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ArticleClinical medicine insights. Arthritis and musculoskeletal disorders2026

Prescription Pattern and Safety of Biologics in Autoimmune Rheumatologic Diseases in Tertiary Care Hospital of Bihar.

Adil Ali Shakur, Raj Kumar, Raushan Kumar Ranjan, Saajid Hameed, Lalit Mohan

Abstract read
In one paragraph

Article in Clinical medicine insights. Arthritis and musculoskeletal disorders, 2026. 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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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Adil Ali ShakurDepartment of Pharmacology, Indira Gandhi Institute of Medical Sciences, Patna, India.
Raj KumarDepartment of Physical Medicine and Rehabilitation, Indira Gandhi Institute of Medical Sciences, Patna, India.
Raushan Kumar RanjanDepartment of Pharmacology, Indira Gandhi Institute of Medical Sciences, Patna, India.
Saajid HameedDepartment of Pharmacology, Indira Gandhi Institute of Medical Sciences, Patna, India.ORCID https://orcid.org/0000-0001-9004-2703
Lalit MohanDepartment of Pharmacology, Indira Gandhi Institute of Medical Sciences, Patna, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Biologics have revolutionized the treatment of autoimmune rheumatologic diseases, but data on their real-world use and safety in resource-limited settings like Bihar, India, are scarce. Objectives: This study aimed to evaluate the prescription patterns and safety profile of biologic disease-modifying antirheumatic drugs (b-DMARDs) in patients with rheumatoid arthritis (RA) at a tertiary care hospital in Bihar. Design: A prospective, observational cohort study conducted over 12 months. Methods: A total of 120 adult patients with RA prescribed b-DMARDs were enrolled. Data on demographic, clinical characteristics, and treatment details were collected. Disease activity (DAS-28-CRP) and functional status (HAQ-DI) were assessed at baseline and 6 months. Adverse events, particularly infections, were recorded and analysed using multivariable logistic regression to identify risk factors. Results: Biologicals were prescribed in 14.93% patients with RA. Adalimumab (49.17%) was the most prescribed b-DMARD, followed by etanercept (28.33%). Methotrexate was the most common concomitant conventional DMARD (85.83%). All b-DMARDs significantly improved DAS-28-CRP and HAQ-DI scores ( Conclusion: Biologic disease-modifying antirheumatic drugs are effective in RA, but infection risks vary. Adalimumab and etanercept demonstrated favourable efficacy and safety profiles, respectively. Treatment decisions should be personalized, considering drug-specific risks, corticosteroid co-therapy, and patient comorbidities, especially in resource-constrained settings.

Indexed as

autoimmune rheumatologic diseasesbiologicsDMARDsinfection riskprescription patternsrheumatoid arthritis

Identifiers

PMID42169865
PMCPMC13187399

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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.