PAVELKA, K., J. GATTEROVA, D. TEGZOVA, K. JAROSOVA, J.T. STUDYNKOVA, Adam SVOBODNÍK, J. SVIHALEK, Ladislav DUŠEK a J. VENCOVSKY. Radiographic progression of rheumatoid arthritis in patients from the Czech National Registry receiving infiiximab treatment. Clinical and Experimental Rheumatology. roč. 25, č. 4, s. 540-545, 5 s. ISSN 0392-856X. 2007.
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Základní údaje
Originální název Radiographic progression of rheumatoid arthritis in patients from the Czech National Registry receiving infiiximab treatment
Název česky Radiographic progression of rheumatoid arthritis in patients from the Czech National Registry receiving infiiximab treatment
Autoři PAVELKA, K. (203 Česká republika), J. GATTEROVA (203 Česká republika), D. TEGZOVA (203 Česká republika), K. JAROSOVA (203 Česká republika), J.T. STUDYNKOVA (203 Česká republika), Adam SVOBODNÍK (203 Česká republika), J. SVIHALEK (203 Česká republika), Ladislav DUŠEK (203 Česká republika, garant) a J. VENCOVSKY (203 Česká republika).
Vydání Clinical and Experimental Rheumatology, 2007, 0392-856X.
Další údaje
Originální jazyk angličtina
Typ výsledku Článek v odborném periodiku
Obor 30000 3. Medical and Health Sciences
Stát vydavatele Itálie
Utajení není předmětem státního či obchodního tajemství
Impakt faktor Impact factor: 2.270
Kód RIV RIV/00216224:14110/07:00033158
Organizační jednotka Lékařská fakulta
UT WoS 000249556400006
Klíčová slova anglicky rheumatoid arthritis; biological treatment; radiographic progression
Štítky biological treatment, radiographic progression, rheumatoid arthritis
Změnil Změnil: prof. RNDr. Ladislav Dušek, Ph.D., učo 670. Změněno: 1. 4. 2010 08:42.
Anotace
Objective To evaluate the clinical status and radiographic progression in patients with rheamzatoid arthritis (RA) being followed by the Czech National Registry of biological treatments. Methods Patients who failed at least two disease-modifying antirheumatic drugs and had high disease activity (DAS28 > 5.1) were treated with infliximab. Radiographic progression was measured with a modified version of the Sharp score (TSS) after 54 weeks of treatment. Results Ninety-nine patients with an average disease duration of 13.7 years were enrolled. The DAS28 dropped from 6.66 to 4.07 (p < 0.001). Before treatment the mean TSS was 90.1 and the mean estimated yearly disease progression was 8.56. After 54 weeks of infliximab, radiographic progression was 4.15 times slower than the estimated rate before treatment and 63 patients did not show any radiographic progression at all. In the remaining 36 patients, the progression rate slowed to 3.8 +/- 0.9 from the estimated TSS of 10.9 +/- 6.9 before the initiation of treatment (p = 0.011). Conclusion Data derived from the Czech National Registry, which reflect general clinical practice, show a significant retardation of radiographic progression in patients treated with anti-TNF and the magnitude of the improvement seen is similar to results from clinical trials
Anotace česky
Objective To evaluate the clinical status and radiographic progression in patients with rheamzatoid arthritis (RA) being followed by the Czech National Registry of biological treatments. Methods Patients who failed at least two disease-modifying antirheumatic drugs and had high disease activity (DAS28 > 5.1) were treated with infliximab. Radiographic progression was measured with a modified version of the Sharp score (TSS) after 54 weeks of treatment. Results Ninety-nine patients with an average disease duration of 13.7 years were enrolled. The DAS28 dropped from 6.66 to 4.07 (p < 0.001). Before treatment the mean TSS was 90.1 and the mean estimated yearly disease progression was 8.56. After 54 weeks of infliximab, radiographic progression was 4.15 times slower than the estimated rate before treatment and 63 patients did not show any radiographic progression at all. In the remaining 36 patients, the progression rate slowed to 3.8 +/- 0.9 from the estimated TSS of 10.9 +/- 6.9 before the initiation of treatment (p = 0.011). Conclusion Data derived from the Czech National Registry, which reflect general clinical practice, show a significant retardation of radiographic progression in patients treated with anti-TNF and the magnitude of the improvement seen is similar to results from clinical trials
Návaznosti
1M0571, projekt VaVNázev: Bioindikace a revitalizace toxických antropogeních substrátů a vodních zdrojů: využití sinic, řas, půdních bakterií a symbiotických hub
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