The metabolic score for insulin resistance predicts the risk of cardiovascular disease in patients with psoriatic arthritis: results from the 10-year prospective CARMA cohort

• Published in: Rheumatic & musculoskeletal diseases open Vol. 11; no. 1; p. e005352
• Main Authors: Ferraz-Amaro, Ivan, Castañeda, Santos, Pinto Tasende, Jose A, Plaza, Zulema, García Gómez, Carmen, González-Juanatey, Carlos, Llorca, Javier, FernándezSueiro, José L, Pinto-Tasende, José A, deRábago, Eugenia González, GonzálezFernández, María J, Codina, Ramón Huguet, Yoldi, Beatriz, Ávila, Gabriela, Steiner, Martina, Cobo, Tatiana, Torón, José García, Mas, Antonio J, Ros, Inmaculada, Ibáñez, Mónica, Tornero, Jesús, Piqueras, José A, Sanmartí, Raimon, Berman, Horacio, Patón, Oscar Fontseré, Gutiérrez, Benjamín Fernández, Abasolo, Lydia, Fábregas, María D, Romera, Montserrat, Nolla, Joan M, Uriarte-Ecenarro, Miren, GarcíaVadillo, Jesús A, deVicuña, Rosario García, Carmona, Eugenio Chamizo, Nebro, Antonio Fernández, Ureña, Inmaculada, Belmonte, María A, Irigoyen, María V, González, Olga Martínez, Bautista, Pastora Granados, Rey, José Santos, Bachiller, Javier, Zea, Antonio, Manero, Francisco J, Audera, Chesús Beltrán, Medrano, Marta, Ojeda, Soledad, Herráez, Jesús Babío, LópezLongo, Francisco J, González, Ruth López, Corrales, Alfonso, Peiró, María Enriqueta, Senabre, José M, Rosas, José C, Moreno, Estefanía, Erra, Alba, Rueda, Amalia, Barbadillo, Carmen, Raya, Enrique, Morales, Pilar, Nieto, Ana, Escribano, Ana Ruibal, Gómez, Carmen García, Pardo, Silvia Martínez, Alvarez, Beatriz Gónzález, Cantabrana, Alberto, Delgado, Esmeralda, Muñoz, Alejandro, Redondo, Javier Rivera, Hernández, Teresa González, González, Francisco J, Almagro, Raúl Menor, Navío, María Teresa, Carballido, Cristina Fernández, Pagán, Encarnación, delCastillo, Pablo Mesa, Turrión, Ana, Gómez, Ana Pérez, Sánchez, Julio, Galindo, María, Collantes, Eduardo, Font, Pilar, Bonilla, Gema, Moreno, Manuel J, Morcillo, Mercedes, GonzálezGómez, María L, Rivera, Natalia A, Riera, Manel, Pérez-García, Carolina, Maymó, Joan, Melón, Julia Fernández, Espadaler, Luis, Belzunegui, Joaquín, Bañegil, Inmaculada, Bonet, María, Alen, Jaime Calvo, Sandoval, Trinidad Pérez, Godo, Javier R, GonzálezFernández, José Antonio, Miranda-Filloy, José A
• Format: Journal Article
• Language: English
• Published: England EULAR 07.03.2025; BMJ Publishing Group LTD; BMJ Publishing Group
• Subjects: Adult; Aged; Arthritis, Psoriatic; Arthritis, Psoriatic - complications; Arthritis, Psoriatic - epidemiology; Arthritis, Psoriatic - metabolism; Atherosclerosis; Biomarkers; Cardiovascular disease; Cardiovascular Diseases; Cardiovascular Diseases - diagnosis; Cardiovascular Diseases - epidemiology; Cardiovascular Diseases - etiology; Cardiovascular Diseases - metabolism; Cohort analysis; Diabetes; Disease prevention; Female; Follow-Up Studies; Humans; Hypertension; Incidence; Inflammation; Insulin Resistance; Kidney diseases; Male; Medical records; Metabolic disorders; Metabolic syndrome; Middle Aged; Mortality; Original Research; Prognosis; Prospective Studies; Psoriasis; Psoriatic Arthritis; Rheumatology; Risk Assessment; Risk Factors; Spain - epidemiology; Statins; Spain; United States > US; Cardiovascular Diseases; Inflammation; Arthritis, Psoriatic; Atherosclerosis
• ISSN: 2056-5933; 2056-5933
• DOI: 10.1136/rmdopen-2024-005352

ObjectiveTo evaluate the predictive value of the metabolic score for insulin resistance (METS-IR) in identifying patients with psoriatic arthritis (PsA) at high risk of cardiovascular (CV) events.MethodsAssessment of patients with PsA enrolled in the Spanish prospective CARdiovascular in ReuMAtology (CARMA) project. Baseline data from 500 PsA patients without a history of CV events, chronic kidney disease, diabetes mellitus or statin use at the baseline visit were analysed. Patients were prospectively followed for 10 years in rheumatology outpatient clinics at tertiary centres. The performance of the METS-IR in predicting CV events was evaluated. METS-IR was categorised into three groups: <2.25, 2.25–2.48 and >2.48.ResultsOver 4788 patient-years of follow-up, 27 individuals experienced at least one CV event. The annualised incidence rate was 5.6 events per 1000 patient-years (95% CI: 3.7 to 8.2). PsA patients with CV events had significantly higher METS-IR scores than those without CV events (2.37±0.24 vs 2.26±0.19; p=0.01). In this regard, patients who had CV events were more commonly included in the METS-IR 2.25–2.48 and >2.48 categories than those without CV events (p=0.008). Adjusted regression models indicated that PsA patients with a METS-IR >2.48 at baseline had an increased risk of experiencing a CV event during the follow-up period.ConclusionsIn PsA patients under close observation in rheumatology units included in the prospective CARMA project, METS-IR serves as a reliable prognostic predictor of CV.