Spondyloarthritis & psoriatic arthritis

Influence of sex on the persistence of different classes of targeted therapies for psoriatic arthritis: a cohort study of 14 778 patients from the French health insurance database (SNDS)

RMD OpenPublished Retrospective cohort study

An erratum to this article was published (RMD Open, 12 Jan 2024 ↗)

Authors' conclusion

The treatment persistence was lower for women than men for TNFi and IL17i but not for IL12/23i, IL23i or JAKi.

Study context

Population
Adults with psoriatic arthritis (PsA) who were new users of targeted therapies during 2015–2021, French health insurance database
Participants
14,778 adults
Exposure
Women vs men initiating targeted therapies for PsA
  • Womenn = 8,475
  • Menn = 6,303reference
Outcome
Persistence of each class of targeted therapies (time from treatment initiation to discontinuation), by sex
Methodological detailsnationwide, administrative healthcare database (SNDS) linked to hospital discharge database, new users, Kaplan-Meier, multivariate frailty models
  • Nationwide
  • Administrative healthcare database (SNDS) linked to hospital discharge database
  • New users
  • Kaplan-Meier
  • Multivariate frailty models

Main finding

As reported in the abstract

Treatment persistence (discontinuation), by targeted therapy class

HRa

TNFi
1.4 (99% CI 1.3–1.5)
IL17i
1.2 (99% CI 1.1–1.3)
IL12/23i
1.1 (99% CI 0.9–1.3)
IL23i
1.1 (99% CI 0.7–1.5)
Janus kinase inhibitor (JAKi)
1.2 (99% CI 0.9–1.6)

Observational data: associations, not effects.

Further findings

Overall persistence · 1 year

Overall persistence · 3 years

Original publication

Influence of sex on the persistence of different classes of targeted therapies for psoriatic arthritis: a cohort study of 14 778 patients from the French health insurance database (SNDS). RMD Open. Published 19 December 2023. doi:10.1136/rmdopen-2023-003570

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

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