Treatment of rheumatoid arthritis in the USA: premature use of tumor necrosis factor inhibition and underutilization of concomitant methotrexate

PURPOSE: The objective of this study was to assess the treatment for patients with rheumatoid arthritis (RA) in the USA. PATIENTS AND METHODS: This study entailed analysis of claims data for patients with RA who initiated treatment with oral methotrexate (MTX) or a biologic in 2009 (n=48,910) or 201...

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Detalles Bibliográficos
Autores principales: O’Dell, James R, Cohen, Stanley B, Thorne, J Carter, Kremer, Joel
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Dove Medical Press 2018
Materias:
Original Research
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6037273/
https://www.ncbi.nlm.nih.gov/pubmed/30013407
http://dx.doi.org/10.2147/OARRR.S169152
Descripción
Sumario:PURPOSE: The objective of this study was to assess the treatment for patients with rheumatoid arthritis (RA) in the USA. PATIENTS AND METHODS: This study entailed analysis of claims data for patients with RA who initiated treatment with oral methotrexate (MTX) or a biologic in 2009 (n=48,910) or 2012 (n=107,636) and had follow-up for 4 years (2009 cohort) or 2 years (2012 cohort). RESULTS: A biologic was initiated before MTX for 27% of the 2009 cohort and 36% of the 2012 cohort. Concomitant use of MTX and a biologic declined from 74.1% (2009 cohort) to 45.4% (2012 cohort). CONCLUSION: MTX is underused in the treatment of RA in the USA.

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