Rheumatoid arthritis

What role do socioeconomic and clinical factors play in disease activity states in rheumatoid arthritis? Data from a large UK early inflammatory arthritis audit

RMD OpenPublished Cohort study

Authors' conclusion

Socioeconomic factors and deprivation were associated with pactiveRA, independent of clinical and disease characteristics.

Study context

Population
Adults with early RA in the National Early Inflammatory Arthritis Audit (UK), recruited May 2018 to October 2022
Participants
682 vs 1,026
Exposure
Persistently active RA vs persistently low RA
  • Persistently active rheumatoid arthritis (pactiveRA)n = 682
  • plowRAn = 1,026reference
Outcome
Factors associated with pactiveRA (socioeconomic factors and comorbidities as exposures; age and gender a priori)
Methodological detailsnational audit, stepwise forward logistic regression
  • National audit
  • Stepwise forward logistic regression

Main finding

As reported in the abstract

Factors independently associated with pactiveRA (logistic regression)
Depression, lung disease, gastric ulcers and baseline corticosteroid use also associated with pactiveRA
p<0.05 for all

Observational data: associations, not effects.

Further findings

Women

OutcomepactiveRAplowRA
Age, median · baseline58 (IQR 49–67)62 (IQR 52–72)

Patient-reported outcomes and social patterning · baseline

pactiveRA associated with worse baseline patient-reported outcomes and anxiety and depression screens
Clear social patterning in pactiveRA, with age-by-gender interaction

Original publication

What role do socioeconomic and clinical factors play in disease activity states in rheumatoid arthritis? Data from a large UK early inflammatory arthritis audit. RMD Open. Published 14 July 2024. doi:10.1136/rmdopen-2024-004180

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