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June 1, 1991QJM

Rheumatoid Arthritis: Workload and Outcome Over 10 Years

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Why the study?

Does continued use of disease-modifying therapy improve clinical and functional outcomes in patients with rheumatoid arthritis over 10 years?

Population

123 rheumatoid patients followed from the time of prescription of their initial second-line agent

Comparison

Second-line or third-line agents vs Patients not receiving such therapy

Design

Cohort

Follow-up

10 years

Authors

HCH A CapellGlasgow Royal InfirmaryEME A MurphyJHJ A Hunter

Discussion

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Implication

Ongoing DMARD use was associated with clinical gains in RA; leaves open causal effects on function and requires randomized confirmation.

Structured PICO

Does continued use of disease-modifying therapy improve clinical and functional outcomes in patients with rheumatoid arthritis over 10 years?

P
Population
123 rheumatoid patients followed from the time of prescription of their initial second-line agent
I
Intervention
Second-line or third-line agents ('disease modifying' therapy)
C
Comparator
Patients not receiving such therapy (25 patients, 27%)
O
Outcome
Workload involved in managing articular, extra-articular and intercurrent disease, and outcome in relation to continued use of 'disease modifying' therapy at 10 years

Sustained medical and surgical intervention is required over 10 years to minimize disability in rheumatoid arthritis, though continued disease-modifying therapy is associated with improved clinical parameters.

Cite This Study

Capell et al. (1991) studied this question.

synapsesocial.com/papers/6a922ed243dadb0f15435d3ehttps://doi.org/10.1093/oxfordjournals.qjmed.a068567
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Also Consider

Synapse has enriched one closely related paper. Consider it for comparative context:

  1. 1Does Drug Therapy Slow Radiographic Deterioration in Rheumatoid Arthritis?1983 · 189 citations