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Comorbidity management in spondyloarthritis
Clementina López-Medina1,2,3,4, Anna Molto5,2
1Rheumatology Department, Hôpital Cochin - APHP Centre, Paris, France anna.molto@aphp.fr.
RMD Open
|September 6, 2020
Summary
Comorbidities significantly impact spondyloarthritis (SpA) patients, affecting quality of life and increasing costs. This review updates management strategies for common SpA comorbidities like osteoporosis and cardiovascular disease.
Area of Science:
- Rheumatology
- Internal Medicine
Background:
- Comorbidities are common in spondyloarthritis (SpA), negatively impacting patient outcomes, mortality, and healthcare expenses.
- Effective screening and management strategies are crucial for improving the quality of life for SpA patients.
Purpose of the Study:
- To provide an updated review of prevalent comorbidities in spondyloarthritis (SpA).
- To discuss the latest evidence regarding the management of these comorbidities in SpA patients.
Main Methods:
- Literature review of recent studies and clinical trials.
- Analysis of data on the incidence and impact of various comorbidities in SpA.
Main Results:
- Osteoporosis is the most common comorbidity in SpA, linked to inflammation and immobility.
- Cardiovascular diseases contribute to increased mortality in SpA patients.
- Infections and malignant diseases show low incidence; fibromyalgia negatively affects treatment response.
Conclusions:
- Managing comorbidities is essential for improving outcomes in spondyloarthritis.
- Specific comorbidities like osteoporosis, cardiovascular disease, and fibromyalgia require targeted interventions.
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