Incidence and clinical manifestations of giant cell arteritis in Spain: results of the ARTESER register
Objective This study aimed to estimate the incidence of giant cell arteritis (GCA) in Spain and to analyse its clinical manifestations, and distribution by age group, sex, geographical area and season.Methods We included all patients diagnosed with GCA between 1 June 2013 and 29 March 2019 at 26 hos...
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| Format: | Article |
| Language: | English |
| Published: |
BMJ Publishing Group
2024-02-01
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| Series: | RMD Open |
| Online Access: | https://rmdopen.bmj.com/content/10/1/e003824.full |
| _version_ | 1827151875672113152 |
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| author | Santos Castañeda Ricardo Blanco Héctor Corominas Patricia Carreira Ivan Castellví Eugenio De Miguel Javier Narváez Judit LLuch Ivette Casafont-Solé Jose María Pego Lydia Abasolo Carmen Larena Francisco Ortiz-Sanjuán Clara Moriano Morales Elvira Díez Álvarez Miguel Ángel González-Gay Berta Magallares Monica Ibañez Barcelo Laura Garrido Courel Vanesa Hernandez Hernandez Patricia Moya Alvarado Anne Riveros Frutos Margarida Vasques Rocha María Alcalde Villar Antonio Juan Mas Julio Sanchez Joan Calvet Clara Molina Almela Amalia Rueda Cid Cristina Campos Fernández Carmen Riesco Bárcena Patricia Moran Alvarez Judit Font Urgelles Alejandro Muñoz Jiménez Delia Fernández-Lozano Iñigo Hernández-Rodríguez Marta Domínguez-Álvaro Maite Silva-Díaz Joaquín María Belzunegui Eva Galíndez-Agirregoikoa Vicente Aldaroso Javier Loricera Noemi Garrido-Puñal Vanessa Andrea Navarro Tarek Carlos Salman Monte Trinidad Pérez Sandoval Ismael González Fernández Javier Mendizábal-Mateos María Concepción Fito Manteca Natividad del Val del Amo Loreto Horcada Rubio Inmaculada Paniagua Zudaire Ricardo Gutiérrez Polo Juliana Restrepo Vélez Eduardo Loza Cortina Elisa Fernández Fernández Tomás Almorza Leticia Léon Mateos Luis Rodríguez Rodríguez Pia Mercedes Lois Bermejo Selene Labrada Arrabal Susana Holgado Pérez Jordi Camins Javier Calvo Catalá Rafael Benito Melero Francisco Maceiras Nair Pérez Ceferino Barbazán Irena Altabás John Guzman Paula Valentina Estrada Alarcón Ana Milena Millán AnaF Cruz Valenciano Félix Cabero del Pozo AnaBelén Rodríguez Cambrón Cristina Macia Villa Inmaculada Ros Vilamajó Elide Toniolo Ana Paula Cacheda María Sagrario Bustabad Reyes María García González Alicia García Dorta Jaime Calvo Allen Miren Uriarte-Ecenarro Cristina Valero Martínez Esther F Vicente Rabaneda Carlos García Porrúa Carlota Laura Iñiguez Ubiaga Noelia Álvarez Rivas Tomás Ramón Vázquez Rodríguez José Alberto Miranda Filloy Amalia Sánchez-Andrade Fernández Carlos Galisteo Lencastre Da Veiga María Jesús García Villanueva Marina Tortosa Cabañas Marta Serrano Warleta Aliuska Palomeque Vargas Alberto Ruiz Román Clara Aguilera Cros JoséA Román Ivorra Anderson Huaylla Itziar Calvo Zorrilla Jesús A Valero-Jaimes Luis López Domínguez Cesar Antonio Egues Dubuc Lucia Silva Fernández |
| author_facet | Santos Castañeda Ricardo Blanco Héctor Corominas Patricia Carreira Ivan Castellví Eugenio De Miguel Javier Narváez Judit LLuch Ivette Casafont-Solé Jose María Pego Lydia Abasolo Carmen Larena Francisco Ortiz-Sanjuán Clara Moriano Morales Elvira Díez Álvarez Miguel Ángel González-Gay Berta Magallares Monica Ibañez Barcelo Laura Garrido Courel Vanesa Hernandez Hernandez Patricia Moya Alvarado Anne Riveros Frutos Margarida Vasques Rocha María Alcalde Villar Antonio Juan Mas Julio Sanchez Joan Calvet Clara Molina Almela Amalia Rueda Cid Cristina Campos Fernández Carmen Riesco Bárcena Patricia Moran Alvarez Judit Font Urgelles Alejandro Muñoz Jiménez Delia Fernández-Lozano Iñigo Hernández-Rodríguez Marta Domínguez-Álvaro Maite Silva-Díaz Joaquín María Belzunegui Eva Galíndez-Agirregoikoa Vicente Aldaroso Javier Loricera Noemi Garrido-Puñal Vanessa Andrea Navarro Tarek Carlos Salman Monte Trinidad Pérez Sandoval Ismael González Fernández Javier Mendizábal-Mateos María Concepción Fito Manteca Natividad del Val del Amo Loreto Horcada Rubio Inmaculada Paniagua Zudaire Ricardo Gutiérrez Polo Juliana Restrepo Vélez Eduardo Loza Cortina Elisa Fernández Fernández Tomás Almorza Leticia Léon Mateos Luis Rodríguez Rodríguez Pia Mercedes Lois Bermejo Selene Labrada Arrabal Susana Holgado Pérez Jordi Camins Javier Calvo Catalá Rafael Benito Melero Francisco Maceiras Nair Pérez Ceferino Barbazán Irena Altabás John Guzman Paula Valentina Estrada Alarcón Ana Milena Millán AnaF Cruz Valenciano Félix Cabero del Pozo AnaBelén Rodríguez Cambrón Cristina Macia Villa Inmaculada Ros Vilamajó Elide Toniolo Ana Paula Cacheda María Sagrario Bustabad Reyes María García González Alicia García Dorta Jaime Calvo Allen Miren Uriarte-Ecenarro Cristina Valero Martínez Esther F Vicente Rabaneda Carlos García Porrúa Carlota Laura Iñiguez Ubiaga Noelia Álvarez Rivas Tomás Ramón Vázquez Rodríguez José Alberto Miranda Filloy Amalia Sánchez-Andrade Fernández Carlos Galisteo Lencastre Da Veiga María Jesús García Villanueva Marina Tortosa Cabañas Marta Serrano Warleta Aliuska Palomeque Vargas Alberto Ruiz Román Clara Aguilera Cros JoséA Román Ivorra Anderson Huaylla Itziar Calvo Zorrilla Jesús A Valero-Jaimes Luis López Domínguez Cesar Antonio Egues Dubuc Lucia Silva Fernández |
| author_sort | Santos Castañeda |
| collection | DOAJ |
| description | Objective This study aimed to estimate the incidence of giant cell arteritis (GCA) in Spain and to analyse its clinical manifestations, and distribution by age group, sex, geographical area and season.Methods We included all patients diagnosed with GCA between 1 June 2013 and 29 March 2019 at 26 hospitals of the National Health System. They had to be aged ≥50 years and have at least one positive results in an objective diagnostic test (biopsy or imaging techniques), meet 3/5 of the 1990 American College of Rheumatology classification criteria or have a clinical diagnosis based on the expert opinion of the physician in charge. We calculated incidence rate using Poisson regression and assessed the influence of age, sex, geographical area and season.Results We identified 1675 cases of GCA with a mean age at diagnosis of 76.9±8.3 years. The annual incidence was estimated at 7.42 (95% CI 6.57 to 8.27) cases of GCA per 100 000 people ≥50 years with a peak for patients aged 80–84 years (23.06 (95% CI 20.89 to 25.4)). The incidence was greater in women (10.06 (95% CI 8.7 to 11.5)) than in men (4.83 (95% CI 3.8 to 5.9)). No significant differences were found between geographical distribution and incidence throughout the year (p=0.125). The phenotypes at diagnosis were cranial in 1091 patients, extracranial in 337 patients and mixed in 170 patients.Conclusions This is the first study to estimate the incidence of GCA in Spain at a national level. We found a predominance among women and during the ninth decade of life with no clear variability according to geographical area or seasons of the year. |
| first_indexed | 2024-04-24T13:59:31Z |
| format | Article |
| id | doaj.art-e9f8b06cb9dc42eb8922f2097ea3286a |
| institution | Directory Open Access Journal |
| issn | 2056-5933 |
| language | English |
| last_indexed | 2025-03-20T21:56:55Z |
| publishDate | 2024-02-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | RMD Open |
| spelling | doaj.art-e9f8b06cb9dc42eb8922f2097ea3286a2024-08-10T01:45:11ZengBMJ Publishing GroupRMD Open2056-59332024-02-0110110.1136/rmdopen-2023-003824Incidence and clinical manifestations of giant cell arteritis in Spain: results of the ARTESER registerSantos Castañeda0Ricardo Blanco1Héctor Corominas2Patricia Carreira3Ivan CastellvíEugenio De Miguel4Javier Narváez5Judit LLuchIvette Casafont-Solé6Jose María PegoLydia Abasolo7Carmen Larena8Francisco Ortiz-Sanjuán9Clara Moriano Morales10Elvira Díez Álvarez11Miguel Ángel González-Gay12Berta Magallares13Monica Ibañez Barcelo14Laura Garrido CourelVanesa Hernandez HernandezPatricia Moya Alvarado15Anne Riveros FrutosMargarida Vasques Rocha16María Alcalde VillarAntonio Juan MasJulio Sanchez17Joan Calvet18Clara Molina AlmelaAmalia Rueda CidCristina Campos Fernández19Carmen Riesco Bárcena20Patricia Moran Alvarez21Judit Font UrgellesAlejandro Muñoz JiménezDelia Fernández-Lozano22Iñigo Hernández-Rodríguez23Marta Domínguez-Álvaro24Maite Silva-Díaz25Joaquín María Belzunegui26Eva Galíndez-Agirregoikoa27Vicente Aldaroso28Javier Loricera29Noemi Garrido-Puñal30Vanessa Andrea Navarro31Tarek Carlos Salman Monte32Trinidad Pérez SandovalIsmael González Fernández33Javier Mendizábal-MateosMaría Concepción Fito MantecaNatividad del Val del AmoLoreto Horcada RubioInmaculada Paniagua ZudaireRicardo Gutiérrez PoloJuliana Restrepo VélezEduardo Loza CortinaElisa Fernández FernándezTomás AlmorzaLeticia Léon MateosLuis Rodríguez Rodríguez34Pia Mercedes Lois BermejoSelene Labrada ArrabalSusana Holgado Pérez35Jordi CaminsJavier Calvo CataláRafael Benito MeleroFrancisco MaceirasNair PérezCeferino BarbazánIrena AltabásJohn GuzmanPaula Valentina Estrada AlarcónAna Milena MillánAnaF Cruz ValencianoFélix Cabero del PozoAnaBelén Rodríguez CambrónCristina Macia VillaInmaculada Ros Vilamajó36Elide TonioloAna Paula Cacheda37María Sagrario Bustabad ReyesMaría García GonzálezAlicia García Dorta38Jaime Calvo AllenMiren Uriarte-EcenarroCristina Valero MartínezEsther F Vicente RabanedaCarlos García PorrúaCarlota Laura Iñiguez UbiagaNoelia Álvarez RivasTomás Ramón Vázquez RodríguezJosé Alberto Miranda FilloyAmalia Sánchez-Andrade FernándezCarlos Galisteo Lencastre Da VeigaMaría Jesús García VillanuevaMarina Tortosa CabañasMarta Serrano WarletaAliuska Palomeque VargasAlberto Ruiz Román39Clara Aguilera Cros40JoséA Román IvorraAnderson HuayllaItziar Calvo ZorrillaJesús A Valero-JaimesLuis López DomínguezCesar Antonio Egues DubucLucia Silva FernándezRheumatology Department, Hospital Universitario La Princesa, Madrid, SpainRheumatology, Hospital Universitario Marqués de Valdecilla, IDIVAL, Santander, SpainRheumatology, Hospital de la Santa Creu i Sant Pau, Barcelona, SpainH 12 Octubre, Madrid, SpainRheumatology, Hospital Universitario La Paz, Madrid, Spain17 Rheumatology, Hospital Universitario de Bellvitge, Hospitalet de LLobregat, Spain1Hospital Universitario Germans Trias i Pujol, Rheumatology, Badalona, Spain12 Rheumatology, Hospital Clinico Universitario San Carlos, Madrid, SpainRheumatology, Internal Medicine and Pathology Units, Santander, Navarra, Madrid, Torrelavega, León, Pontevedra, Barcelona, Mondragón, Santiago de Compostela, Vigo, Alicante, Lugo, Badalona, Palencia, Alcázar de San Juan, A Coruña, Granada, Bilbao, Avilés, Castellón, Salamanca, Zaragoza, Valencia, Menorca, Málaga, Ávila, Gijón, Ourense, Tenerife, Sevilla, Lérida, SpainReference hospitals, Rheumatology and Dermatology, Spain8 Rheumatology, Complejo Asistencial Universitario de Leon, Leon, SpainReference hospitals, Rheumatology and Dermatology, Spain3 Rheumatology, ISS Fundacion Jimenez Diaz, Madrid, Spain2Hospital de la Santa Creu Y Sant Pau, Barcelona, Spain18HU Son Llatzer, Palma de Mallorca, Spain17 Rheumatology, Hospital de la Santa Creu i Sant Pau, Barcelona, Spain1Araba University Hospital, Rheumatology, Vitoria-Gasteiz, Spain9 Rheumatology, Hospital Universitario 12 de Octubre, Madrid, Spain19Hospital Parc Taulí, Barcelona., SpainHospital General Universitario de Valencia, Valencia, Spain2Medical School. UCV, Valencia, Spain1Hospital Ramón YCajal, Rheumatology, Madrid, Spain1 Rheumatology, Hospital Clinico Universitario de Valencia, Valencia, Spain2 Rheumatology, Complexo Hospitalario Universitario de Vigo, Vigo, Spain4 Research Unit, Sociedad Española de Reumatología, Madrid, Spain1Complexo Hospitalario Universitario A Coruña, Instituto de investigación biomédica A Coruña (INIBIC), A Coruña, Spain7 Rheumatology, Hospital of Donostia, San Sebastian, SpainReumatologia, Hospital de Basurto, Basurto, Spain11 Rheumatology, Complejo Hospitalario de Navarra, Pamplona, Spain34H. U. Marqués de Valdecilla, Santander, Spain16 Rheumatology, Hospital Universitario Virgen del Rocío, Sevilla, Spain19 Rheumatology, Hospital Moises Broggi, Barcelona, Spain3Hospital del Mar, Rheumatology, Barcelona, Spain1University Health Care Complex of Leon, Rheumatology, León, SpainInsituto de Investigacion Sanitaria San Carlos, Madrid, Spain1Hospital Universitario Germans Trias i Pujol, Rheumatology, Badalona, Spain13H. Son Llàtzer, Rheumatology, Mallorca, Spain27 Department of Rheumatology, Hospital Son Llatzer, Palma de Mallorca, Spain1Hospital Universitario de Canarias, San Cristobal de la Laguna, Spain1Hospital Virgen del Rocio, Rheumatology, Seville, Spain1Hospital Virgen del Rocio, Rheumatology, Seville, SpainObjective This study aimed to estimate the incidence of giant cell arteritis (GCA) in Spain and to analyse its clinical manifestations, and distribution by age group, sex, geographical area and season.Methods We included all patients diagnosed with GCA between 1 June 2013 and 29 March 2019 at 26 hospitals of the National Health System. They had to be aged ≥50 years and have at least one positive results in an objective diagnostic test (biopsy or imaging techniques), meet 3/5 of the 1990 American College of Rheumatology classification criteria or have a clinical diagnosis based on the expert opinion of the physician in charge. We calculated incidence rate using Poisson regression and assessed the influence of age, sex, geographical area and season.Results We identified 1675 cases of GCA with a mean age at diagnosis of 76.9±8.3 years. The annual incidence was estimated at 7.42 (95% CI 6.57 to 8.27) cases of GCA per 100 000 people ≥50 years with a peak for patients aged 80–84 years (23.06 (95% CI 20.89 to 25.4)). The incidence was greater in women (10.06 (95% CI 8.7 to 11.5)) than in men (4.83 (95% CI 3.8 to 5.9)). No significant differences were found between geographical distribution and incidence throughout the year (p=0.125). The phenotypes at diagnosis were cranial in 1091 patients, extracranial in 337 patients and mixed in 170 patients.Conclusions This is the first study to estimate the incidence of GCA in Spain at a national level. We found a predominance among women and during the ninth decade of life with no clear variability according to geographical area or seasons of the year.https://rmdopen.bmj.com/content/10/1/e003824.full |
| spellingShingle | Santos Castañeda Ricardo Blanco Héctor Corominas Patricia Carreira Ivan Castellví Eugenio De Miguel Javier Narváez Judit LLuch Ivette Casafont-Solé Jose María Pego Lydia Abasolo Carmen Larena Francisco Ortiz-Sanjuán Clara Moriano Morales Elvira Díez Álvarez Miguel Ángel González-Gay Berta Magallares Monica Ibañez Barcelo Laura Garrido Courel Vanesa Hernandez Hernandez Patricia Moya Alvarado Anne Riveros Frutos Margarida Vasques Rocha María Alcalde Villar Antonio Juan Mas Julio Sanchez Joan Calvet Clara Molina Almela Amalia Rueda Cid Cristina Campos Fernández Carmen Riesco Bárcena Patricia Moran Alvarez Judit Font Urgelles Alejandro Muñoz Jiménez Delia Fernández-Lozano Iñigo Hernández-Rodríguez Marta Domínguez-Álvaro Maite Silva-Díaz Joaquín María Belzunegui Eva Galíndez-Agirregoikoa Vicente Aldaroso Javier Loricera Noemi Garrido-Puñal Vanessa Andrea Navarro Tarek Carlos Salman Monte Trinidad Pérez Sandoval Ismael González Fernández Javier Mendizábal-Mateos María Concepción Fito Manteca Natividad del Val del Amo Loreto Horcada Rubio Inmaculada Paniagua Zudaire Ricardo Gutiérrez Polo Juliana Restrepo Vélez Eduardo Loza Cortina Elisa Fernández Fernández Tomás Almorza Leticia Léon Mateos Luis Rodríguez Rodríguez Pia Mercedes Lois Bermejo Selene Labrada Arrabal Susana Holgado Pérez Jordi Camins Javier Calvo Catalá Rafael Benito Melero Francisco Maceiras Nair Pérez Ceferino Barbazán Irena Altabás John Guzman Paula Valentina Estrada Alarcón Ana Milena Millán AnaF Cruz Valenciano Félix Cabero del Pozo AnaBelén Rodríguez Cambrón Cristina Macia Villa Inmaculada Ros Vilamajó Elide Toniolo Ana Paula Cacheda María Sagrario Bustabad Reyes María García González Alicia García Dorta Jaime Calvo Allen Miren Uriarte-Ecenarro Cristina Valero Martínez Esther F Vicente Rabaneda Carlos García Porrúa Carlota Laura Iñiguez Ubiaga Noelia Álvarez Rivas Tomás Ramón Vázquez Rodríguez José Alberto Miranda Filloy Amalia Sánchez-Andrade Fernández Carlos Galisteo Lencastre Da Veiga María Jesús García Villanueva Marina Tortosa Cabañas Marta Serrano Warleta Aliuska Palomeque Vargas Alberto Ruiz Román Clara Aguilera Cros JoséA Román Ivorra Anderson Huaylla Itziar Calvo Zorrilla Jesús A Valero-Jaimes Luis López Domínguez Cesar Antonio Egues Dubuc Lucia Silva Fernández Incidence and clinical manifestations of giant cell arteritis in Spain: results of the ARTESER register RMD Open |
| title | Incidence and clinical manifestations of giant cell arteritis in Spain: results of the ARTESER register |
| title_full | Incidence and clinical manifestations of giant cell arteritis in Spain: results of the ARTESER register |
| title_fullStr | Incidence and clinical manifestations of giant cell arteritis in Spain: results of the ARTESER register |
| title_full_unstemmed | Incidence and clinical manifestations of giant cell arteritis in Spain: results of the ARTESER register |
| title_short | Incidence and clinical manifestations of giant cell arteritis in Spain: results of the ARTESER register |
| title_sort | incidence and clinical manifestations of giant cell arteritis in spain results of the arteser register |
| url | https://rmdopen.bmj.com/content/10/1/e003824.full |
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