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a Kuopio University
Hospital, Department of Internal Medicine, Kuopio, Finland, b National Public Health Institute, Helsinki,
Finland, c Rheumatism Foundation
Hospital, Heinola, Finland, d Division
of Rheumatology, Department of Internal Medicine, University of Oulu,
Oulu, Finland
Correspondence to: Dr R Myllykangas-Luosujärvi, Kuopio University Hospital, PO Box 1777, FIN-70211 Kuopio, Finland
Accepted for publication 9 September 1999
OBJECTIVES
It has
previously been shown that people with ankylosing spondylitis have an
increased incidence of alcohol related deaths from accidents and
violence. This study investigated alcohol related deaths in subjects
with rheumatoid arthritis (RA).
METHODS
The study
covered the subjects, 1666 in number, who had died in 1989 and had been
entitled under the nationwide sickness insurance scheme to receive
specially reimbursed medication for RA.
RESULTS
There were
eight alcohol related deaths among the 480 men and three deaths among
the 1186 women with RA. The standardised mortality ratios and their
95% confidence intervals (CI) were 0.40 (95% CI 0.20, 0.80) and 0.40 (95% CI 0.13, 1.26), respectively.
CONCLUSION
Alcohol
either protects from RA or, subjects with RA curtail their drinking
after the manifestation of RA.
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