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Table 2 Clinical remission in JIA patients treated with DMARD according to treatment group. Retrospective study results

From: Clinical remission and subsequent relapse in patients with juvenile idiopathic arthritis: predictive factors according to therapeutic approach

 

SDMARD alone

n = 106 (53%)

SDMARD combined

n = 37 (19%)

SDMARD BDMARD combined

n = 48 (24%)

BDMARD alone

n = 8 (4%)

Clinical remission

n = 199

p

JIA ILAR category a n (%)

 Oligoarticular

66 (62)

18 (49)

25 (52)

3 (1)

112 (56)

0.003

  Persistent

61 (92)

13 (72)

17 (68)

1 (33)

92 (82)

 

HLA B27 absence a n (%)

89 (84)

33 (89)

25 (52)

6 (75)

153 (85)

0,023

Synthetic DMARD a n (%)

 Metotrexate

78 (74)

18 (49)

15 (31)

0

108 (54)

< 0.001

No AE with DMARD a n (%)

81 (76)

24 (65)

33 (69)

1 (13)

139 (70)

0.005

Dose tapering n = 132

 Dose tapering a n (%)

80 (75)

18 (49)

29 (60)

5 (62)

132 (66)

0,018

  Tapering method n (%)

     

0,071

   Interval increase

35 (44)

8 (44)

12 (41)

5 (100)

60 (45)

 

   Dose decrease

30 (37)

7 (39)

15 (31)

0

46 (35)

 

   Both

15 (19)

3 (17)

1 (3)

0

19 (14)

 

  Tapering duration, months, median (IQR)

15 (20)

14 (27)

21 (25)

40 (30)

16 (28)

0,190

  Relapse amid tapering, n (%)

10 (13)

5 (28)

4 (14)

0

19 (14)

0,330

  Withdrawal after tapering a, n (%)

69 (86)

16 (89)

10 (34)

1 (13)

95 (72)

< 0,001

Withdrawal due to CR n = 124

 Withdrawal due to CR

71 (67)

29 (78)

21 (44)

3 (38)

124 (62)

0,728

  Treatment duration to withdrawal due to RC a, months, median (IQR)

31 (26)

42 (43)

34 (54)

68 (71)

31 (30)

0,037

  Relapse after withdrawal n (%)

50 (70)

16 (55)

11 (52)

2 (67)

79 (64)

0,783

  Time to relapse, months, median (IQR)

13 (25)

42 (41)

10 (18)

14

14 (32)

0,122

  1. SDMARD Synthetic disease modifying drug, BDMARD Biologic disease modifying drug, JIA Juvenile idiopathic arthritis, n Number, HLA B27 Human leukocyte antigen, AE Adverse event, IQR Interquartile range, CR Clinical remission
  2. ap < 0,05 Statistically significant differences using the χ2 or Mann Whitney U tests