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Ann Rheum Dis 2000;59:75-76 ( January )

Concise report

Reduced incidence of alcohol related deaths in subjects with rheumatoid arthritis Riitta Myllykangas-Luosujärvia, Kimmo Ahob, Hannu Kautiainenc, Markku Hakalad

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.


© 2000 by Annals of the Rheumatic Diseases



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