Table 3.
Effect of peri-biopsy corticosteroid therapy
Prebiopsy | Postbiopsy | P values* | P values† | |
Without IM or IA steroid | ||||
US-NB (n=321) | ||||
Pain (mean (SD)) | 53.6 (28.9) | 41.4 (30.4) | <0.001 | <0.001 |
Stiffness (mean (SD)) | 51.9 (30.4) | 39.4 (30.8) | <0.001 | <0.001 |
Swelling (mean (SD)) | 50.9 (30.9) | 38.2 (30.1) | <0.001 | <0.001 |
US-P&F (n=62) | ||||
Pain (mean (SD)) | 43.7 (32.5) | 31.6 (27.2) | 0.003 | 0.005 |
Stiffness (mean (SD)) | 45.5 (33.7) | 33.4 (27.6) | 0.003 | 0.006 |
Swelling (mean (SD)) | 39.3 (32.7) | 30.7 (26.4) | 0.021 | 0.029 |
AGSB (n=41) | ||||
Pain (mean (SD)) | 62.3 (23.5) | 49.3 (22.4) | 0.017 | 0.001 |
Stiffness (mean (SD)) | 45.4 (31.5) | 38 (26.6) | 0.296 | 0.001 |
Swelling (mean (SD)) | 49.6 (30.9) | 41.7 (28.2) | 0.198 | <0.001 |
With IM or IA steroid | ||||
US-NB (n=81) | ||||
Pain (mean (SD)) | 46.3 (29.4) | 31.8 (26.9) | 0.001 | <0.001 |
Stiffness (mean (SD)) | 49.8 (30.1) | 31.2 (28.2) | <0.001 | 0.001 |
Swelling (mean (SD)) | 47.8 (29.9) | 27.3 (27.7) | <0.001 | <0.001 |
US-P&F (n=3) | ||||
Pain (mean (SD)) | 84.7 (7.2) | 49.3 (33.5) | 0.173 | 0.279 |
Stiffness (mean (SD)) | 83.7 (8.1) | 40.7 (42.4) | 0.192 | 0.304 |
Swelling (mean (SD)) | 76 (21.3) | 42 (36) | 0.189 | 0.300 |
AGSB (n=16) | ||||
Pain (mean (SD)) | 62.9 (26) | 28.9 (16.1) | <0.001 | <0.001 |
Stiffness (mean (SD)) | 57.5 (25.2) | 31.8 (20.4) | <0.001 | <0.001 |
Swelling (mean (SD)) | 61.9 (23.0) | 24.2 (14.2) | <0.001 | <0.001 |
*P value by unadjusted cluster linear regression.
†Here adjusted for disease activity and pre-PRO value.
AGSB, arthroscopic-guided synovial biopsy; IA, intra-articular; IM, intramuscular; US-NB, ultrasound-guided needle biopsy; US-P&F, ultrasound-guided portal and forceps.