2020, Number 3
Rheumatoid arthritis activity and treatment
Language: Spanish
References: 27
Page: 1-14
PDF size: 424.56 Kb.
ABSTRACT
The diagnosis and treatment of rheumatoid arthritis early in the course of the disease provides relief of symptoms and also prevents long-term structural damage and functional deterioration, with a concomitant improvement in quality of life. To expose approaches to rheumatoid arthritis in terms of the treatment and behavior of the activity of said disease. Recognition of patients with rapidly progressing disease is essential to identify candidates in whom intensive therapy can have the greatest impact, in terms of preventing disease progression. The accumulated data shows that intensive treatment strategies with biological agents, especially TNF inhibitors, are more effective than sequential monotherapy or progressive combination therapy. These show substantial efficacy in combination with methotrexate, providing rapid and substantial benefits and improvements in patient outcomes.REFERENCES
Skogh T, Gustafsson D, Kjellberg M, Husberg M. Twenty-eight joint count disease activity score in recent onset rheumatoid arthritis using C reactive protein instead of erythrocyte sedimentation rate. Ann Rheum Dis. 2003 [Acceso 05/03/2020];62:681-2. Disponible en: https://ard.bmj.com/content/annrheumdis/62/7/681.full.pdf
Aletaha D, Landewe R, Karonitsch T, Bathon J, Boers M, Bombardier C, et al. Reporting disease activity in clinical trials of patients with rheumatoid arthritis: EULAR/ACR collaborative recommendations. Ann Rheum Dis. 2008 [Acceso 22/07/2020];67:1360-4. Disponible en: https://onlinelibrary.wiley.com/doi/pdf/10.1002/art.24123
Salaffi F, Cimmino MA, Leardini G, Gasparini S, Grassi W, Epidemiology Study Group of the Italian Society of Rheumatology. Disease activity assessment of rheumatoid arthritis in daily practice: validity, internal consistency, reliability and congruency of the disease activity score including 28 joints compared with the clinical disease activity index. Clin Exp Rheumatol. 2009 [Acceso 22/07/2020];27:552-9. Disponible en: https://www.clinexprheumatol.org/article.asp?a=3665
Balsa A, de Miguel E, Castillo C, Peiteado D, Martín-Mola E. Superiority of SDAI over DAS-28 in assessment of remission in rheumatoid arthritis patients using power Doppler ultrasonography as a gold standard. Rheumatology. 2010 [Acceso 28/07/2020];49:683-90. Disponible en: https://academic.oup.com/rheumatology/article/49/4/683/1790047
Emery P, McInnes IB, van Vollenhoven R, Kraan MC. Clinical identification and treatment of a rapidly progressing disease state in patients with rheumatoid arthritis. Rheumatology (Oxford). 2008 [Acceso 05/08/2020];47:392-8. Disponible en: https://academic.oup.com/rheumatology/article-pdf/47/4/392/5060038/kem257.pdf
Grigor C, Capell H, Stirling A, McMahon AD, Lock P, Vallance R, et al. Effect of a treatment strategy of tight control for rheumatoid arthritis (the TICORA study): A single-blind randomised controlled trial. Lancet. 2004 [Acceso 14/08/2020];364:263-9. Disponible en: http://www.angelfire.com/ar3/reumatologia0/jruiz.pdf
Emery P, Breedveld FC, Hall S, Durez P, Chang DJ, Robertson D, et al. Comparison of methotrexate monotherapy with a combination of methotrexate and etanercept in active, early, moderate to severe rheumatoid arthritis (COMET): A randomised, double-blind, parallel treatment trial. Lancet. 2008 [Acceso 29/07/2020];372:375-82. Disponible en: https://www.academia.edu/download/55013587/s0140-6736_2808_2961000-420171115-2210-1tk88eq.pdf
Breedveld FC, Weisman MH, Kavanaugh AF, Cohen SB, Pavelka K, van Vollenhoven R, et al. The PREMIER study: A multicenter, randomized, double-blind clinical trial of combination therapy with adalimumab plus methotrexate versus methotrexate alone or adalimumab alone in patients with early aggressive rheumatoid arthritis who had not had previous methotrexate treatment. Arthritis Rheum. 2006 [Acceso 07/08/2020];54:26-37. Disponible en: https://onlinelibrary.wiley.com/doi/pdf/10.1002/art.21519
Quinn MA, Conaghan PG, O'Connor PJ, Karim Z, Greenstein A, Brown A, et al. Very early treatment with infliximab in addition to methotrexate in early, poor-prognosis rheumatoid arthritis reduces magnetic resonance imaging evidence of synovitis and damage, with sustained benefit after infliximab withdrawal. Results from a twelvemonth randomized, double-blind, placebo-controlled trial. Arthritis Rheum. 2005 [Acceso 22/07/2020];52:27-35. Disponible en: https://scholar.google.com.cu/scholar?output=instlink&q=info:cOnhyDVKC3wJ:scholar.google.com/&hl=es&as_sdt=0,5&scillfp=3821783310412170914&oi=lle