Evidence map›Paper›PMID 33062066›Full record

ArticleTherapeutic advances in musculoskeletal disease2020

Treatment patterns and achievement of the treat-to-target goals in a real-life rheumatoid arthritis patient cohort: data from 1317 patients.

Konstantinos Thomas, Argiro Lazarini, Evripidis Kaltsonoudis, Alexandros Drosos, Ioannis Papalopoulos, Prodromos Sidiropoulos, Panagiota Tsatsani, Sousana Gazi, Lina Pantazi, Kyriaki A Boki and 20 more

Open access · goldAbstract read
In one paragraph

Article in Therapeutic advances in musculoskeletal disease, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
1.9field-weighted citation impact, top 13% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 20 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

30 authors at 10 institutions in 1 country.

Konstantinos ThomasJoint Rheumatology Program, School of Medicine, National and Kapodistrian University of Athens, Athens, Greece.ORCID https://orcid.org/0000-0002-7489-7776
Argiro LazariniJoint Rheumatology Program, School of Medicine, National and Kapodistrian University of Athens, Athens, Greece.
Evripidis KaltsonoudisRheumatology Clinic, University of Ioannina, Ioannina, Greece.
Alexandros DrososRheumatology Clinic, University of Ioannina, Ioannina, Greece.
Ioannis PapalopoulosClinical Immunology and Allergy Department, University of Crete, Heraklion, Greece.
Prodromos SidiropoulosClinical Immunology and Allergy Department, University of Crete, Heraklion, Greece.
Panagiota TsatsaniRheumatology Unit, KAT Hospital, Athens, Greece.
Sousana GaziRheumatology Unit, KAT Hospital, Athens, Greece.
Lina PantaziRheumatology Unit, Sismanoglio Hospital, Athens, Greece.
Kyriaki A BokiRheumatology Unit, Sismanoglio Hospital, Athens, Greece.
Pelagia KatsimbriJoint Rheumatology Program, School of Medicine, National and Kapodistrian University of Athens, Athens, Greece.
Dimitrios BoumpasJoint Rheumatology Program, School of Medicine, National and Kapodistrian University of Athens, Athens, Greece.
Kalliopi FragkiadakiJoint Rheumatology Program, School of Medicine, National and Kapodistrian University of Athens, Athens, Greece.
Maria TektonidouJoint Rheumatology Program, School of Medicine, National and Kapodistrian University of Athens, Athens, Greece.ORCID https://orcid.org/0000-0003-2238-0975
Petros P SfikakisJoint Rheumatology Program, School of Medicine, National and Kapodistrian University of Athens, Athens, Greece.
Konstantina KaragianniDepartment of Rheumatology, University of Thessaly, Larissa, Greece.
Lazaros I SakkasDepartment of Rheumatology, University of Thessaly, Larissa, Greece.
Eleftheria P GrikaJoint Rheumatology Program, School of Medicine, National and Kapodistrian University of Athens, Athens, Greece.
Panagiotis G VlachoyiannopoulosJoint Rheumatology Program, School of Medicine, National and Kapodistrian University of Athens, Athens, Greece.
Gerasimos EvangelatosRheumatology Unit, NIMTS Hospital, Athens, Greece.
Alexios IliopoulosRheumatology Unit, NIMTS Hospital, Athens, Greece.
Theodoros Dimitroulas4th Department of Medicine, Aristotle University, Thessaloniki, Greece.
Alexandros Garyfallos4th Department of Medicine, Aristotle University, Thessaloniki, Greece.
Konstantinos MelissaropoulosRheumatology Unit, Agios Andreas Hospital, Patras, Greece.
Panagiotis GeorgiouRheumatology Unit, Agios Andreas Hospital, Patras, Greece.
Maria AretiPrivate Practice, Greece.
Constantinos GeorganasPrivate Practice, Greece.
Periklis VounotrypidisPrivate Practice, Greece.
George D KitasHygeia Hospital, Athens, Greece.
Dimitrios VassilopoulosJoint Rheumatology Program, Clinical Immunology-Rheumatology Unit, 2nd Department of Medicine and Laboratory, National and Kapodistrian University of Athens, School of Medicine, Hippokration General Hospital, 114 Vass. Sophias Avenue, Athens, 115 27, Greece.ORCID https://orcid.org/0000-0003-2288-3863
National and Kapodistrian University of Athens · GRAgios Andreas Hospital · GRAristotle University of Thessaloniki · GRKAT General Hospital of Attica · GRNIMTS Hospital · GRSismanoglio General Hospital · GRUniversity of Crete · GRUniversity of Ioannina · GRUniversity of Thessaly · GRHygeia Hospital · GR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundData regarding the real-life predictors of low disease activity (LDA) in rheumatoid arthritis (RA) patients are limited. Our aim was to evaluate the rate and predictors of LDA and treatment patterns in RA.

methodsThis was a multicenter, prospective, RA cohort study where patients were evaluated in two different time points approximately 12 months apart. Statistical analysis was performed in order to identify predictors of LDA while patterns of disease-modifying anti-rheumatic drug [DMARDs; conventional synthetic (csDMARD) or biologic (bDMARD)] and glucocorticoid (GC) use were also recorded.

resultsThe total number of patients included was 1317 (79% females, mean age: 62.9 years, mean disease duration: 10.3 years). After 1 year, 57% had achieved LDA (DAS28ESR<3.2) while 43% did not (34%: moderate disease activity: DAS28ESR ⩾3.2 to <5.1, 9%: high disease activity, DAS28ESR ⩾5.1). By multivariate analysis, male sex was positively associated with LDA [odds ratio (OR) = 2.29

conclusionIn a real-life RA cohort, during 1 year of follow-up, 43% of patients do not reach treatment targets while only ~20% of those with active RA started or switched their bDMARDs. Male sex, younger age, lower HAQ, body mass index and co-morbidity index were independent factors associated with LDA while use of GCs or ⩾2 bDMARDs were negative predictors.

Indexed as

biologic therapyco-morbiditiesdisease activityrheumatoid arthritis

Identifiers

PMID33062066
PMCPMC7534096
OpenAlexW3089396232

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.