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Comparative Risk of Alzheimer Disease and Related Dementia Among Medicare Beneficiaries With Rheumatoid Arthritis Treated With Targeted Disease-Modifying Antirheumatic Agents

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Key Points Question Is use of targeted disease-modifying antirheumatic drugs associated with risk of Alzheimer disease and related dementia (ADRD)? Findings In this cohort study including 22 569 propensity score–matched patient… Click to show full abstract

Key Points Question Is use of targeted disease-modifying antirheumatic drugs associated with risk of Alzheimer disease and related dementia (ADRD)? Findings In this cohort study including 22 569 propensity score–matched patient pairs, initiation of inhibitors of Janus-kinase, interleukin-6, or tumor necrosis factor was not associated with reduced risk of ADRD compared with initiation of abatacept, a T-cell activation inhibitor. Meaning These results do not support advancing targeted disease-modifying antirheumatic drugs as disease modifying candidates for ADRD.

Keywords: risk alzheimer; disease; targeted disease; disease modifying; modifying antirheumatic

Journal Title: JAMA Network Open
Year Published: 2022

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