Objective To introduce the Chinese Registry of rhEumatoiD arthrITis (CREDIT), which is the first nationwide, multicentre, online rheumatoid arthritis (RA) registry in China, and to depict major cross-sectional data and treatment strategies of Chinese RA patients. Methods RA patients who fulfilled the 2010 ACR / EULAR classification criteria for rheumatoid arthritis were recruited into the registry by their rheumatologists from 144 clinical centres in China. Data, including demographics, disease characteristics, co-morbidities, treatment, and adverse reactions, were collected and documented through the predefined protocol. Results 8071 registered patients (F:M =4.03:1) were registered up to May 2017. Mean age at symptom onset and at diagnosis was 46.15 +/- 14.72y and 48.68 +/- 14.54y, respectively. Point prevalence of remission (95% CIs) was 14.88% (14.10-15.66%), 4.23% (3.79-4.66%), 4.25% (3.81-4.69%), and 4.27% (3.83-4.72%) according to DAS28-CRP, CDAI, SDAI, and the 2011 ACR/EULAR remission criteria, respectively. 38.84% and 38.11% of treatment-naive patients (n=3262) were in moderate (3.2<DAS28-CRP=5.1) and high (DAS28-CRP>5.1) disease activity, respectively. Among treatment-naive patients, those who were initiated on treatment with bDMARDs had higher disease activity than those who were treated with csDMARDs (p<0.05). Three months after initiating bDMARDs, 19.29% (n=38) of patients achieved remission (DAS28-CRP<2.6). Conclusion The CREDIT registry is an effective tool for real-world study of RA patients in China. By providing information for diagnosis and treatment regimen, the CREDIT registry can enhance the application of treat-to-target (T2T) strategy and improve patient outcomes in China.
基金:
Chinese National Key Research RD Program [2017YFC0907601, 2017YFC0907604]
第一作者机构:[1]Beijing Union Med Coll Hosp, Peking Union Med Coll, Dept Rheumatol, Beijing, Peoples R China[2]Chinese Acad Med Sci, Key Lab Rheumatol & Clin Immunol, Minist Educ, Beijing, Peoples R China
推荐引用方式(GB/T 7714):
Yu C.,Li M.,Duan X.,et al.Chinese registry of rheumatoid arthritis (CREDIT): I. Introduction and prevalence of remission in Chinese patients with rheumatoid arthritis[J].CLINICAL AND EXPERIMENTAL RHEUMATOLOGY.2018,36(5):836-840.
APA:
Yu, C.,Li, M.,Duan, X.,Fang, Y.,Li, Q....&Zeng, X..(2018).Chinese registry of rheumatoid arthritis (CREDIT): I. Introduction and prevalence of remission in Chinese patients with rheumatoid arthritis.CLINICAL AND EXPERIMENTAL RHEUMATOLOGY,36,(5)
MLA:
Yu, C.,et al."Chinese registry of rheumatoid arthritis (CREDIT): I. Introduction and prevalence of remission in Chinese patients with rheumatoid arthritis".CLINICAL AND EXPERIMENTAL RHEUMATOLOGY 36..5(2018):836-840