Comorbidities in spondyloarthropathies


Authors: K. Pavelka
Authors‘ workplace: Revmatologický ústav Praha
Published in: Čes. Revmatol., 24, 2016, No. 4, p. 162-167.
Category: Review Article

Overview

Comorbidity is a term that was first used to refer to other diseases that occur simultaneously with autoimmune rheumatic disorders. Its importance lies in the fact that comorbidities occur more often than in the general population or have more severe disease course or may relate to treatment of the underlying disease.

The author deals with the issue of comorbidity in spondyloarthritis (SpA). The most important comorbidities in SpA are: cardiovascular disease, kidney disease, lung disease, infection, malignancy, osteoporosis, gastrointestinal disorders and depression. Multicentre, international study ASAS COMOSPA examined the incidence of comorbidities in SpA and in the general population. The most commonly diagnosed comorbidity was osteoporosis (13.4%) and peptic ulcer (10.7%). The most common risk factors for cardiovascular disease included hypertension (33.5%), smoking (30%) and hypercholesterolemia (27%). Of the risk factors for cancer the most common one was family history of cervical cancer (15%). European league against rheumatism (EULAR) issued a document, which is titled "Points to Consider" when reporting, screening and preventing selected comorbidities in chronic, inflammatory, rheumatic diseases in daily practice. Recommendations are divided into three parent principles and a total of 15 points are defined as points for consideration. They are divided into six sections: cardiovascular disease, malignancies, infections, peptic ulcer disease, osteoporotic fractures, and depression. The role of a rheumatologist should not be in the examination of these comorbidities, but in coordination of these findings and cooperation of the entire team providing comprehensive care of the patient.

Key words:
Comorbidities, spondyloarthritis, EULAR


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Labels
Dermatology & STDs Paediatric rheumatology Rheumatology
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