguel Ngel" uniqKey="Gonzalez Gay M" first="Miguel Ngel" last="González-Gay">Miguel Ngel González-Gay</name><name sortKey="Hernandez Cruz, Blanca" sort="Hernandez Cruz, Blanca" uniqKey="Hernandez Cruz B" first="Blanca" last="Hernández-Cruz">Blanca Hernández-Cruz</name><name sortKey="Lojo Oliveira, Leticia" sort="Lojo Oliveira, Leticia" uniqKey="Lojo Oliveira L" first="Leticia" last="Lojo-Oliveira">Leticia Lojo-Oliveira</name><name sortKey="Marras, Carlos" sort="Marras, Carlos" uniqKey="Marras C" first="Carlos" last="Marras">Carlos Marras</name><name sortKey="Martin Mola, Emilio" sort="Martin Mola, Emilio" uniqKey="Martin Mola E" first="Emilio" last="Martín-Mola">Emilio Martín-Mola</name><name sortKey="Mu Oz Fernandez, Santiago" sort="Mu Oz Fernandez, Santiago" uniqKey="Mu Oz Fernandez S" first="Santiago" last="Mu Oz-Fernández">Santiago Mu Oz-Fernández</name><name sortKey="Narvaez, Javier" sort="Narvaez, Javier" uniqKey="Narvaez J" first="Javier" last="Narváez">Javier Narváez</name><name sortKey="Nolla, Joan M" sort="Nolla, Joan M" uniqKey="Nolla J" first="Joan M" last="Nolla">Joan M. Nolla</name><name sortKey="Ojeda, Soledad" sort="Ojeda, Soledad" uniqKey="Ojeda S" first="Soledad" last="Ojeda">Soledad Ojeda</name><name sortKey="Ord Ez Ca Izares, Carmen" sort="Ord Ez Ca Izares, Carmen" uniqKey="Ord Ez Ca Izares C" first="Carmen" last="Ord Ez-Ca Izares">Carmen Ord Ez-Ca Izares</name><name sortKey="Perez, Lorena" sort="Perez, Lorena" uniqKey="Perez L" first="Lorena" last="Pérez">Lorena Pérez</name><name sortKey="Rey Rey, Jose" sort="Rey Rey, Jose" uniqKey="Rey Rey J" first="José" last="Rey-Rey">José Rey-Rey</name><name sortKey="Rodriguez Lozano, Carlos" sort="Rodriguez Lozano, Carlos" uniqKey="Rodriguez Lozano C" first="Carlos" last="Rodríguez-Lozano">Carlos Rodríguez-Lozano</name><name sortKey="Rodriguez Rodriguez, Luis" sort="Rodriguez Rodriguez, Luis" uniqKey="Rodriguez Rodriguez L" first="Luis" last="Rodríguez-Rodríguez">Luis Rodríguez-Rodríguez</name><name sortKey="Rosas, Jose" sort="Rosas, Jose" uniqKey="Rosas J" first="José" last="Rosas">José Rosas</name><name sortKey="Ruiz Esquide, Virginia" sort="Ruiz Esquide, Virginia" uniqKey="Ruiz Esquide V" first="Virginia" last="Ruiz-Esquide">Virginia Ruiz-Esquide</name><name sortKey="Sanmarti, Raimon" sort="Sanmarti, Raimon" uniqKey="Sanmarti R" first="Raimon" last="Sanmartí">Raimon Sanmartí</name></country><country name="Maroc"><region name="Rabat-Salé-Kénitra"><name sortKey="Hmamouchi, Ihsane" sort="Hmamouchi, Ihsane" uniqKey="Hmamouchi I" first="Ihsane" last="Hmamouchi">Ihsane Hmamouchi</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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