Spondyloarthritis & psoriatic arthritis

Biologic disease-modifying anti-rheumatic drugs are equally effective in psoriatic arthritis patients with low and high joint counts

Rheumatology (Oxford)Published Cohort study

Main finding · bDMARD retentionResult — go to the resultHazard ratio 1.09 95% CI 0.76–1.58

Authors' conclusion

bDMARDs were similarly effective in terms of drug retention in patients with low and high joint counts.

Study context

Population
PsA patients with available 66/68 joint count assessments starting a first bDMARD
Participants
197 vs 190
Exposure
First bDMARD in PsA with low vs high joint count
  • Low joint count (LJC)n = 197
  • High joint count (HJC)n = 190reference
Outcome
bDMARD retention
Methodological detailsunivariate and multivariable adjusted Cox regression
  • Univariate and multivariable adjusted Cox regression

Main finding

As reported in the abstract

Hazard ratio

1.09

95% CI 0.76–1.58

P = 0.52

LJCvs HJC
HR 1.09 (95% CI 0.76–1.58); P = 0.52

Observational data: associations, not effects.

Further findings

OutcomeHR (95% CI)P value
bDMARD retention withvs without csDMARD co-therapy0.63 (0.47–0.85)P < 0.002

Baseline differences · first bDMARD initiation

LJC had lower enthesitis scores, less often dactylitis, less disability, better health-related quality of life and were less often on csDMARDs than HJC

Original publication

Biologic disease-modifying anti-rheumatic drugs are equally effective in psoriatic arthritis patients with low and high joint counts. Rheumatology (Oxford). Published 7 September 2023. doi:10.1093/rheumatology/kead455

Composed by AI from the published abstract and checked against it. How Briefs are made →

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