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Evaluation of response criteria in rheumatoid arthritis treated with biological disease-modifying antirheumatic drugs

Arthritis Care & Research May 10, 2019

Inoue M, et al. - Researchers analyzed 306 rheumatoid arthritis (RA) patients who started or switched biologic disease-modifying anti-rheumatic drugs (bDMARDs) for treatment response at 6 months in order to examine agreement between the European League Against Rheumatism (EULAR) response based on ESR or CRP, the Simplified Disease Activity Index 50%, and the Clinical Disease Activity Index 50% response measures. Outcomes revealed good agreement between response measures, with a κ >0.6 in patients treated with tumor necrosis factor inhibitors or cytotoxic T-lymphocyte-associated antigen 4 immunoglobulin fusion protein. IL-6i treatment response was overestimated using EULAR response criteria because the acute-phase reactants improvement largely contributes to the DAS28 improvement
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