Evidence map›Paper›PMID 38153614›Full record

ArticleClinical rheumatology2024

Similar levels of disease activity and remission rates in patients with psoriatic arthritis and rheumatoid arthritis-results from the Finnish quality register.

Lauri Weman, Henri Salo, Laura Kuusalo, Johanna Huhtakangas, Johanna Kärki, Paula Vähäsalo, Maria Backström, Tuulikki Sokka-Isler

Abstract read
In one paragraph

Article in Clinical rheumatology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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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

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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

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No citing paper in PubMed yet.

4 · The record

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5 · Who and what money

Authors and funding

8 authors.

Lauri WemanUniversity of Eastern Finland, Kuopio, Finland. lauriweman@gmail.com.ORCID http://orcid.org/0000-0002-5979-7582
Henri SaloData and Analytics, Finnish Institute for Health and Welfare (THL), Helsinki, Finland.
Laura KuusaloDepartment of Internal Medicine, University of Turku and Turku University Hospital, Turku, Finland.
Johanna HuhtakangasDivision of Rheumatology, Kuopio University Hospital, Kuopio, Finland.
Johanna KärkiDepartment of Children and Adolescents, Kanta-Häme Central Hospital, Hämeenlinna, Finland.
Paula VähäsaloResearch Unit of Clinical Medicine, University of Oulu, Department of Children and Adolescents, Oulu University Hospital and Medical Research Center, Oulu University Hospital and University of Oulu, Oulu, Finland.
Maria BackströmDepartment of Paediatrics, Wellbeing Services County of Ostrobothnia, Vaasa, Finland.
Tuulikki Sokka-IslerUniversity of Eastern Finland, Kuopio, Finland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo compare the current disease activity and remission rates, and their regional variation in patients with psoriatic arthritis (PsA) and rheumatoid arthritis (RA) in Finland.

methodsData of patients' most recent visit in 1/2020-9/2021 were extracted from the Finnish Rheumatology Quality Register. Measures for disease activity and remission included joint counts, DAS28, cDAPSA, CDAI, the Boolean definition, and physician assessment. Regression analyses were applied, adjusted for age and sex.

resultsData of 3598 patients with PsA (51% female, mean age 54 years) and 13,913 patients with RA (72% female, 74% ACPA-positive, mean age 62 years) were included. The median (IQR) DAS28 was 1.9 (1.4, 2.6) in PsA and 2.0 (1.6, 2.7) in RA (p = 0.94); for cDAPSA, the median (IQR) values were 7.7 (3.1, 14) in PsA and 7.7 (3.3, 14) in RA (p < 0.001). In all regions in both diseases, the median DAS28 was ≤ 2.6 and the median cDAPSA < 13. Remission rates included DAS28 < 2.6 in 73% in PsA and 69% in RA (p = 0.17) and Boolean remission in 17% in PsA and 15% in RA (p < 0.001). By other definitions of remission, the rates ranged between 30% and 46%. Methotrexate was currently used by 49% in PsA and 57% in RA (p < 0.001). Self-administered bDMARDs were currently used by 37% in PsA and 21% in RA (p < 0.001).

conclusionThe overall disease activity was low and similar in patients with PsA and RA across the country. Remission rates varied between 15 and 73%, depending on the definition but were similar in PsA and RA. Key Points • The disease activity and clinical picture was similar between patients with PsA and RA, in a cross-sectional setting in 1.2020-9.2021. • A significant majority of patients with PsA had low disease activity or were in remission according to cDAPSA. Majority of patients with RA were in remission according to DAS28. • Patients with PsA and RA used methotrexate similarly. The utilization of bDMARDs was more prevalent in patients with PsA.

Indexed as

Antirheumatic AgentsArthritis, PsoriaticArthritis, RheumatoidCross-Sectional StudiesFemaleFinlandHumansMaleMethotrexateMiddle AgedRemission InductionSeverity of Illness IndexAntirheumatic AgentsMethotrexateArthritisDisease activityRemission rates

Identifiers

PMID38153614
PMCPMC10834563

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