PAVELKA, K., J. GATTEROVA, D. TEGZOVA, K. JAROSOVA, J.T. STUDYNKOVA, Adam SVOBODNÍK, J. SVIHALEK, Ladislav DUŠEK and J. VENCOVSKY. Radiographic progression of rheumatoid arthritis in patients from the Czech National Registry receiving infiiximab treatment. Clinical and Experimental Rheumatology. 2007, vol. 25, No 4, p. 540-545, 5 pp. ISSN 0392-856X.
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Basic information
Original name Radiographic progression of rheumatoid arthritis in patients from the Czech National Registry receiving infiiximab treatment
Name in Czech Radiographic progression of rheumatoid arthritis in patients from the Czech National Registry receiving infiiximab treatment
Authors PAVELKA, K. (203 Czech Republic), J. GATTEROVA (203 Czech Republic), D. TEGZOVA (203 Czech Republic), K. JAROSOVA (203 Czech Republic), J.T. STUDYNKOVA (203 Czech Republic), Adam SVOBODNÍK (203 Czech Republic), J. SVIHALEK (203 Czech Republic), Ladislav DUŠEK (203 Czech Republic, guarantor) and J. VENCOVSKY (203 Czech Republic).
Edition Clinical and Experimental Rheumatology, 2007, 0392-856X.
Other information
Original language English
Type of outcome Article in a journal
Field of Study 30000 3. Medical and Health Sciences
Country of publisher Italy
Confidentiality degree is not subject to a state or trade secret
Impact factor Impact factor: 2.270
RIV identification code RIV/00216224:14110/07:00033158
Organization unit Faculty of Medicine
UT WoS 000249556400006
Keywords in English rheumatoid arthritis; biological treatment; radiographic progression
Tags biological treatment, radiographic progression, rheumatoid arthritis
Changed by Changed by: prof. RNDr. Ladislav Dušek, Ph.D., učo 670. Changed: 1/4/2010 08:42.
Abstract
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
Abstract (in Czech)
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
Links
1M0571, research and development projectName: Bioindikace a revitalizace toxických antropogeních substrátů a vodních zdrojů: využití sinic, řas, půdních bakterií a symbiotických hub
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