Rheumatoid arthritis

Sex Differences in Rheumatoid Arthritis: New Insights From Clinical and Patient-Reported Outcome Perspectives

J RheumatolPublished Secondary analysis of the the Rotterdam Early Arthritis Cohort (tREACH) randomised trial

Primary result · Disease activity (DAS44) over timeResult — go to the resultβ 0.36 95% CI 0.25–0.47

Authors' conclusion

Nevertheless, female patients with RA have higher disease activity, a greater need for bDMARDs-although these have lower efficacy-and more functional impairment over time

Study context

Population
Patients with rheumatoid arthritis (RA) (1987 and/or 2010 criteria) from the Treatment in the Rotterdam Early Arthritis Cohort (tREACH)
Participants
286 vs 139
Comparison
Female vs male patients with RA
  • Femalen = 286
  • Malen = 139reference
Primary endpoint
Clinical outcomes (disease activity, medication usage, SDFR, radiographic progression) and patient-reported outcomes (PROs) over time
Methodological detailsstratified, single-blinded, treat-to-target, fixed medication protocol, mixed models adjusted for age, initial treatment and DAS44
  • Stratified
  • Single-blinded
  • Treat-to-target
  • Fixed medication protocol
  • Mixed models adjusted for age, initial treatment and DAS44

Primary result

Disease activity (DAS44) over time

β

0.36

95% CI 0.25–0.47

P < 0.001

As reported in the abstract

Further findings

Use of bDMARDs · over time · more treatment adjustments in female patients

P < 0.001

SDFR and radiographic progression

No differences found between female and male patients

Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.

Original publication

Sex Differences in Rheumatoid Arthritis: New Insights From Clinical and Patient-Reported Outcome Perspectives. J Rheumatol. Published 1 March 2025. doi:10.3899/jrheum.2024-1258

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