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Chinese registry of rheumatoid arthritis (CREDIT): I. Introduction and prevalence of remission in Chinese patients with rheumatoid arthritis

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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 [3]Nanchang Univ, Affiliated Hosp 2, Dept Rheumatol, Nanchang, Jiangxi, Peoples R China [4]Third Mil Med Univ, Southwest Hosp, Dept Rheumatol, Chongqing, Peoples R China [5]First Peoples Hosp Yunnan Prov, Dept Rheumatol, Kunming, Yunnan, Peoples R China [6]Nanchang Univ, Affiliated Hosp 1, Dept Rheumatol, Nanchang, Jiangxi, Peoples R China [7]Zhengzhou Univ, Affiliated Hosp 1, Dept Rheumatol, Zhengzhou, Henan, Peoples R China [8]Inner Mongolia Univ Sci & Technol, Baotou Med Coll, Affiliated Hosp 1, Dept Rheumatol, Baotou, Inner Mongolia, Peoples R China [9]Fourth Mil Med Univ, Dept Clin Immunol & Rheumatol, Xijing Hosp, Xian, Shanxi, Peoples R China [10]Henan Univ Sci & Technol, Dept Rheumatol, Affiliated Hosp 1, Luoyang, Henan, Peoples R China [11]Jilin Univ, Hosp 1, Dept Rheumatol, Changchun, Jilin, Peoples R China [12]Chinese Acad Med Sci, Dept Epidemiol & Biostat, Inst Basic Med Sci, Beijing, Peoples R China [13]Peking Union Med Coll, Beijing, Peoples R China [14]Yale Univ, New Haven Hosp, Dept Rheumatol, New Haven, CT USA
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关键词: arthritis rheumatoid registry remission rate treat-to-target

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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.

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出版当年[2018]版:
大类 | 3 区 医学
小类 | 3 区 风湿病学
最新[2023]版:
大类 | 4 区 医学
小类 | 4 区 风湿病学
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出版当年[2017]版:
Q2 RHEUMATOLOGY
最新[2023]版:
Q2 RHEUMATOLOGY

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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
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