Rheumatoid arthritis

Predictors of functional improvement and pain reduction in rheumatoid arthritis patients who achieved low disease activity with disease-modifying antirheumatic drugs: a retrospective study of the FIRST Registry

Arthritis Res TherPublished Retrospective cohort study

Authors' conclusion

These results suggest some preferable treatment may exist for improvement of HAQ-DI and pain VAS reduction in the early stage of the treatment, which is a clue to prevention of a criteria of difficult-to-treat RA.

Study context

Population
Rheumatoid arthritis (RA) patients treated with b/tsDMARDs in the FIRST registry, enrolled August 2013–February 2023, who achieved clinical low disease activities (LDA) (clinical disease activity index (CDAI) ≤ 10.0) at 6 months after starting treatmentachieved LDA at 6 months
Participants
1,424 patients
Outcome
Factors associated with HAQ-DI normalization (< 0.5), HAQ-DI improvement (by > 0.22) or pain VAS reduction (≤ 40 mm)
Follow-up
6 months
Methodological detailsmulti-institutional registry (FIRST), multiple logistic regression
  • Multi-institutional registry (FIRST)
  • Multiple logistic regression

Main finding

As reported in the abstract

Achieved health assessment questionnaire-disability index (HAQ-DI) normalization

732

Achieved pain visual analogue score (VAS) reduction

454

Observational data: associations, not effects.

Original publication

Predictors of functional improvement and pain reduction in rheumatoid arthritis patients who achieved low disease activity with disease-modifying antirheumatic drugs: a retrospective study of the FIRST Registry. Arthritis Res Ther. Published 26 July 2024. doi:10.1186/s13075-024-03369-8

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