Rheumatoid arthritis

Multiple DMARD discontinuations in rheumatoid arthritis: how often and in what patients? Results from a national clinical rheumatoid arthritis (RA) register

RMD OpenPublished Observational cohort study

Authors' conclusion

Applying treatment discontinuation-based definitions to an unselected RA population identifies widely varying proportions of patients with largely similar characteristics.

Study context

Population
Patients diagnosed with RA between 2010 and 2019, Swedish Rheumatology Quality Register
Participants
17,780 / 18,038 / 8,075
Exposure
Newly diagnosed vs First-ever DMARD vs First-ever b/tsDMARD
  • Newly diagnosedn = 17,780
  • First-ever DMARDn = 18,038
  • First-ever b/tsDMARDn = 8,075
Outcome
Occurrence of b/tsDMARD discontinuations by seven alternative discontinuation criteria
Methodological detailsnational register (Swedish Rheumatology Quality Register)
  • National register (Swedish Rheumatology Quality Register)

Main finding

As reported in the abstract

Discontinued ≥2 b/tsDMARDs with different modes of action · 4.5 years

Observational data: associations, not effects.

Original publication

Multiple DMARD discontinuations in rheumatoid arthritis: how often and in what patients? Results from a national clinical RA register. RMD Open. Published 15 October 2025. doi:10.1136/rmdopen-2025-005617

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