Rheumatoid arthritis

Clinical and ultrasound features of difficult-to-treat rheumatoid arthritis: A multicenter rheumatoid arthritis (RA) ultrasound cohort study

Scand J RheumatolPublished Multicentre observational cohort study

Authors' conclusion

Patients with D2T RA had high clinical and ultrasound activity and poor responses to treatment with b/tsDMARDs. CTLA4-Ig was associated with a good response at 12 months in D2T RA patients.

Study context

Population
Japanese patients with RA treated with b/tsDMARDs
Participants
307 patients
Exposure
Difficult-to-treat (D2T) RA vs non-D2T RA
  • D2T RAn = 43
  • Non-D2T RAn = 264reference
Outcome
Good response (b/tsDMARD continuation and CDAI ≤ 10) in D2T RA
Follow-up
12 months
Methodological detailsRA ultrasound observational cohort, inverse probability weighting with propensity score
  • RA ultrasound observational cohort
  • Inverse probability weighting with propensity score

Main finding

As reported in the abstract

Good response in D2T RA

D2T RA

20

events

Observational data: associations, not effects.

Further findings

Baseline characteristics, D2T RA vs non-D2T RA · treatment initiation

Grey-scale (GS) score, disease duration and CDAI significantly higher in D2T RA
Power Doppler (PD) score not significantly different between groups

Original publication

Clinical and ultrasound features of difficult-to-treat rheumatoid arthritis: A multicenter RA ultrasound cohort study. Scand J Rheumatol. Published 12 December 2023. doi:10.1080/03009742.2023.2277542

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