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      KCI등재 SCOPUS

      Time-integrated Cumulative Parameters Predictive of Radiographic Progression of Rheumatoid Arthritis: Real-world Data From a Prospective Single-center Cohort

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      https://www.riss.kr/link?id=A108520593

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      다국어 초록 (Multilingual Abstract)

      Objective: With many chronic inflammatory diseases, outcomes are determined by assessing both disease activity at presentation and cumulative activity over time. Here, we investigated whether cumulative activity better reflects the radiographic progre...

      Objective: With many chronic inflammatory diseases, outcomes are determined by assessing both disease activity at presentation and cumulative activity over time. Here, we investigated whether cumulative activity better reflects the radiographic progression (RP) of rheumatoid arthritis (RA) than measurement of activity at a single time point.
      Methods: From a prospective cohort of RA patients, most of whom were treated with anti-rheumatic drugs, we selected 117 subjects for whom laboratory, clinical, and radiographic parameters potentially influencing RP were monitored serially for more than 1 year. X-ray images of both hands and both feet were scored using the van der Heijde modified total Sharp score (mTSS). In addition to cross-sectional values at baseline, longitudinal and cumulative values for each parameter were calculated in a timeintegrated and averaged manner.
      Results: Among the values measured at baseline, mTSS, but not the baseline erythrocyte sedimentation rate (ESR) or C-reactive protein level, was associated with RP. By contrast, multivariate analyses identified cumulative values such as the cumulative ESR, cumulative tender joint count, cumulative swollen joint count (SJC), and cumulative Disease Activity Score 28-ESR as major determinants of RP. In particular, the cumulative SJC showed the best predictive performance for RP.
      Conclusion: This study highlights the importance of cumulative indices for predicting progression of RA. Specifically, dynamic and cumulative values of RA activity-related factors, particularly the cumulative SJC, may be the major determinants of RP in the current practice.

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      참고문헌 (Reference) 논문관계도

      1 Welsing PM, "The relationship between disease activity and radiologic progression in patients with rheumatoid arthritis : a longitudinal analysis" 50 : 2082-2093, 2004

      2 Murray E, "Systematic review and network meta-analysis : effect of biologics on radiographic progression in rheumatoid arthritis" 7 : 959-974, 2018

      3 Mikuls TR, "Soluble CD14 and CD14 polymorphisms in rheumatoid arthritis" 38 : 2509-2516, 2011

      4 Anderson J, "Rheumatoid arthritis disease activity measures: American College of Rheumatology recommendations for use in clinical practice" 64 : 640-647, 2012

      5 Smolen JS, "Rheumatoid arthritis" 4 : 18001-, 2018

      6 Lillegraven S, "Remission and radiographic outcome in rheumatoid arthritis : application of the 2011 ACR/EULAR remission criteria in an observational cohort" 71 : 681-686, 2012

      7 Wick MC, "Relationship between inflammation and joint destruction in early rheumatoid arthritis : a mathematical description" 63 : 848-852, 2004

      8 Navarro-Compán V, "Relationship between disease activity indices and their individual components and radiographic progression in RA: a systematic literature review" 54 : 994-1007, 2015

      9 van der Heijde D, "Radiographic progression in rheumatoid arthritis:does it reflect outcome? Does it reflect treatment?" 60 (60): iii47-iii50, 2001

      10 Park YJ, "Radiographic progression in clinical trials in rheumatoid arthritis : a systemic literature review of trials performed by industry" 6 : e001277-, 2020

      1 Welsing PM, "The relationship between disease activity and radiologic progression in patients with rheumatoid arthritis : a longitudinal analysis" 50 : 2082-2093, 2004

      2 Murray E, "Systematic review and network meta-analysis : effect of biologics on radiographic progression in rheumatoid arthritis" 7 : 959-974, 2018

      3 Mikuls TR, "Soluble CD14 and CD14 polymorphisms in rheumatoid arthritis" 38 : 2509-2516, 2011

      4 Anderson J, "Rheumatoid arthritis disease activity measures: American College of Rheumatology recommendations for use in clinical practice" 64 : 640-647, 2012

      5 Smolen JS, "Rheumatoid arthritis" 4 : 18001-, 2018

      6 Lillegraven S, "Remission and radiographic outcome in rheumatoid arthritis : application of the 2011 ACR/EULAR remission criteria in an observational cohort" 71 : 681-686, 2012

      7 Wick MC, "Relationship between inflammation and joint destruction in early rheumatoid arthritis : a mathematical description" 63 : 848-852, 2004

      8 Navarro-Compán V, "Relationship between disease activity indices and their individual components and radiographic progression in RA: a systematic literature review" 54 : 994-1007, 2015

      9 van der Heijde D, "Radiographic progression in rheumatoid arthritis:does it reflect outcome? Does it reflect treatment?" 60 (60): iii47-iii50, 2001

      10 Park YJ, "Radiographic progression in clinical trials in rheumatoid arthritis : a systemic literature review of trials performed by industry" 6 : e001277-, 2020

      11 Ten Klooster PM, "Radiographic progression can still occur in individual patients with low or moderate disease activity in the current treat-to-target paradigm : real-world data from the Dutch Rheumatoid Arthritis Monitoring(DREAM)registry" 21 : 237-, 2019

      12 Gossec L, "Prognostic factors for remission in early rheumatoid arthritis : a multiparameter prospective study" 63 : 675-680, 2004

      13 Forslind K, "Prediction of radiological outcome in early rheumatoid arthritis in clinical practice : role of antibodies to citrullinated peptides(anti-CCP)" 63 : 1090-1095, 2004

      14 Nishimura K, "Meta-analysis : diagnostic accuracy of anti-cyclic citrullinated peptide antibody and rheumatoid factor for rheumatoid arthritis" 146 : 797-808, 2007

      15 SchiffMH, "Integrated safety in tocilizumab clinical trials" 13 : R141-, 2011

      16 박윤정 ; 유승아 ; 황대희 ; 조철수 ; 김완욱, "Identification of novel urinary biomarkers for assessing disease activity and prognosis of rheumatoid arthritis" 생화학분자생물학회 48 : 1-8, 2016

      17 van der Heijde D, "How to read radiographs according to the Sharp/van der Heijde method" 27 : 261-263, 2000

      18 Listing J, "HLA-DRB1 genes, rheumatoid factor, and elevated C-reactive protein: independent risk factors of radiographic progression in early rheumatoid arthritis. Berlin Collaborating Rheumatological Study Group" 27 : 2100-2109, 2000

      19 김형영 ; 성윤경, "Epidemiology of Rheumatoid Arthritis in Korea" 대한류마티스학회 28 (28): 60-67, 2021

      20 Yoon-Jeong Oh ; Bumhee Park ; 문기원, "Effect of Drug Adherence on Treatment Outcome in Rheumatoid Arthritis" 대한류마티스학회 26 (26): 264-272, 2019

      21 Smolen JS, "EULAR recommendations for the management of rheumatoid arthritis with synthetic and biological diseasemodifying antirheumatic drugs : 2019 update" 79 : 685-699, 2020

      22 Landewé R, "Disconnect between inflammation and joint destruction after treatment with etanercept plus methotrexate : results from the trial of etanercept and methotrexate with radiographic and patient outcomes" 54 : 3119-3125, 2006

      23 Aletaha D, "Diagnosis and management of rheumatoid arthritis : a review" 320 : 1360-1372, 2018

      24 Landewé RB, "COBRA combination therapy in patients with early rheumatoid arthritis : long-term structural benefits of a brief intervention" 46 : 347-356, 2002

      25 Matthews JN, "Analysis of serial measurements in medical research" 300 : 230-235, 1990

      26 Brown AK, "An explanation for the apparent dissociation between clinical remission and continued structural deterioration in rheumatoid arthritis" 58 : 2958-2967, 2008

      27 Singh JA, "2015 American College of Rheumatology guideline for the treatment of rheumatoid arthritis" 68 : 1-26, 2016

      28 Aletaha D, "2010 Rheumatoid arthritis classification criteria : an American College of Rheumatology/European League Against Rheumatism collaborative initiative" 62 : 2569-2581, 2010

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