Rheumatoid arthritis

Rheumatoid arthritis disease activity significantly impacts on the severity of interstitial lung disease

Arthritis Res TherPublished Cross-sectional study

Authors' conclusion

Disease activity of RA was significantly associated with the severity of RA-ILD both radiologically and physiologically.

Study context

Population
Consecutive patients with rheumatoid arthritis (RA) at a Rheumatology Centre, December 2020 to December 2023 (median age 70 years; median disease duration 2.92 years)32 men · 92 women
Participants
124 patients
Outcome
Radiological severity of ILD (Goh and Walsh HRCT extent) and physiological severity, associations with patients' features
Methodological detailsconsecutive patients, single-centre, multivariate linear regression
  • Consecutive patients
  • Single-centre
  • Multivariate linear regression

Main finding

As reported in the abstract

Association with radiological quantitative severity of ILD (multivariate, adjusted for age, sex, disease duration, smoking status and ACPA titre)

DAS28-ESR, standardized coefficient (P = 0.03)

0.199

RF titre, standardized coefficient (P = 0.01)

0.247

Observational data: associations, not effects.

Further findings

Distribution of radiological interstitial lung disease (ILD) severity

0% (without ILD): 107
86.2%
ILD extent < 10%: 9
7.2%
ILD extent ≥10% and < 20%: 3
2.4%
ILD extent ≥20%: 5
4.0%

Association of DAS28-ESR with FVC% predicted

Standardized coefficient (P = 0.047)
−0.230

Original publication

Rheumatoid arthritis disease activity significantly impacts on the severity of interstitial lung disease. Arthritis Res Ther. Published 4 May 2024. doi:10.1186/s13075-024-03333-6

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