Table 1 Patient demographics and baseline clinical features.
Total, n = 36 | Flare ( +), n = 20 | Flare (−), n = 14 | p-value | |
|---|---|---|---|---|
Female, n (%) | 29 (80.6) | 16 (80.0) | 12 (85.7) | 1.00b |
Age (years) | 69 (53–75) | 69 (48–76) | 69 (54–75) | 0.90a |
Height (cm) | 156 (152–160) | 156 (152–160) | 159 (154–160) | 0.25a |
Weight (kg) | 50 (48–57) | 50 (45–57) | 51 (50–57) | 0.32a |
RA duration (years) | 5.2 (2.3–9.8) | 5.7 (2.5–9.8) | 4.1 (1.6–9.7) | 0.46a |
RA onset to bDMARDs (years) | 1.3 (0.4–7.8) | 2.6 (0.5–7.1) | 0.6 (0.4–5.7) | 0.24a |
bDMARD continuation (years) | 2.1 (1.4–3.5) | 1.9 (1.5–2.8) | 2.7 (0.9–3.6) | 0.83a |
Remission duration (months) | 20 (9–31) | 18 (10–26) | 24 (9–37) | 0.42a |
Failed bDMARDs, n (%) | ||||
0 | 26 (72.2) | 14 (70.0) | 10 (71.4) | |
1 | 8 (22.2) | 5 (25.0) | 3 (21.4) | 0.95b |
2 | 2 (5.6) | 1 (5.0) | 1 (7.1) | |
Radiographic stage I or II, n (%) | 27 (75.0) | 17 (85.0) | 10 (71.4) | 0.41b |
Anti-CCP positive, n (%) | 26 (76.5) | 16 (84.2) | 8 (61.5) | 0.22b |
Rheumatoid factor positive, n (%) | 28 (77.8) | 17 (85.0) | 9 (64.3) | 0.23b |
Rheumatoid factor titre (IU/mL) | 43.6 (15.4–110.4) | 59.7 (16.2–115.1) | 24.4 (6.8–62.5) | 0.18a |
Tender joint count of 28 joints | 0 (0–0) | 0 (0–0) | 0 (0–0) | 1.00a |
Swollen joint count of 28 joints | 0 (0–0) | 0 (0–1) | 0 (0–0) | 0.19a |
Patient global assessment (/100) | 3 (0–6) | 3 (0–8) | 3 (1–6) | 0.76a |
Physician global assessment (/100) | 0 (0–3) | 1 (0–5) | 0 (0–2) | 0.30a |
HAQ-DI | 0 (0–0) | 0 (0–0) | 0 (0–0.2) | 0.71a |
CRP (mg/dL) | 0.04 (0.01–0.09) | 0.04 (0.01–0.1) | 0.04 (0.02–0.06) | 0.83a |
ESR (mm/ 1 h) | 16 (6–27) | 20 (8–35) | 9 (5–18) | 0.077a |
Matrix metalloproteinase-3 (ng/mL) | 53.8 (22.6–89.3) | 57.1 (45.2–137.9) | 50.5 (44.4–68.0) | 0.24a |
DAS28-ESR | 2.0 (1.3–2.4) | 2.3 (1.4–2.8) | 1.6 (1.1–2.1) | 0.058a |
SDAI | 0.4 (0.2–1.5) | 0.6 (0.3–2.1) | 0.4 (0.1–1.2) | 0.45a |
ACR/EULAR Boolean remission, n (%) | 31 (86.1) | 17 (85.0) | 12 (85.7) | 1.00b |
Ultrasound grey-scale | 7 (1–10) | 6 (1–12) | 8 (3–10) | 0.54a |
Ultrasound Power Doppler | 0 (0–1) | 0 (0–1) | 0 (0–1) | 0.88a |
Ultrasound total score | 7 (1–12) | 6 (1–13) | 8 (3–11) | 0.53a |
Discontinued bDMARDs | ||||
TNF inhibitors, n (%) | 26 (72.2) | 14 (70.0) | 12 (85.7) | 0.42b |
Adalimumab | 3 (8.3) | 3 (15.0) | 0 (0.0) | |
Certolizumab pegol | 2 (5.6) | 0 (0.0) | 2 (14.3) | |
Etanercept | 10 (27.8) | 5 (25.0) | 5 (35.7) | |
Golimumab | 5 (13.9) | 2 (10.0) | 3 (21.4) | |
Infliximab | 6 (16.7) | 4 (20.0) | 2 (14.3) | |
Non-TNF inhibitors, n (%) | ||||
Abatacept | 4 (11.1) | 3 (15.0) | 1 (7.1) | |
Tocilizumab | 6 (16.7) | 3 (15.0) | 1 (7.1) | |
Concomitant csDMARDs, n (%) | ||||
Methotrexate | 25 (69.4) | 12 (60.0) | 11 (78.6) | 0.29b |
Methotrexate dose (mg/week in users) | 8 (7–10) | 9 (7–10) | 8 (8–10) | 0.95b |
Salazosulfapyridine | 13 (36.1) | 8 (40.0) | 5 (35.7) | 1.00b |
Bucillamine | 1 (2.8) | 1 (5.0) | 0 (0.0) | 1.00b |
Iguratimod | 1 (2.8) | 1 (5.0) | 0 (0.0) | 1.00b |
Leflunomide | 1 (2.8) | 1 (5.0) | 0 (0.0) | 1.00b |
Tacrolimus | 1 (2.8) | 1 (5.0) | 0 (0.0) | 1.00b |
csDMARDs combination | 8 (22.2) | 5 (25.0) | 3 (21.4) | 1.00b |
Concomitant glucocorticoids, n (%) | 3 (8.3) | 2 (10.0) | 1 (7.1) | 1.00b |
Concomitant NSAIDs, n (%) | 5 (13.9) | 4 (20.0) | 1 (7.1) | 0.38b |