Rheumatoid arthritis

Evaluation of combined anti-anaemia and DMARD therapy for rheumatoid arthritis-related anaemia: a retrospective cohort study

Clin Exp RheumatolPublished Retrospective cohort study

Authors' conclusion

Combination therapy improved anaemia more effectively than monotherapy, with notable clinical benefits observed in younger patients and those with severe anaemia.

Study context

Population
Hospitalised patients with rheumatoid arthritis (RA)-related anaemia, 2020 to 2025
Participants
167 patients
Exposure
Disease-modifying anti-rheumatic drugs (DMARDs) plus anti-anaemic drugs vs DMARD monotherapy
Outcome
Hb normalisation
Methodological detailslogistic regression, Spearman correlation analysis, predefined subgroup analyses
  • Logistic regression
  • Spearman correlation analysis
  • Predefined subgroup analyses

Main finding

As reported in the abstract

P = 0.005

Observational data: associations, not effects.

Further findings

OutcomeDifference (g/L)P value
Increase in Hb concentration5.29P = 0.030

Benefit of combination therapy by subgroup (age <65 years; severe anaemia at baseline)

RA patients younger than 65 years and those with severe anaemia at baseline derived the greatest clinical benefits from combination therapy
P < 0.05

Correlation of ΔHb with reduction in erythrocyte sedimentation rate (ESR)

ΔHb correlated negatively with reductions in ESR (Spearman r)
r= −0.421, p<0.001

Original publication

Evaluation of combined anti-anaemia and DMARD therapy for rheumatoid arthritis-related anaemia: a retrospective cohort study. Clin Exp Rheumatol. Published 16 May 2026. doi:10.55563/clinexprheumatol/i46rgt

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