Rheumatoid arthritis

Clinical significance of a self-reported familial occurrence of rheumatoid arthritis among patients with recent-onset arthritis: data from the ESPOIR cohort

Clin Exp RheumatolPublished Prospective cohort study

Authors' conclusion

In the specific context of early arthritis, a self-reported familial occurrence of RA is associated with the future decision to initiate a targeted DMARD.

Study context

Population
Patients with recent-onset arthritis (≥2 swollen joints for >6 weeks and <6 months, no other diagnosis than rheumatoid arthritis (RA), no previous GC or DMARD exposure) included 2002–2005 in the ESPOIR cohort
Exposure
Self-reported familial occurrence of RA vs no familial occurrence
  • Familial RAn = 115
Outcome
Initiation of a targeted DMARD over time
Methodological detailsearly arthritis ESPOIR cohort, logistic and Cox regression models
  • Early arthritis ESPOIR cohort
  • Logistic and Cox regression models

Main finding

As reported in the abstract

Familial RA vs No familial RAHazard ratio (95% CI)P value
Unadjusted
1.57(1.1–2.21)
P = 0.01
Adjusted
1.51(1.06–2.15)
P = 0.02

Observational data: associations, not effects.

Further findings

Extra-articular manifestations at baseline

P = 0.01

Severe extra-articular manifestations at baseline

p 0.01

Original publication

Clinical significance of a self-reported familial occurrence of rheumatoid arthritis among patients with recent-onset arthritis: data from the ESPOIR cohort. Clin Exp Rheumatol. Published 4 March 2022. doi:10.55563/clinexprheumatol/bdcl06

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