Rheumatoid arthritis

Urinary methotrexate dosage in rheumatoid arthritis, in patients treated for at least 6 months: a potential marker of adherence

RMD OpenPublished Cross-sectional study

Authors' conclusion

We identified that indirect adherence measurements did not reflect real-life adherence.

Study context

Population
Patients over 18 years with rheumatoid arthritis (RA) treated by methotrexate (MTX) for more than 6 months, Reims University Hospital26 oral MTX, 58 subcutaneous (SC) MTX
Participants
84 participants
Exposure
Adherence to MTX by METU vs indirect adherence measures
Outcome
Adherence to MTX assessed with METU, compared with indirect adherence measurement technics
Methodological detailssingle-centre, real-life conditions
  • Single-centre
  • Real-life conditions

Main finding

As reported in the abstract

Adherence to MTX

Observational data: associations, not effects.

Further findings

OutcomeP value
Adherence, MPR vs METU in SC MTX users (subgroup)Not significantly differentP = 0.059

Tender joint count and CRP in non-adherent vs adherent patients

Non-adherent patients had a higher number of tender joints and CRP value
P < 0.05

Original publication

Urinary methotrexate dosage in rheumatoid arthritis, in patients treated for at least 6 months: a potential marker of adherence. RMD Open. Published 20 May 2024. doi:10.1136/rmdopen-2023-004024

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