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. 2018 Feb 6;70(3):379–387. doi: 10.1002/acr.23294

Table 2.

Possible reasons for nonacceleration in patients with Clinical Disease Activity Index (CDAI) score >10 in the treat‐to‐target study arma

Reasonb All visits, month no.c Visits without treatment acceleration in prior 3 months, month no.c
1–3 (n = 150) 4–6 (n = 98) 7–9 (n = 70) 10–12+ (n = 69)d Overall 1–3 (n = 48) 4–6 (n = 42) 7–9 (n = 30) 10–12+ (n = 45)d Overall
Medication response time lag 68.0 56.1 48.6 21.7 53.2 39.6 38.1 26.7 13.3 29.7
Patient preference 24.7 28.6 38.6 52.2 33.1 50.0 38.1 53.3 53.3 52.1
Comorbid conditions 6.7 8.2 5.7 5.8 6.7 8.3 11.9 6.7 4.4 7.9
Disagree with CDAI 2.7 10.2 5.7 11.6 6.7 2.1 11.9 10.0 11.1 8.5
Surgery 2.7 1.0 5.7 7.3 3.6 4.2 2.4 13.3 6.7 6.1
Nonrheumatoid arthritis pain 0 1.0 0 4.4 1.0 0 0 0 2.2 0.6
Pregnancy 0 1.0 1.4 2.9 1.0 0 0 0 2.2 0.6
Tuberculosis 0 0.0 0 1.5 0.3 0 0 0 2.2 0.6
a

Values are percentages. Possible reasons for nonacceleration were a new or worsening comorbid condition, anticipated medication response time lag (e.g., time for the medication to have the maximal effect was inadequate), physician disagreement with CDAI score (considered the patient as not having moderate/high disease activity), nonrheumatoid arthritis pain was influencing the disease activity measure, recent or pending surgical procedure, pregnancy, breastfeeding, or planning to become pregnant, history or new diagnosis of human immunodeficiency virus, hepatitis B virus, or hepatitis C virus, history of positive tuberculin test or equivalent or had not received treatment for latent tuberculosis, and patient preference.

b

More than 1 reason could be reported.

c

Number of visits with a CDAI score >10.

d

The 10–12+ month group includes visits that occurred after 12 months.