Discordance between tender and swollen joint count as well as patient's and evaluator's global assessment may reduce likelihood of remission in patients with rheumatoid arthritis and psoriatic arthritis: data from the prospective multicentre NOR-DMARD stu

Abstract:

OBJECTIVE:To investigate the predictive value of discordance between (1) tender and swollen joint count and (2) patient's and evaluator's global assessment on remission in patients with rheumatoid arthritis (RA) and psoriatic arthritis (PsA). METHODS:From the prospective, multicentre Norwegian-Disease-Modifying Antirheumatic Drug study, we included patients with RA and PsA starting first-time tumour necrosis factor inhibitors and DMARD-naïve patients starting methotrexate between 2000 and 2012. The predictive value of ΔTSJ (tender minus swollen joint counts) and ΔPEG (patient's minus evaluator's global assessment) on remission was explored in prespecified logistic regression models adjusted for age, sex, disease duration and smoking. RESULTS:A total of 2735 patients with RA and 1236 patients with PsA were included (mean (SD) age 55.0 (13.5)/48.3 (12.4) years, median(range) disease duration 0.7 (0.0-58.0)/1.3 (0.0-48.3) years, 69.7/48.4% females). Baseline ΔTSJ/ΔPEG reduced the likelihood of achieving DAS28<2.6, SDAI≤3.3, CDAI≤2.8, ACR/EULAR Boolean and DAPSA<4 remission after 3 and 6 months in RA (OR 0.95-0.97, p<0.001/OR 0.96-0.99, p≤0.01) and PsA (OR 0.91-0.94, p≤0.004/OR 0.89-0.99, p≤0.002), except for ΔPEG and 6-month DAS28 remission in PsA. CONCLUSIONS:Discordance between patient's and physician's evaluation of disease activity reflected through ΔTSJ and partly ΔPEG may reduce likelihood of remission in RA and PsA. The findings are relevant for use of the treat-to-target strategy in individual patients.

journal_name

Ann Rheum Dis

authors

Michelsen B,Kristianslund EK,Hammer HB,Fagerli KM,Lie E,Wierød A,Kalstad S,Rødevand E,Krøll F,Haugeberg G,Kvien TK

doi

10.1136/annrheumdis-2016-210283

subject

Has Abstract

pub_date

2017-04-01 00:00:00

pages

708-711

issue

4

eissn

0003-4967

issn

1468-2060

pii

annrheumdis-2016-210283

journal_volume

76

pub_type

杂志文章,多中心研究
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    doi:10.1136/ard.46.11.843

    authors: Allen RE,Outhwaite JM,Morris CJ,Blake DR

    更新日期:1987-11-01 00:00:00

  • A double blind, multicentre, placebo controlled trial of lornoxicam in patients with osteoarthritis of the hip and knee.

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    journal_title:Annals of the rheumatic diseases

    pub_type: 临床试验,杂志文章,多中心研究,随机对照试验

    doi:10.1136/ard.51.2.238

    authors: Berry H,Bird HA,Black C,Blake DR,Freeman AM,Golding DN,Hamilton EB,Jayson MI,Kidd B,Kohn H

    更新日期:1992-02-01 00:00:00

  • Multiple microcrystal deposition disease in a patient with systemic lupus erythematosus.

    abstract::A 17-year-old female patient with systemic lupus erythematosus (SLE) developed chronic tophaceous gout, chondrocalcinosis and articular capsule calcification in several joints. Analysis of synovial fluid and tophi revealed the coexistence of monosodium urate, calcium pyrophosphate, hydroxyapatite, and cholesterol crys...

    journal_title:Annals of the rheumatic diseases

    pub_type: 杂志文章

    doi:10.1136/ard.43.3.498

    authors: Rodríguez MA,Paul H,Abadí I,Bravo JR,Armas P

    更新日期:1984-06-01 00:00:00

  • Triple crystal disease: monosodium urate monohydrate, calcium pyrophosphate dihydrate, and basic calcium phosphate in a single joint.

    abstract::A 49 year old man is described with a polyarticular arthritis. Synovial fluid aspirated from the knee joint showed monosodium urate monohydrate and calcium pyrophosphate dihydrate by polarised light microscopy. Additionally, diphosphonate binding and scanning electron microscopy with energy dispersive analysis showed ...

    journal_title:Annals of the rheumatic diseases

    pub_type: 杂志文章

    doi:10.1136/ard.47.10.864

    authors: Halverson PB,Ryan LM

    更新日期:1988-10-01 00:00:00

  • Leishmaniasis in rheumatology, haematology and oncology: epidemiological, immunological and clinical aspects and caveats.

    abstract::Leishmaniasis is an intracellular protozoan infection that can lead to cutaneous, mucocutaneous, visceral or systemic manifestations depending on the parasite species and virulence and on the host immune response. It is endemic in countries of Europe (Mediterranean basin), Asia, Africa, Central and South America, but ...

    journal_title:Annals of the rheumatic diseases

    pub_type: 杂志文章,评审

    doi:10.1136/annrheumdis-2011-200596

    authors: Bogdan C

    更新日期:2012-04-01 00:00:00

  • Systemic activity and mortality in primary Sjögren syndrome: predicting survival using the EULAR-SS Disease Activity Index (ESSDAI) in 1045 patients.

    abstract:OBJECTIVE:To score systemic activity at diagnosis and correlate baseline activity with survival in a large cohort of patients with primary Sjögren syndrome (SS). PATIENTS AND METHODS:We include 1045 consecutive patients who fulfilled the 2002 classification criteria for primary SS. The clinical and immunological chara...

    journal_title:Annals of the rheumatic diseases

    pub_type: 杂志文章

    doi:10.1136/annrheumdis-2014-206418

    authors: Brito-Zerón P,Kostov B,Solans R,Fraile G,Suárez-Cuervo C,Casanovas A,Rascón FJ,Qanneta R,Pérez-Alvarez R,Ripoll M,Akasbi M,Pinilla B,Bosch JA,Nava-Mateos J,Díaz-López B,Morera-Morales ML,Gheitasi H,Retamozo S,Ramos-Ca

    更新日期:2016-02-01 00:00:00

  • Mitogen activated protein kinase inhibitors: where are we now and where are we going?

    abstract::Orally bioavailable compounds that target key intracellular signalling molecules are receiving increasing attention for the treatment of rheumatic diseases. The mitogen activated protein (MAP) kinases are especially attractive because they regulate both cytokine production and cytokine action. The MAP kinases are expr...

    journal_title:Annals of the rheumatic diseases

    pub_type: 杂志文章,评审

    doi:10.1136/ard.2006.058388

    authors: Sweeney SE,Firestein GS

    更新日期:2006-11-01 00:00:00

  • Diagnostic strategy for the assessment of rheumatoid vasculitis.

    abstract:OBJECTIVE:To determine the clinical features associated with histologically proven rheumatoid vasculitis (HRV) and the additional diagnostic value of serological markers in an inception cohort of 81 patients with rheumatoid arthritis (RA) suspected of RV. METHODS:The presence and number of recently developed extra-art...

    journal_title:Annals of the rheumatic diseases

    pub_type: 杂志文章

    doi:10.1136/ard.62.5.407

    authors: Voskuyl AE,Hazes JM,Zwinderman AH,Paleolog EM,van der Meer FJ,Daha MR,Breedveld FC

    更新日期:2003-05-01 00:00:00

  • The arthritis sufferer and the community: a comparison of arthritis sufferers in rural and urban areas.

    abstract::One hundred and two rural patients and 100 urban patients with rheumatoid arthritis and osteoarthrosis and 203 age and sex matched controls were visited in their homes to evaluate their problems, needs, and expectations. Although one would expect disability to affect the mobility of a person, it was found that rural p...

    journal_title:Annals of the rheumatic diseases

    pub_type: 杂志文章

    doi:10.1136/ard.47.2.150

    authors: Cornelissen PG,Rasker JJ,Valkenburg HA

    更新日期:1988-02-01 00:00:00

  • Characterisation of the nasal microbiota in granulomatosis with polyangiitis.

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    journal_title:Annals of the rheumatic diseases

    pub_type: 杂志文章

    doi:10.1136/annrheumdis-2018-213645

    authors: Rhee RL,Sreih AG,Najem CE,Grayson PC,Zhao C,Bittinger K,Collman RG,Merkel PA

    更新日期:2018-10-01 00:00:00

  • Is cancer associated with polymyalgia rheumatica? A cohort study in the General Practice Research Database.

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    journal_title:Annals of the rheumatic diseases

    pub_type: 杂志文章

    doi:10.1136/annrheumdis-2013-203465

    authors: Muller S,Hider SL,Belcher J,Helliwell T,Mallen CD

    更新日期:2014-10-01 00:00:00

  • Lymphocyte surface marker expression in rheumatic diseases: evidence for prior activation of lymphocytes in vivo.

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    journal_title:Annals of the rheumatic diseases

    pub_type: 杂志文章

    doi:10.1136/ard.49.2.81

    authors: Smith MD,Roberts-Thomson PJ

    更新日期:1990-02-01 00:00:00

  • Low-cost, low-field dedicated extremity magnetic resonance imaging in early rheumatoid arthritis: a 1-year follow-up study.

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    journal_title:Annals of the rheumatic diseases

    pub_type: 杂志文章

    doi:10.1136/ard.2005.049213

    authors: Lindegaard HM,Vallø J,Hørslev-Petersen K,Junker P,Østergaard M

    更新日期:2006-09-01 00:00:00

  • Chondrocalcinosis after parathyroidectomy.

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    journal_title:Annals of the rheumatic diseases

    pub_type: 杂志文章

    doi:10.1136/ard.35.6.521

    authors: Glass JS,Grahame R

    更新日期:1976-12-01 00:00:00

  • Distinct ACPA fine specificities, formed under the influence of HLA shared epitope alleles, have no effect on radiographic joint damage in rheumatoid arthritis.

    abstract:OBJECTIVES:Human leucocyte antigen shared epitope (SE) alleles are associated with joint destruction, the presence of anticitrullinated protein antibodies (ACPA) and the ACPA fine specificity repertoire in rheumatoid arthritis (RA). A large variation in joint destruction is seen within the ACPA-positive patient populat...

    journal_title:Annals of the rheumatic diseases

    pub_type: 杂志文章

    doi:10.1136/ard.2010.146506

    authors: Scherer HU,van der Woude D,Willemze A,Trouw LA,Knevel R,Syversen SW,van der Linden MP,Lie B,Huizinga TW,van der Heijde DM,van der Helm-van Mil AH,Kvien TK,Toes RE

    更新日期:2011-08-01 00:00:00

  • Acquired resistance of human T cells to sulfasalazine: stability of the resistant phenotype and sensitivity to non-related DMARDs.

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    journal_title:Annals of the rheumatic diseases

    pub_type: 杂志文章

    doi:10.1136/ard.2003.006494

    authors: van der Heijden J,de Jong MC,Dijkmans BA,Lems WF,Oerlemans R,Kathmann I,Scheffer GL,Scheper RJ,Assaraf YG,Jansen G

    更新日期:2004-02-01 00:00:00

  • Influence of diet with different lipid composition on neutrophil chemiluminescence and disease activity in patients with rheumatoid arthritis.

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    journal_title:Annals of the rheumatic diseases

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1136/ard.47.10.793

    authors: Magaro M,Altomonte L,Zoli A,Mirone L,De Sole P,Di Mario G,Lippa S,Oradei A

    更新日期:1988-10-01 00:00:00

  • Very early rheumatoid arthritis is the major predictor of major outcomes: clinical ACR remission and radiographic non-progression.

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    journal_title:Annals of the rheumatic diseases

    pub_type: 临床试验,杂志文章

    doi:10.1136/ard.2010.142729

    authors: Bosello S,Fedele AL,Peluso G,Gremese E,Tolusso B,Ferraccioli G

    更新日期:2011-07-01 00:00:00

  • Serum concanavalin-A binding in rheumatoid arthritis.

    abstract::A nephelometric assay of concanavalin-A binding of serum acute phase proteins (con-A binding) has been used in cross-sectional and sequential studies of disease activity in rheumatoid arthritis (RA). Con-A binding correlated well with blood viscosity, C-reactive protein, and other individual acute phase reactants in p...

    journal_title:Annals of the rheumatic diseases

    pub_type: 杂志文章

    doi:10.1136/ard.41.2.133

    authors: Martin MF,Dieppe PA,Jones HE,Warren C,Whicher J,Kohn J

    更新日期:1982-04-01 00:00:00

  • The effectiveness and medication costs of three anti-tumour necrosis factor alpha agents in the treatment of rheumatoid arthritis from prospective clinical practice data.

    abstract:AIM:to evaluate the effects of adalimumab, etanercept and infliximab on disease activity, functional ability and quality of life and the medication costs in a naturalistic design. METHODS:All patients from the Dutch Rheumatoid Arthritis Monitoring (DREAM) register starting on tumour necrosis factor (TNF)alpha-blocking...

    journal_title:Annals of the rheumatic diseases

    pub_type: 杂志文章,多中心研究

    doi:10.1136/ard.2007.083675

    authors: Kievit W,Adang EM,Fransen J,Kuper HH,van de Laar MA,Jansen TL,De Gendt CM,De Rooij DJ,Brus HL,Van Oijen PC,Van Riel PC

    更新日期:2008-09-01 00:00:00

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    journal_title:Annals of the rheumatic diseases

    pub_type: 杂志文章

    doi:10.1136/ard.58.10.618

    authors: Sokka T,Hannonen P

    更新日期:1999-10-01 00:00:00

  • Association of mannose binding lectin (MBL) gene polymorphism and serum MBL concentration with characteristics and progression of systemic lupus erythematosus.

    abstract:OBJECTIVE:To determine whether occurrence, characteristics, and progression of systemic lupus erythematosus (SLE) are associated with polymorphism of the mannose binding lectin (MBL) gene and with serum MBL concentration. METHODS:Codon 54 MBL gene polymorphism of 147 patients with SLE and 160 healthy controls was dete...

    journal_title:Annals of the rheumatic diseases

    pub_type: 杂志文章

    doi:10.1136/ard.2003.020172

    authors: Takahashi R,Tsutsumi A,Ohtani K,Muraki Y,Goto D,Matsumoto I,Wakamiya N,Sumida T

    更新日期:2005-02-01 00:00:00

  • Genetic susceptibility to total hip arthroplasty failure: a preliminary study on the influence of matrix metalloproteinase 1, interleukin 6 polymorphisms and vitamin D receptor.

    abstract:BACKGROUND:Matrix metalloproteinase (MMP)1, interleukin(IL)6 and vitamin D receptor (VDR) have been implicated in the biological cascade of events initiated by particulate wear debris and bacterial infection, resulting in periprosthetic bone loss around loosened total hip replacements (THRs). The individual responses t...

    journal_title:Annals of the rheumatic diseases

    pub_type: 杂志文章

    doi:10.1136/ard.2006.062018

    authors: Malik MH,Jury F,Bayat A,Ollier WE,Kay PR

    更新日期:2007-08-01 00:00:00

  • Submaximal exercise testing in the assessment of interstitial lung disease secondary to systemic sclerosis: reproducibility and correlations of the 6-min walk test.

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    journal_title:Annals of the rheumatic diseases

    pub_type: 杂志文章

    doi:10.1136/ard.2006.054866

    authors: Buch MH,Denton CP,Furst DE,Guillevin L,Rubin LJ,Wells AU,Matucci-Cerinic M,Riemekasten G,Emery P,Chadha-Boreham H,Charef P,Roux S,Black CM,Seibold JR

    更新日期:2007-02-01 00:00:00

  • Bacterial and viral superantigens: roles in autoimmunity?

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    journal_title:Annals of the rheumatic diseases

    pub_type: 杂志文章,评审

    doi:10.1136/ard.52.suppl_1.s6

    authors: Acha-Orbea H

    更新日期:1993-03-01 00:00:00

  • Knee alignment differences between Chinese and Caucasian subjects without osteoarthritis.

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    pub_type: 杂志文章

    doi:10.1136/ard.2007.074294

    authors: Harvey WF,Niu J,Zhang Y,McCree PI,Felson DT,Nevitt M,Xu L,Aliabadi P,Hunter DJ

    更新日期:2008-11-01 00:00:00

  • Standardised assessment of membrane proteinase 3 expression. Analysis in ANCA-associated vasculitis and controls.

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    journal_title:Annals of the rheumatic diseases

    pub_type: 杂志文章

    doi:10.1136/ard.2006.063230

    authors: van Rossum AP,Huitema MG,Stegeman CA,Bijl M,de Leeuw K,Van Leeuwen MA,Limburg PC,Kallenberg CG

    更新日期:2007-10-01 00:00:00

  • Limited radiographic progression and sustained reductions in MRI inflammation in patients with axial spondyloarthritis: 4-year imaging outcomes from the RAPID-axSpA phase III randomised trial.

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    journal_title:Annals of the rheumatic diseases

    pub_type: 杂志文章,多中心研究,随机对照试验

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    authors: van der Heijde D,Baraliakos X,Hermann KA,Landewé RBM,Machado PM,Maksymowych WP,Davies OR,de Peyrecave N,Hoepken B,Bauer L,Nurminen T,Braun J

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  • Rapid development of a tophus following ipsilateral hemiparesis.

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    journal_title:Annals of the rheumatic diseases

    pub_type: 杂志文章

    doi:10.1136/ard.52.4.308

    authors: Donegan CF,Berman P,Doherty M

    更新日期:1993-04-01 00:00:00

  • Hormonal manipulation of the immune response in systemic lupus erythematosus: a drug trial of an anabolic steroid, 19-nortestosterone.

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    journal_title:Annals of the rheumatic diseases

    pub_type: 临床试验,杂志文章

    doi:10.1136/ard.42.2.155

    authors: Hazelton RA,McCruden AB,Sturrock RD,Stimson WH

    更新日期:1983-04-01 00:00:00