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.