Abstract:
:This paper is to assess the efficacy of different biologic DMARDs (bDMARDs) on several patient-reported outcomes (PROs) in randomized controlled trials (RCT) in axial spondyloarthritis (axSpA). A systematic literature review (SLR) was performed. MEDLINE (May 1, 2018) was used with the filters "published in the last 10 years" and "humans." The PICO criteria used were Patients: adults with radiographic axSpA (r-axSpA) or non-radiographic axSpA (nr-axSpA); Intervention: any bDMARD; Compararator: placebo (PBO)/any different drug; Outcome: the Bath Ankylosing Spondylitis Disease Activity Index (BASDAI), the Bath Ankylosing Spondylitis Functional Index (BASFI), the Ankylosing Spondylitis Quality of Life (ASQoL), the EuroQol-5D (EQ-5D), the Short Form 36 Health Survey physical component summary (SF36-PCS), the Short Form 36 Health Survey mental component summary (SF36-MCS), and the Functional Assessment of Chronic Illness Therapy-Fatigue (FACIT-F). After screening 84 initial references and manually selecting other 9, 24 publications, assessing TNF inhibitors (TNFi) or IL17A inhibitors (IL17Ai) were selected. Four RCTs quantified the minimal clinical important difference (MCID) between treatment arms. Most of the RCTs compared the mean difference of PROs between different timepoints. Overall, the treatment arm was superior to the comparator. PROs were often underreported or highly heterogeneously presented. MCID was seldom mentioned. There is a need to raise the standard of care on SpA by aiming at remission and PRO associated improvements. In order to achieve this goal, the target must be clearly defined, reported, and tested.
journal_name
Clin Rheumatoljournal_title
Clinical rheumatologyauthors
Rodrigues-Manica S,Silva J,Cruz-Machado R,Coelho C,Duarte J,Vieira-Sousa E,Tavares-Costa J,Pimentel-Santos FMdoi
10.1007/s10067-020-05209-xsubject
Has Abstractpub_date
2021-01-01 00:00:00pages
33-41issue
1eissn
0770-3198issn
1434-9949pii
10.1007/s10067-020-05209-xjournal_volume
40pub_type
杂志文章,评审abstract::We report the case of a 57-year-old woman presenting with persistent cough, weight loss, and fever. An extensive work-up revealed laboratory signs of inflammation and a mild thickening of the aortic wall on computed tomographic scan of the thorax. These findings raised the suspicion of large vessel vasculitis that was...
journal_title:Clinical rheumatology
pub_type: 杂志文章
doi:10.1007/s10067-004-1052-y
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abstract::We aimed to evaluate the presence of peripheral antineutrophil cytoplasmic antibodies (p-ANCA) and cytoplasmic antineutrophil cytoplasmic antibodies (c-ANCA) in children with SLE and to correlate its association of laboratory findings. Twenty-one children with SLE were studied. Serum samples in patients were tested by...
journal_title:Clinical rheumatology
pub_type: 临床试验,杂志文章
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abstract::Gout is a disease with acute and/or chronic inflammation and tissue damage induced by the precipitation of monosodium urate crystal (MSU) crystals in bone joints, kidneys, and subcutaneous sites. In recent years, with the continuous research on gout animal models and patient clinical investigations, the mechanism of i...
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pub_type: 杂志文章,随机对照试验
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journal_title:Clinical rheumatology
pub_type: 杂志文章,已发布勘误
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journal_title:Clinical rheumatology
pub_type: 杂志文章,评审
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pub_type: 杂志文章,多中心研究
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pub_type: 信件
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