Rheumatoid arthritis

Clinician and Patient Factors Associated With Long‐Term Glucocorticoid Use in People With Rheumatoid Arthritis Receiving Advanced Therapies

Arthritis Care Res (Hoboken)Published Cross-sectional clinician survey nested within a registry cohort study

Authors' conclusion

Lower clinician concerns about GC, biologic, and JAKi safety were associated with greater GC prescribing

Study context

Population
Clinicians in the CorEvitas rheumatoid arthritis (RA) Registry, surveyed 2023–2024, and their patients with RA starting a new biologic or JAK inhibitor (JAKi)92 of 256 clinicians responded
Outcome
GC use after starting treatment, by patient and clinician factors
Follow-up
Six months
Methodological detailsmixed-effects logistic regression, adjusted for patient factors, 81 responding clinicians had 3,966 qualifying patients; 164 nonresponders had 3,196
  • Mixed-effects logistic regression
  • Adjusted for patient factors
  • 81 responding clinicians had 3,966 qualifying patients; 164 nonresponders had 3,196

Main finding

As reported in the abstract

GC prescribing at six months by clinician safety concern (less vs more concern)
Adjusted odds ratio (95% CI)
Less concern about prednisone ≤5 mg/day
1.98(1.17–3.36)
Less concern about biologics
2.47(1.33–4.49)
Less concern about JAKi
2.35(1.31–4.22)

Observational data: associations, not effects.

Further findings

Patient factors associated with glucocorticoid (GC) use at six months

Higher disease activity, age ≤45 or >75 years, longer disease duration, more previous biologics/JAKi, lung disease and earlier calendar year associated with greater GC use

Original publication

Clinician and Patient Factors Associated With Long‐Term Glucocorticoid Use in People With Rheumatoid Arthritis Receiving Advanced Therapies. Arthritis Care Res (Hoboken). Published 21 July 2026. doi:10.1002/acr.80119

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