Rheumatoid arthritis

Association of hemoglobin levels with radiographic progression in patients with rheumatoid arthritis: an analysis from the BRASS registry

Arthritis Res TherPublished Prospective cohort study

Authors' conclusion

Patients with low Hb levels at baseline tended to have increased radiographic progression as measured by total sharp score compared with patients with rheumatoid arthritis having normal Hb levels.

Study context

Population
Patients with RA in the BRASS registry
Participants
1,114 patients
Exposure
Low vs normal baseline hemoglobin (Hb)
  • Low Hbn = 224 [20%]
  • Normal Hbn = 890 [80%]reference
Outcome
Radiographic progression (change in total sharp score) by baseline Hb
Follow-up
Baseline to month 120
Methodological detailsregistry analysis, prospective observational registry, descriptive analyses
  • Registry analysis
  • Prospective observational registry
  • Descriptive analyses

Main finding

As reported in the abstract

Change in total sharp score over time · through month 120
  • Larger increase in total sharp score over time with low Hb than with normal Hb
  • All analyses descriptive

Observational data: associations, not effects.

Further findings

Hb over time · 10 years

Low Hb continued to have lower Hb than normal Hb throughout 10 years, with a steady increase on average

Baseline characteristics

Low Hb had longer disease duration, higher disease activity and more pain vs normal Hb

Effect of baseline medication

No meaningful differences potentially attributable to medication at baseline

Original publication

Association of hemoglobin levels with radiographic progression in patients with rheumatoid arthritis: an analysis from the BRASS registry. Arthritis Res Ther. Published 27 May 2023. doi:10.1186/s13075-023-03068-w

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