The impact of time length to Boolean remission for tight disease activity control after acquisition in rheumatoid arthritis patients

Abstract Clinical importance of time length from initiation under treat-to-target (T2T) strategy to acquisition of clinical remission (TL) in treating patients with rheumatoid arthritis (RA) on disease activity control, daily activities, and quality of life maintenance was investigated. In patients...

Full description

Bibliographic Details
Main Authors: Ichiro Yoshii, Tatsumi Chijiwa, Naoya Sawada
Format: Article
Language:English
Published: Nature Portfolio 2023-08-01
Series:Scientific Reports
Online Access:https://doi.org/10.1038/s41598-023-39711-4
_version_ 1797560109747929088
author Ichiro Yoshii
Tatsumi Chijiwa
Naoya Sawada
author_facet Ichiro Yoshii
Tatsumi Chijiwa
Naoya Sawada
author_sort Ichiro Yoshii
collection DOAJ
description Abstract Clinical importance of time length from initiation under treat-to-target (T2T) strategy to acquisition of clinical remission (TL) in treating patients with rheumatoid arthritis (RA) on disease activity control, daily activities, and quality of life maintenance was investigated. In patients who achieved Boolean remission once or more, relationship between TL and patients’ background data at initiation, and relationship between TL and mean simplified disease activity score (SDAI), Health Assessment Questionnaire Disability Index (HAQ-DI) score, pain score with visual analog scale (PS-VAS), Sharp/van der Heijde Score (SHS) and quality of life score (QOLS) at the first remission and thereafter were evaluated statistically. Patients were divided into two groups whether TL was within 6 months or longer (G ≤ 6 and G > 6). Change of the parameters and Boolean remission rate (BRR) after the first remission between the two groups were compared statistically. In 465 patients, TL correlated significantly with the SDAI score, the HAQ score, PS-VAS, SHS, and the QOLS after the remission. The SDAI score and the BRR after the remission were significantly better in the G ≤ 6 than in the G > 6. TL is an important key to guarantee good and stable clinical course in treating under T2T.
first_indexed 2024-03-10T17:54:45Z
format Article
id doaj.art-4eeb77f0b9c3444996dec6754cf2e65d
institution Directory Open Access Journal
issn 2045-2322
language English
last_indexed 2024-03-10T17:54:45Z
publishDate 2023-08-01
publisher Nature Portfolio
record_format Article
series Scientific Reports
spelling doaj.art-4eeb77f0b9c3444996dec6754cf2e65d2023-11-20T09:13:28ZengNature PortfolioScientific Reports2045-23222023-08-0113111310.1038/s41598-023-39711-4The impact of time length to Boolean remission for tight disease activity control after acquisition in rheumatoid arthritis patientsIchiro Yoshii0Tatsumi Chijiwa1Naoya Sawada2Department of Rheumatology and Musculoskeletal Medicine, Yoshii HospitalDepartment of Rheumatology, Kochi Memorial HospitalDepartment of Rheumatology, Dohgo Onsen HospitalAbstract Clinical importance of time length from initiation under treat-to-target (T2T) strategy to acquisition of clinical remission (TL) in treating patients with rheumatoid arthritis (RA) on disease activity control, daily activities, and quality of life maintenance was investigated. In patients who achieved Boolean remission once or more, relationship between TL and patients’ background data at initiation, and relationship between TL and mean simplified disease activity score (SDAI), Health Assessment Questionnaire Disability Index (HAQ-DI) score, pain score with visual analog scale (PS-VAS), Sharp/van der Heijde Score (SHS) and quality of life score (QOLS) at the first remission and thereafter were evaluated statistically. Patients were divided into two groups whether TL was within 6 months or longer (G ≤ 6 and G > 6). Change of the parameters and Boolean remission rate (BRR) after the first remission between the two groups were compared statistically. In 465 patients, TL correlated significantly with the SDAI score, the HAQ score, PS-VAS, SHS, and the QOLS after the remission. The SDAI score and the BRR after the remission were significantly better in the G ≤ 6 than in the G > 6. TL is an important key to guarantee good and stable clinical course in treating under T2T.https://doi.org/10.1038/s41598-023-39711-4
spellingShingle Ichiro Yoshii
Tatsumi Chijiwa
Naoya Sawada
The impact of time length to Boolean remission for tight disease activity control after acquisition in rheumatoid arthritis patients
Scientific Reports
title The impact of time length to Boolean remission for tight disease activity control after acquisition in rheumatoid arthritis patients
title_full The impact of time length to Boolean remission for tight disease activity control after acquisition in rheumatoid arthritis patients
title_fullStr The impact of time length to Boolean remission for tight disease activity control after acquisition in rheumatoid arthritis patients
title_full_unstemmed The impact of time length to Boolean remission for tight disease activity control after acquisition in rheumatoid arthritis patients
title_short The impact of time length to Boolean remission for tight disease activity control after acquisition in rheumatoid arthritis patients
title_sort impact of time length to boolean remission for tight disease activity control after acquisition in rheumatoid arthritis patients
url https://doi.org/10.1038/s41598-023-39711-4
work_keys_str_mv AT ichiroyoshii theimpactoftimelengthtobooleanremissionfortightdiseaseactivitycontrolafteracquisitioninrheumatoidarthritispatients
AT tatsumichijiwa theimpactoftimelengthtobooleanremissionfortightdiseaseactivitycontrolafteracquisitioninrheumatoidarthritispatients
AT naoyasawada theimpactoftimelengthtobooleanremissionfortightdiseaseactivitycontrolafteracquisitioninrheumatoidarthritispatients
AT ichiroyoshii impactoftimelengthtobooleanremissionfortightdiseaseactivitycontrolafteracquisitioninrheumatoidarthritispatients
AT tatsumichijiwa impactoftimelengthtobooleanremissionfortightdiseaseactivitycontrolafteracquisitioninrheumatoidarthritispatients
AT naoyasawada impactoftimelengthtobooleanremissionfortightdiseaseactivitycontrolafteracquisitioninrheumatoidarthritispatients