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. 2020 Sep 22;17(9):e1003296. doi: 10.1371/journal.pmed.1003296

Table 2. Disease activity during the first year and subsequent follow-up, and long-term outcomes (sustained DMARD-free remission, mortality, and functional disability) by inclusion period compared to the reference period for type 1 (autoantibody-positive) RA.

Inclusion period DAS28-ESR, slope in first year DAS28-ESR over time after first year Sustained DMARD free remission Mortality HAQ, slope in first year HAQ over time, after first year
Relative mean differencea p-val Relative mean differenceb p-val Hazard ratioc p-val Hazard ratioc p-val Relative mean differencea p-val Relative mean differenceb p-val
1993–1996 Refd Refd Ref Ref Refd Refd
1997–2000 −0.38 (−0.87; 0.10) 0.12 −0.41 (−0.66; −0.16) 0.002 1.14 (0.42; 3.05) 0.80 0.74 (0.47; 1.15) 0.18 0.01 (−0.19; 0.21) 0.89 −0.02 (−0.15; 0.11) 0.58
2001–2005 −1.70 (−2.21; −1.20) <0.001 −0.86 (−1.12; −0.61) <0.001 1.66 (0.67; 4.12) 0.27 0.71 (0.46; 1.11) 0.13 −0.28 (−0.49; −0.07) 0.009 −0.16 (−0.29; −0.03) 0.043
2006–2010 −1.62 (−2.08; −1.17) <0.001 −1.04 (−1.28; −0.80) <0.001 3.35 (1.46; 7.72) 0.004 0.56 (0.34; 0.92) 0.023 −0.33 (−0.51; −0.14) 0.001 −0.32 (−0.44; −0.20) <0.001
2011–2016 −1.54 (−1.96; −1.12) <0.001 −1.07 (−1.32; −0.83) <0.001 4.57 (1.80; 11.6) 0.001 0.33 (0.14; 0.77) 0.010 −0.29 (−0.46; −0.12) 0.001 −0.26 (−0.38; −0.14) 0.008

Bold value indicate p-values < 0.05.

aDifference in slope in the first year in the inclusion period compared to 1993–1996; analyzed with linear mixed models corrected for age and gender. A negative number indicates a steeper slope.

bDifference in mean over time in the inclusion period compared to 1993–1996; analyzed with linear mixed models corrected for age and gender.

cHazard ratios compared to 1993–1996; analyzed with Cox regression corrected for age and gender.

dThe estimated marginal mean, adjusted for age and gender, in type 1 RA for inclusion period 1993–1996 was −0.34 (95% CI −0.70 to 0.03) for the slope in DAS28-ESR in the first year, 3.58 (95% CI 3.39 to 3.76) for DAS28-ESR over time after the first year, −0.15 (95% CI −0.29 to 0.00) for slope in HAQ in the first year, and 0.78 (95% CI 0.68 to 0.88) for HAQ over time after the first year.

DAS28-ESR, Disease Activity Score–28 with erythrocyte sedimentation rate; DMARD, disease-modifying antirheumatic drug; HAQ, Health Assessment Questionnaire; p-val, p-value.