Vasculitis & polymyalgia rheumatica

Prospective assessment of glucocorticoid toxicity in rheumatology practice: a focus on the glucocorticoid toxicity index

Rheumatology (Oxford)Published Prospective cohort study

Authors' conclusion

It was shown that GTI scores were associated with cumulative GC-doses and vasculitis patients in the GC-naive patients had higher GTI scores than inflammatory arthritis.

Study context

Population
Patients with inflammatory arthritis, connective tissue disease and vasculitis at a rheumatology outpatient clinic48.7% glucocorticoid (GC)-naive
Participants
156 patients
Exposure
GC-naive vs GC-experienced patients
Outcome
GC toxicity measured by GTI (GTI-AIS and GTI-CWS)
Follow-up
Baseline, 3rd month and 6th month
Methodological detailsgeneralized estimating equations
  • Generalized estimating equations

Main finding

As reported in the abstract

GTI scores
Higher cumulative GC-dose associated with higher glucocorticoid toxicity index (GTI)-scores in both groups
P < 0.001
GC-naive: vasculitis higher GTI-scores than inflammatory arthritis (IA)
P < 0.001
GC-experienced: GTI-AIS and GTI-CWS significantly different at 3rd and 6th month
P < 0.05

Observational data: associations, not effects.

Original publication

Prospective assessment of glucocorticoid toxicity in rheumatology practice: a focus on the glucocorticoid toxicity index. Rheumatology (Oxford). Published 23 May 2024. doi:10.1093/rheumatology/keae288

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