Developments in the clinical understanding of rheumatoid arthritis.

Abstract:

:The changes occurring in the field of rheumatoid arthritis (RA) over the past decade or two have encompassed new therapies and, in particular, a new look at the clinical characteristics of the disease in the context of therapeutic improvements. It has been shown that composite disease activity indices have special merits in following patients, that disease activity governs the evolution of joint damage, and that disability can be dissected into several components--among them disease activity and joint damage. It has also been revealed that aiming at any disease activity state other than remission (or, at worst, low disease activity) is associated with significant progression of joint destruction, that early recognition and appropriate therapy of RA are important facets of the overall strategy of optimal clinical control of the disease, and that tight control employing composite scores supports the optimization of the therapeutic approaches. Finally, with the advent of novel therapies, remission has become a reality and the treatment algorithms encompassing all of the above-mentioned aspects will allow us to achieve the rigorous aspirations of today and tomorrow.

journal_name

Arthritis Res Ther

authors

Smolen JS,Aletaha D

doi

10.1186/ar2535

subject

Has Abstract

pub_date

2009-01-01 00:00:00

pages

204

issue

1

eissn

1478-6354

issn

1478-6362

pii

ar2535

journal_volume

11

pub_type

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