External Causes of Morbidity and Mortality Clinical Trial
Official title:
Longterm Followup of Patients With Rheumatoid Arthritis Treated With Methotrexate Enroled in the Ratingener Rheuma-Kohorte
Longterm followup of patients with rheumatoid arthritis 30 years after starting a baseline treatment with Methotrexate.
Objective. 30-year follow-up of rheumatoid arthritis (RA) patients treated with methotrexate
(MTX) in the 1980s to analyze the association of the degree of response to MTX with long-term
mortality.
Methods. In this observational cohort study, 271 RA patients who had started treatment with
MTX between 1980 and 1987 were included (mean age 58 years, mean disease duration 8.5 years).
One year after baseline, the treatment response to MTX was evaluated. Responders were defined
as patients with at least 20% improvement. Thereafter, assessments were performed at 10 and
18 years after baseline. This re-evaluation was done to provide the data after 30 years of
follow-up. Standardized mortality ratios (SMR) are calculated, Cox regression and logistic
regression are performed.
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