Innovative treatment strategies for patients with rheumatoid arthritis.

Abstract:

PURPOSE OF REVIEW:The present review provides an update on novel treatment strategies striving for remission in patients with recent onset of rheumatoid arthritis. RECENT FINDINGS:As early treatment is crucial to achieve optimal results, identifying patients with rheumatoid arthritis early is imperative to achieve clinical remission. Patients with early arthritis who will progress to rheumatoid arthritis can be identified, and treating these patients can postpone the diagnosis of rheumatoid arthritis and retard the progression of structural damage. The best way to achieve remission is by adjusting treatments at regular intervals using predetermined response criteria. Specific treatments to rapidly induce remission include disease modifying antirheumatic drugs combinations, especially combined with glucocorticoids or tumor necrosis factor antagonists. The prediction of joint damage progression, or the response to specific drugs is not yet accurately possible. The early institution of tumor necrosis factor antagonists followed by discontinuation leads to sustained clinical benefit. SUMMARY:Early treatment of patients with rheumatoid arthritis with strategies aiming at remission results in the best outcomes. Until the prediction of a severe disease course and treatment response becomes possible, a promising strategy would be to rapidly induce remission using an effective combination of drugs followed by tapering and discontinuation. Tumor necrosis factor antagonists have proven to be highly effective in this approach.

journal_name

Curr Opin Rheumatol

authors

van der Kooij SM,Allaart CF,Dijkmans BA,Breedveld FC

doi

10.1097/BOR.0b013e3282fa13db

subject

Has Abstract

pub_date

2008-05-01 00:00:00

pages

287-94

issue

3

eissn

1040-8711

issn

1531-6963

pii

00002281-200805000-00011

journal_volume

20

pub_type

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