Table III.
Ultrasound remission in included studies
Author, year | Number of patients RA | Clinical definitions of remission | Ultrasound definitions of remission (%) | |||||
---|---|---|---|---|---|---|---|---|
SH + PD = 0 | SH ≤ 1 and PD = 0 | SH ≤ 1 and PD ≤ 1 | PD = 0 | PD ≤ 1 | SH + tenosynovitis on B-mode and PD = 0 | |||
Saleem et al., 2011 [25] | 128 | DAS28 < 2.6 ≥ 6 months | 17 | – | 56 | 49 | 78 | – |
Balsa et al., 2010 [26] | 97 | Clinician | – | – | – | 57.7 | – | – |
Cruces et al., 2019 [29] | 58 | DAS28 < 2.6 ≥ 6 months | 25.9 | – | – | – | – | – |
Peluso et al., 2011 [30] | 94 Early RA: 48 Longstanding RA: 46 |
DAS < 1.6 ≥ 6 months | 30.8 Early RA: 43.7 Longstanding RA: 17.4 |
– | – | – | – | – |
Chung et al., 2020 [31] | 97 | DAS28 < 2.6 | 51.1 | – | – | – | – | – |
Saleem et al., 2009 [32] | 100 | DAS28 < 2.6 ≥ 6 months | TNFi + MTX: 10 DMARDs: 16 |
– | – | – | – | – |
Horton et al., 2016 [33] | 45 | DAS28–CRP < 2.6 | – | – | – | 42 | 62 | – |
Harman et al., 2015 [34] | 64 | ACR/EULAR Boolean ≥ 6 months |
– | – | – | – | – | bDMARD: 49.6 csDMARD: 43.9 |
Spinella et al., 2012 [35] | 54 | ACR criteria or DAS28 < 2.6 ≥ 6 months |
35 | – | – | – | – | – |
Terslev et al., 2021 [36] | 87 | DAS28–CRP < 2.6 ≥ 1 year and no radiographic progression |
7 bDMARD: 14 csDMARD: 0 |
37 40 33 |
– | 56 55 58 |
– | – |
Van der Ven et al., 2017 [37] | 89 | DAS44 ≤ 2.4 et NAG ≤ 1 | – | Visit 1: 39 Visit 2: 32 |
– | – | – | – |
Our study | 37 | DAS28 < 2.6 ≥ 6 months |
5.4 | 32.4 | 32.4 | 40.5 | 62.2 | 5.4 |
ACR/EULAR – American College of Rheumatology/European League Against Rheumatism, CRP – C-reactive protein, DAS28 – disease activity score, DMARD – disease-modifying anti-rheumatic drugs, bDMARD – biologics, csDMARD – conventional treatment, MTX – methotrexate, PD – power Doppler, RA – rheumatoid arthritis, SH – synovial hypertrophy, TNFi – TNF inhibitor. SH + PD = 0 – the absence of synovitis on B-mode and PD, B-mode ≤ 1 and PD = 0 – a grade ≤ 1 on B-mode and a PD = 0, SH ≤ 1 and PD ≤ 1 – synovitis grade ≤ 1 on B-mode and PD, PD = 0 – the absenceof synovitis PD, PD ≤ 1 – a grade ≤ 1 of synovitis PD, SH + tenosynovitis on B-mode and PD = 0 – the absence of synovitis and tenosynovitis on B-mode and PD.