Rheumatoid arthritis

Age of onset of rheumatoid arthritis and radiographic changes

Semin Arthritis RheumPublished Retrospective cohort study

Authors' conclusion

The odds of incident joint erosion and change in the mTSS were increased among patients with later RA onset.

Study context

Population
Patients diagnosed with rheumatoid arthritis (RA) within 2 years of enrollment in a large single-center RA registryof 1,581 registry participants
Participants
284 patients
Exposure
Middle- and late-onset vs young-onset RA
Outcome
Incident joint erosion (erosion score >0) and adjusted change in Modified total Sharp scores (mTSS)
Follow-up
5-year follow-up
Methodological detailssingle-centre registry
  • Single-centre registry

Main finding

As reported in the abstract

Incident joint erosion
Each group vs young-onsetAdjusted odds ratio (95 % CI)
Middle-onset
4.0(2.2–7.5)
Late-onset
8.2(3.6–19.2)

Observational data: associations, not effects.

Further findings

OutcomeAdjusted change (95 % CI)
Adjusted change in mTSS · 5-year follow-upMiddle-onsetvs Young-onset2.8 (0.20–5.4)
Adjusted change in mTSS · 5-year follow-upLate-onsetvs Young-onset1.9 (−0.26 - 4.1)

Mean

OutcomeYoung-onsetMiddle-onsetLate-onset
mTSS0.543.124.77

Original publication

Age of onset of rheumatoid arthritis and radiographic changes. Semin Arthritis Rheum. Published 28 January 2025. doi:10.1016/j.semarthrit.2025.152635

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