Rheumatoid arthritis

Meta‐Analyses on the Effects of Disease‐Modifying Antirheumatic Drugs on the Most Relevant Patient‐Reported Outcome Domains in Rheumatoid Arthritis

Arthritis Care Res (Hoboken)Published Systematic review and meta-analysis of randomised controlled trials

Authors' conclusion

DMARDs decrease the burden in all the domains that are relevant to patients.

Study context

Population
RCTs in RA reporting patient-reported outcomes of the ICHOM standard set for inflammatory arthritis69 records · 52 studies
Comparison
Disease-modifying antirheumatic drugs (DMARDs) vs placebo or MTX
Outcome
Patient-reported pain, fatigue and activity limitation (SMD of change scores)
Methodological detailsrandom effects meta-analyses, SMD of change scores
  • Random effects meta-analyses
  • SMD of change scores

Pooled result

As reported in the abstract

Pain, fatigue and activity limitation, SMD
Estimate (95% CI)
DMARDsvs Placebo
SMD (pain) −0.80(−0.99 to −0.61)
DMARDsvs Placebo
SMD (fatigue) −0.48(−0.64 to −0.32)
DMARDsvs MTX
SMD (pain) −0.55(−0.70 to −0.41)
DMARDsvs MTX
SMD (fatigue) −0.44(−0.55 to −0.33)
DMARDsvs MTX
SMD (activity limitation) - 0.37(−0.44 to −0.30)
DMARDs vs Placebo
SMD (activity limitation) −0.56 (95% CI - 0.63, −0.49)

Original publication

Meta‐Analyses on the Effects of Disease‐Modifying Antirheumatic Drugs on the Most Relevant Patient‐Reported Outcome Domains in Rheumatoid Arthritis. Arthritis Care Res (Hoboken). Published 22 February 2023. doi:10.1002/acr.24965

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