Table 1.
Overall participants (n = 252) | Personal decision to reduce or stop DMARD treatment (n = 24) | No personal decision to reduce or stop DMARD treatment (n = 225) | Univariate analysis odds ratios | Multivariate analysis odds ratios | |
---|---|---|---|---|---|
General characteristics | |||||
Age (years) | 61.3 (12.7) | 53.8 (13.3) | 62.2 (12.5) | 0.95 (0.92 to 0.98)*** | |
Age categories | |||||
18 to 44 years | 32 (12.7%) | 6 (25.0%) | 26 (11.6%) | 1 (referent) | 1 (referent) |
45 to 64 years | 110 (43.9%) | 15 (62.5%) | 93 (41.5%) | 0.70 (0.25 to 1.98) | 0.77 (0.27 to 2.22) |
65 years and older | 109 (43.4%) | 3 (12.5%) | 105 (46.9%) | 0.12 (0.03 to 0.52)*** | 0.15 (0.03 to 0.64)** |
Female | 191 (75.8%) | 20 (83.3%) | 169 (75.1%) | 1.66 (0.54 to 5.05) | |
BMI (kg/m2) | 25.3 (5.0) | 25.2 (4.8) | 25.3 (5.1) | 1.00 (0.91 to 1.10) | |
Urban residency | 80 (32.7%) | 10 (43.5%) | 69 (31.5%) | 1.67 (0.70 to 4.00) | |
Active smoking | 51 (20.2%) | 4 (16.7%) | 47 (20.9%) | 0.76 (0.25 to 2.32) | |
Medical history | |||||
High blood pressure | 69 (27.5%) | 3 (12.5%) | 66 (29.5%) | 0.34 (0.10 to 1.19)* | 0.44 (0.12 to 1.58) |
Diabetes | 11 (4.4%) | 0 (0.0%) | 11 (4.9%) | Not applicable | |
MACE | 32 (12.7%) | 2 (8.3%) | 30 (13.3%) | 0.59 (0.13 to 2.64) | |
Chronic lung disease | 68 (28.1%) | 5 (21.7%) | 63 (29.0%) | 0.68 (0.24 to 1.91) | |
Severe infection | 47 (18.8%) | 4 (16.7%) | 42 (18.7%) | 0.87 (0.28 to 2.67) | |
Malignancy | 28 (11.2%) | 1 (4.2%) | 27 (12.1%) | 0.32 (0.04 to 2.44) | |
RA characteristics | |||||
Disease duration (years) | 14.9 (10.8) | 13.2 (10.8) | 15.1 (10.8) | 0.98 (0.94 to 1.02) | |
RF positivity | 194 (79.5%) | 18 (75.0%) | 175 (80.3%) | 0.74 (0.28 to 1.97) | |
ACPA positivity | 200 (83.0%) | 18 (75.0%) | 181 (84.2%) | 0.56 (0.21 to 1.52) | |
Erosive disease | 162 (66.4%) | 16 (66.7%) | 145 (65.9%) | 1.38 (0.52 to 3.67) | |
Past glucocorticoid exposure (≥ 5 mg per day for more than 3 months) | 151 (62.9%) | 14 (58.3%) | 135 (63.1%) | 0.82 (0.35 to 1.93) | |
RA treatments | |||||
Methotrexate | 164 (65.6%) | 15 (62.5%) | 149 (66.2%) | 0.85 (0.36 to 2.03) | |
Hydroxychloroquine | 8 (3.2%) | 1 (4.2%) | 7 (3.1%) | 1.35 (0.16 to 11.4) | |
Other synthetic DMARD | 23 (9.2%) | 3 (12.5%) | 20 (8.9%) | 1.46 (0.40 to 5.31) | |
Biological DMARD | 140 (56.0%) | 13 (54.2%) | 126 (56.0%) | 0.93 (0.40 to 2.16) | |
Targeted synthetic DMARD | 10 (4.0%) | 1 (4.2%) | 9 (4.0%) | 1.04 (0.03 to 8.57) | |
Glucocorticoids | 62 (24.8%) | 8 (33.3%) | 53 (23.6%) | 1.62 (0.66 to 4.00) | |
NSAIDs | 45 (18.1%) | 5 (20.8%) | 40 (17.9%) | 1.20 (0.42 to 3.42) |
Reported values are mean (standard deviation) for continuous variables, numbers (percentage) for dichotomous variables. ACPA: anti–citrullinated protein antibody; BMI: body mass index; CI: confidence interval; DMARD: disease modifying anti-rheumatic drug; MACE: major adverse cardiac events; NSAID: non-steroidal anti-inflammatory drug; PGA: patient global assessment; RF: rheumatoid factor. * P-value < 0.20 (P-values < 0.20 in univariate analysis were included in the multivariate model); ** P-value < 0.05; *** P-value < 0.001.