Increased Cumulative Incidence of Dermatomyositis in Ulcerative Colitis: a Nationwide Cohort Study
On a molecular level, two autoimmune diseases: ulcerative colitis (UC) and dermatomyositis share common genetic determinants. On a clinical level, case reports evidenced the co-occurrence of these two diseases. We therefore hypothesize that UC is potentially associated with increased cumulative inci...
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| Veröffentlicht in: | Scientific reports 2016-06, Vol.6 (1), p.28175-28175, Article 28175 |
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| creator | Tseng, Chia-Chun Chang, Shun-Jen Liao, Wei-Ting Chan, Ya-Ting Tsai, Wen-Chan Ou, Tsan-Teng Wu, Cheng-Chin Sung, Wan-Yu Hsieh, Ming-Chia Yen, Jeng-Hsien |
| description | On a molecular level, two autoimmune diseases: ulcerative colitis (UC) and dermatomyositis share common genetic determinants. On a clinical level, case reports evidenced the co-occurrence of these two diseases. We therefore hypothesize that UC is potentially associated with increased cumulative incidence of dermatomyositis. The goals of this retrospective cohort study were to evaluate whether UC is associated with increased cumulative incidence of dermatomyositis independent of sex and age. For comparison, we also assessed the cumulative incidence of polymyositis in UC and control subjects. The study enrolled 3,133 UC subjects and 14,726 control subjects. The cumulative incidence of dermatomyositis was significantly higher in UC than that of control subjects (p = 0.026), but the cumulative incidence of polymyositis was comparable between UC and control subjects (p = 0.596). UC was independently associated with the increased incident dermatomyositis (hazard ratio: 6.19, 95% confidence interval = 1.77–21.59, p = 0.004) after adjusting for sex, age and concomitant rheumatoid arthritis, systemic lupus erythematosus and systemic sclerosis. Similar trends of increased dermatomyositis in UC were observed when patients were stratified based on sex and age. In conclusion, our findings suggest that UC is probably associated with increased cumulative incidence of dermatomyositis, independent of sex, age and concomitant autoimmune diseases. |
| doi_str_mv | 10.1038/srep28175 |
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On a clinical level, case reports evidenced the co-occurrence of these two diseases. We therefore hypothesize that UC is potentially associated with increased cumulative incidence of dermatomyositis. The goals of this retrospective cohort study were to evaluate whether UC is associated with increased cumulative incidence of dermatomyositis independent of sex and age. For comparison, we also assessed the cumulative incidence of polymyositis in UC and control subjects. The study enrolled 3,133 UC subjects and 14,726 control subjects. The cumulative incidence of dermatomyositis was significantly higher in UC than that of control subjects (p = 0.026), but the cumulative incidence of polymyositis was comparable between UC and control subjects (p = 0.596). UC was independently associated with the increased incident dermatomyositis (hazard ratio: 6.19, 95% confidence interval = 1.77–21.59, p = 0.004) after adjusting for sex, age and concomitant rheumatoid arthritis, systemic lupus erythematosus and systemic sclerosis. Similar trends of increased dermatomyositis in UC were observed when patients were stratified based on sex and age. In conclusion, our findings suggest that UC is probably associated with increased cumulative incidence of dermatomyositis, independent of sex, age and concomitant autoimmune diseases.</description><identifier>ISSN: 2045-2322</identifier><identifier>EISSN: 2045-2322</identifier><identifier>DOI: 10.1038/srep28175</identifier><identifier>PMID: 27325143</identifier><language>eng</language><publisher>London: Nature Publishing Group UK</publisher><subject>692/308/174 ; 692/4023/1670 ; Adult ; Aged ; Ambulatory care ; Autoimmune diseases ; Case reports ; Cohort analysis ; Cohort Studies ; Colitis, Ulcerative - complications ; Colitis, Ulcerative - epidemiology ; Dermatomyositis - complications ; Dermatomyositis - epidemiology ; Female ; Gastroenterology ; Hospitals ; Humanities and Social Sciences ; Humans ; Illnesses ; Incidence ; Inflammatory bowel disease ; Internal medicine ; Kinases ; Male ; Medical coding ; Medicine ; Middle Aged ; multidisciplinary ; National health insurance ; Patients ; Polymyositis - complications ; Polymyositis - epidemiology ; Reimbursement ; Retrospective Studies ; Risk Factors ; Science ; Taiwan - epidemiology</subject><ispartof>Scientific reports, 2016-06, Vol.6 (1), p.28175-28175, Article 28175</ispartof><rights>The Author(s) 2016</rights><rights>Copyright Nature Publishing Group Jun 2016</rights><rights>Copyright © 2016, Macmillan Publishers Limited 2016 Macmillan Publishers Limited</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c438t-fbca51290ba295fa530926d8360d7d0113a76e99436a2bd01283b4dcc530c1953</citedby><cites>FETCH-LOGICAL-c438t-fbca51290ba295fa530926d8360d7d0113a76e99436a2bd01283b4dcc530c1953</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4914943/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4914943/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,860,881,27901,27902,41096,42165,51551,53766,53768</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27325143$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Tseng, Chia-Chun</creatorcontrib><creatorcontrib>Chang, Shun-Jen</creatorcontrib><creatorcontrib>Liao, Wei-Ting</creatorcontrib><creatorcontrib>Chan, Ya-Ting</creatorcontrib><creatorcontrib>Tsai, Wen-Chan</creatorcontrib><creatorcontrib>Ou, Tsan-Teng</creatorcontrib><creatorcontrib>Wu, Cheng-Chin</creatorcontrib><creatorcontrib>Sung, Wan-Yu</creatorcontrib><creatorcontrib>Hsieh, Ming-Chia</creatorcontrib><creatorcontrib>Yen, Jeng-Hsien</creatorcontrib><title>Increased Cumulative Incidence of Dermatomyositis in Ulcerative Colitis: a Nationwide Cohort Study</title><title>Scientific reports</title><addtitle>Sci Rep</addtitle><addtitle>Sci Rep</addtitle><description>On a molecular level, two autoimmune diseases: ulcerative colitis (UC) and dermatomyositis share common genetic determinants. On a clinical level, case reports evidenced the co-occurrence of these two diseases. We therefore hypothesize that UC is potentially associated with increased cumulative incidence of dermatomyositis. The goals of this retrospective cohort study were to evaluate whether UC is associated with increased cumulative incidence of dermatomyositis independent of sex and age. For comparison, we also assessed the cumulative incidence of polymyositis in UC and control subjects. The study enrolled 3,133 UC subjects and 14,726 control subjects. The cumulative incidence of dermatomyositis was significantly higher in UC than that of control subjects (p = 0.026), but the cumulative incidence of polymyositis was comparable between UC and control subjects (p = 0.596). UC was independently associated with the increased incident dermatomyositis (hazard ratio: 6.19, 95% confidence interval = 1.77–21.59, p = 0.004) after adjusting for sex, age and concomitant rheumatoid arthritis, systemic lupus erythematosus and systemic sclerosis. Similar trends of increased dermatomyositis in UC were observed when patients were stratified based on sex and age. In conclusion, our findings suggest that UC is probably associated with increased cumulative incidence of dermatomyositis, independent of sex, age and concomitant autoimmune diseases.</description><subject>692/308/174</subject><subject>692/4023/1670</subject><subject>Adult</subject><subject>Aged</subject><subject>Ambulatory care</subject><subject>Autoimmune diseases</subject><subject>Case reports</subject><subject>Cohort analysis</subject><subject>Cohort Studies</subject><subject>Colitis, Ulcerative - complications</subject><subject>Colitis, Ulcerative - epidemiology</subject><subject>Dermatomyositis - complications</subject><subject>Dermatomyositis - epidemiology</subject><subject>Female</subject><subject>Gastroenterology</subject><subject>Hospitals</subject><subject>Humanities and Social Sciences</subject><subject>Humans</subject><subject>Illnesses</subject><subject>Incidence</subject><subject>Inflammatory bowel disease</subject><subject>Internal medicine</subject><subject>Kinases</subject><subject>Male</subject><subject>Medical coding</subject><subject>Medicine</subject><subject>Middle Aged</subject><subject>multidisciplinary</subject><subject>National health insurance</subject><subject>Patients</subject><subject>Polymyositis - 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Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Scientific reports</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Tseng, Chia-Chun</au><au>Chang, Shun-Jen</au><au>Liao, Wei-Ting</au><au>Chan, Ya-Ting</au><au>Tsai, Wen-Chan</au><au>Ou, Tsan-Teng</au><au>Wu, Cheng-Chin</au><au>Sung, Wan-Yu</au><au>Hsieh, Ming-Chia</au><au>Yen, Jeng-Hsien</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Increased Cumulative Incidence of Dermatomyositis in Ulcerative Colitis: a Nationwide Cohort Study</atitle><jtitle>Scientific reports</jtitle><stitle>Sci Rep</stitle><addtitle>Sci Rep</addtitle><date>2016-06-21</date><risdate>2016</risdate><volume>6</volume><issue>1</issue><spage>28175</spage><epage>28175</epage><pages>28175-28175</pages><artnum>28175</artnum><issn>2045-2322</issn><eissn>2045-2322</eissn><abstract>On a molecular level, two autoimmune diseases: ulcerative colitis (UC) and dermatomyositis share common genetic determinants. On a clinical level, case reports evidenced the co-occurrence of these two diseases. We therefore hypothesize that UC is potentially associated with increased cumulative incidence of dermatomyositis. The goals of this retrospective cohort study were to evaluate whether UC is associated with increased cumulative incidence of dermatomyositis independent of sex and age. For comparison, we also assessed the cumulative incidence of polymyositis in UC and control subjects. The study enrolled 3,133 UC subjects and 14,726 control subjects. The cumulative incidence of dermatomyositis was significantly higher in UC than that of control subjects (p = 0.026), but the cumulative incidence of polymyositis was comparable between UC and control subjects (p = 0.596). UC was independently associated with the increased incident dermatomyositis (hazard ratio: 6.19, 95% confidence interval = 1.77–21.59, p = 0.004) after adjusting for sex, age and concomitant rheumatoid arthritis, systemic lupus erythematosus and systemic sclerosis. Similar trends of increased dermatomyositis in UC were observed when patients were stratified based on sex and age. In conclusion, our findings suggest that UC is probably associated with increased cumulative incidence of dermatomyositis, independent of sex, age and concomitant autoimmune diseases.</abstract><cop>London</cop><pub>Nature Publishing Group UK</pub><pmid>27325143</pmid><doi>10.1038/srep28175</doi><tpages>1</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | 692/308/174 692/4023/1670 Adult Aged Ambulatory care Autoimmune diseases Case reports Cohort analysis Cohort Studies Colitis, Ulcerative - complications Colitis, Ulcerative - epidemiology Dermatomyositis - complications Dermatomyositis - epidemiology Female Gastroenterology Hospitals Humanities and Social Sciences Humans Illnesses Incidence Inflammatory bowel disease Internal medicine Kinases Male Medical coding Medicine Middle Aged multidisciplinary National health insurance Patients Polymyositis - complications Polymyositis - epidemiology Reimbursement Retrospective Studies Risk Factors Science Taiwan - epidemiology |
| title | Increased Cumulative Incidence of Dermatomyositis in Ulcerative Colitis: a Nationwide Cohort Study |
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