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Rapid and sustained health utility gain in anti-TNF treated inflammatory arthritis. Observational data during seven years in southern Sweden
Annals of Rheumatic Diseases, 04/15/09
Gulfe A et al. – Study shows that utilities at inclusion remained largely unchanged for RA, PsA and SpA over 7 yrs; improvement occurred early during treatment. There were no major differences between RA, PsA and SpA. EQ-5D proved feasible and applicable across these diagnoses.
Methods- Study was initiated to:
- evaluate the secular trends in baseline health utilities in patients commencing TNF blockade for arthritis in clinical practice over 7 years
- address utility changes during treatment
- investigate the influence of previous treatment courses
- study the feasibility of health utility measures
- and compare them across diagnostic entities
- EuroQoL 5 Dimensions (EQ-5D) utility data were collected of anti-TNF treated pts with RA (N=2554), PsA (N=574) or SpA (N=586)
- Time trends were calculated; completer analysis was used
- Weak or non-significant secular trends for increasing baseline utilities over time for RA, PsA and SpA
- Max. gain in utilities occurred already after 2 wks for all diagnoses and remained stable for pts remaining on therapy
- First and second anti-TNF courses performed similarly
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