Acupuncture decreased the risk of coronary heart disease in patients with rheumatoid arthritis in Taiwan: A Nationwide propensity score-matched study

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Abstract

Background: Patients with rheumatoid arthritis (RA) have a higher risk of coronary heart disease (CHD). Acupuncture, a commonly used treatment for patients with RA, has not been reported to prevent CHD in patients with RA. We aimed to assess the risk of developing CHD in acupuncture users and non-users of patients with RA. Methods: We identified 29,741 patients with newly diagnosed RA from January 1997 to December 2010 from the Registry of Catastrophic Illness Patients Database from the Taiwanese National Health Insurance Research Database. Among them, 10,199 patients received acupuncture (acupuncture users), and 19,542 patients did not receive acupuncture (no-acupuncture users). After performing 1:1 propensity score matching by sex, age, baseline comorbidity, conventional treatment, initial diagnostic year, and index year, there were 9932 patients in both the acupuncture and no-acupuncture cohorts. The main outcome was the diagnosis of CHD in patients with RA in the acupuncture and no-acupuncture cohorts. Results: Acupuncture users had a lower incidence of CHD than non-users (adjusted HR = 0.60, 95% CI = 0.55-0.65). The estimated cumulative incidence of CHD was significantly lower in the acupuncture cohort (log-rank test, p

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Wu, M. Y., Huang, M. C., Liao, H. H., Chiang, J. H., Lee, Y. C., Hsu, C. Y., … Yen, H. R. (2018). Acupuncture decreased the risk of coronary heart disease in patients with rheumatoid arthritis in Taiwan: A Nationwide propensity score-matched study. BMC Complementary and Alternative Medicine, 18(1). https://doi.org/10.1186/s12906-018-2384-5

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