Rheumatoid arthritis

Management of Rheumatoid Arthritis With a Digital Health Application: A Multicenter, Pragmatic Randomized Clinical Trial

JAMA Netw OpenPublished Randomised controlled trial

An erratum to this article was published (JAMA Netw Open, 1 May 2023 ↗)

Primary result · DAS28-CRP ≤3.2Result — go to the resultDifference 6.6% 95% CI 2.7%–10.4%

Authors' conclusion

In this randomized clinical trial of RA, the use of a digital health application with patient-reported outcomes was associated with an increase in disease control rate.

Study context

Population
Adult patients with rheumatoid arthritis (RA), 22 tertiary hospitals across China2,204 randomized
Participants
2,197 patients
Comparison
Smart system of disease management (SSDM) digital health application vs conventional care
  • SSDMn = 1,099
  • Controln = 1,098reference
Primary endpoint
Rate of patients with DAS28-CRP of 3.2 or less
Follow-up
Month 6
Methodological detailsmulticentre, open-label, 1:1 randomisation (block size of 4), blinded outcome assessors and statisticians, 6-month extension with SSDM for control, Enrolment November 1, 2018, to May 28, 2019; 12-month follow-up
  • Multicentre
  • Open-label
  • 1:1 randomisation (block size of 4)
  • Blinded outcome assessors and statisticians
  • 6-month extension with SSDM for control
  • Enrolment November 1, 2018, to May 28, 2019; 12-month follow-up

Primary result

DAS28-CRP ≤3.2

Difference

6.6%

95% CI 2.7%–10.4%

P = 0.001

Events by treatment group

SSDMvs Control
difference 6.6% (95% CI 2.7%–10.4%); P = 0.001

As reported in the abstract

Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.

Original publication

Management of Rheumatoid Arthritis With a Digital Health Application: A Multicenter, Pragmatic Randomized Clinical Trial. JAMA Netw Open. Published 3 April 2023. doi:10.1001/jamanetworkopen.2023.8343

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