The prevalence of clinical remission in RA patients treated with anti-TNF: results from the Dutch Rheumatoid Arthritis Monitoring (DREAM) registry
Rheumatology,

de Punder YMR et al. – Minimal disease activity (MDA) and DAS–28 <2.6 are reachable treatment targets in RA with anti–TNF, although residual disease activity might still be present. In turn, ACR/European League Against Rheumatism (EULAR) remission criteria leave little residual disease activity, but might be too stringent for use in daily clinical practice due to the strict cut–point in the patient–reported outcome.

Methods
  • In the Dutch Rheumatoid Arthritis Monitoring (DREAM) biologic registry the prevalence of DAS–28 <2.6, MDA and ACR/EULAR remission criteria was assessed.
  • Residual disease activity during MDA or remission was assessed as the percentage of patients with swollen and tender joints, elevated acute–phase reactants and general health on a visual analogue scale (VAS).
  • Disability was evaluated with the HAQ score.

Results
  • Prevalence of DAS–28 <2.6 was 27%, prevalence of MDA was 34% and ACR/EULAR remission was reached by 6% of patients.
  • Residual disease activity was present mostly in the most lenient criteria and occurred most frequently on the level of swollen joint count and VAS score: at least one swollen joint in DAS–28 <2.6, MDA and ACR/EULAR remission was present in, respectively, 51, 54 and 34% of the patients.
  • VAS >1 occurred in, respectively, 67, 69 and 0% of the patients.
  • Modification of the cut–point of the patient–reported outcome increased the prevalence of ACR/EULAR remission, but also the level of disability.

Please login or register to follow this author.
► Click here to access PubMed, Publisher and related articles...
<< Previous Article | Next Article >>

Your Unread Messages in Medical Student

See All >> Messages include industry-sponsored communications and special communications from MDLinx

Most Popular Medical Student Articles

1 Midlife dietary vitamin D intake and subsequent performance in different cognitive domains Annals of Nutrition and Metabolism, September 16, 2014    Clinical Article

2 Regular fish consumption and age-related brain gray matter loss American Journal of Preventive Medicine, August 15, 2014    Clinical Article

3 Habitual intake of fruit juice predicts central blood pressure Appetite, October 24, 2014    Clinical Article

4 Oral bisphosphonate use and total knee/hip implant survival: Validation of results in an external population-based cohort Arthritis & Rheumatism, August 13, 2014    Clinical Article

5 Total, caffeinated and decaffeinated coffee and tea intake and gastric cancer risk: Results from the EPIC cohort study International Journal of Cancer, October 3, 2014    Clinical Article

6 Effects of tea intake on blood pressure: A meta-analysis of 21 randomized controlled trials JACC - Journal of the American College of Cardiology, October 22, 2014    Clinical Article

7 Effect of ginger (Zingiber officinale) on heavy menstrual bleeding: a placebo-controlled, randomized clinical trial Phytotherapy Research, October 13, 2014    Clinical Article

8 Chocolate consumption and risk of heart failure in the Physicians Health Study European Journal of Heart Failure, October 17, 2014    Clinical Article

9 Intake of fruit and vegetables and risk of bladder cancer: A dose-response meta-analysis of observational studies Cancer Causes and Control, October 10, 2014    Clinical Article

10 Fish consumption and risk of rheumatoid arthritis: A dose-response meta-analysis Arthritis Research & Therapy, October 7, 2014    Evidence Based Medicine    Review Article

11 Trazodone improves sleep parameters in Alzheimer's disease patients: A randomized, double-blind, and placebo-controlled study The American Journal of Geriatric Psychiatry, October 15, 2014    Clinical Article

12 Serum 25-hydroxyvitamin D levels and metabolic health status in extremely obese individuals Obesity, October 10, 2014    Review Article

13 Effects of decontamination of the oropharynx and intestinal tract on antibiotic resistance in ICUs: a randomized clinical trial JAMA, October 10, 2014    Evidence Based Medicine    Clinical Article

14 Diet and inflammatory bowel disease: review of patient-targeted recommendations Clinical Gastroenterology and Hepatology , October 10, 2014    Review Article

15 Vitamin B12 and folate deficiency in chronic heart failure Heart, October 24, 2014    Clinical Article

16 Nutrition for the prevention and treatment of chronic kidney disease in diabetes Canadian Journal of Diabetes, September 26, 2014    Review Article

17 Effect of pentoxifylline on renal function and urinary albumin excretion in patients with diabetic kidney disease: The PREDIAN trial Journal of the American Society of Nephrology, June 30, 2014    Clinical Article

18 Vancomycin-resistant enterococci colonization among dialysis patients: A meta-analysis of prevalence, risk factors, and significance American Journal of Kidney Diseases, July 18, 2014    Review Article

19 Vitamin D analogue therapy, cardiovascular risk and kidney function in people with Type 1 diabetes mellitus and diabetic nephropathy: a randomized trial Diabetic Medicine, October 13, 2014    Clinical Article

20 Age-related cataract in men in the selenium and vitamin E cancer prevention trial eye endpoints study: A randomized clinical trial JAMA Ophthalmology, October 3, 2014    Evidence Based Medicine    Clinical Article

Indexed Journals in Medical Student: Academic Medicine, BMC Medical Education, Medical Teachermore