Table 4

Association between any preceding sinusitis and incident rheumatic disease by number of sinusitis diagnosis codes

Rheumatic diseaseAdjusted*OR for disease (95% CI)
1–3 codes (n=319)4–6 codes (n=220)7+ codes (n=193)P value
Any rheumatic disease1.3 (1.0 to 1.6)1.5 (1.1 to 2.0)1.7 (1.3 to 2.4)<0.001
Rheumatoid arthritis1.1 (0.8 to 1.6)1.4 (0.9 to 2.1)1.4 (0.9 to 2.2)0.27
 Seropositive1.1 (0.7 to 1.8)1.1 (0.6 to 1.9)1.4 (0.8 to 2.4)0.77
 Seronegative1.1 (0.5 to 2.2)2.0 (1.0 to 4.2)1.6 (0.7 to 3.3)0.20
Spondyloarthritis2.1 (0.8 to 5.0)0.6 (0.1 to 3.5)1.0 (0.3 to 3.0)0.42
 Ankylosing spondylitis3.0 (0.4 to 26)1.0 (0.1 to 9.3)7.2 (0.6 to 86)0.80
 Psoriatic arthritis1.8 (0.7 to 4.9)0.6 (0.0 to 8.9)0.6 (0.2 to 2.2)0.53
Systemic autoimmune rheumatic disease1.7 (0.9 to 3.2)2.0 (1.0 to 4.2)4.8 (1.7 to 13)0.004
 Antiphospholipid syndrome21 (3.0 to 171)N/AN/AN/A
 Sjögren’s syndrome0.9 (0.2 to 3.3)3.1 (1.0 to 9.4)8.7 (1.4 to 52)0.02
 Systemic lupus erythematosus0.6 (0.1 to 2.9)0.5 (0.1 to 4.0)N/A0.97
 Systemic sclerosis1.2 (0.1 to 12)0.9 (0.1 to 8.3)6.1 (0.5 to 69)0.87
Vasculitis1.1 (0.7 to 1.8)1.5 (0.9 to 2.4)2.0 (1.2 to 3.4)0.03
 ANCA-associated vasculitis1.0 (0.2 to 5.2)0.6 (0.1 to 5.6)8.5 (0.9 to 83)0.74
 Giant cell arteritis0.6 (0.1 to 2.7)2.9 (0.7 to 13)1.5 (0.1 to 16)0.47
 Polymyalgia rheumatica1.2 (0.7 to 1.9)1.5 (0.9 to 2.5)1.8 (1.0 to 3.2)0.12
  • *Reference group was individuals with no sinusitis codes prior to index date. Adjusting for age, sex, electronic health record history, race and ethnicity, body mass index, smoking status. Bold values were statistically significant. P values provided are 2 df p values from these models.

  • †Unadjusted conditional logistic regression due to small sample size.

  • ANCA, antineutrophil cytoplasmic antibody; N/A, not applicable due to insufficient exposures.