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Treat-to-target strategy for asian patients with early rheumatoid arthritis: Result of a multicenter trial in Korea
- Treat-to-target strategy for asian patients with early rheumatoid arthritis: Result of a multicenter trial in Korea
- Song J.J.; Song Y.W.; Bae S.C.; Cha H.-S.; Choe J.-Y.; Choi S.J.; Kim H.A.; Kim J.; Kim S.-S.; Lee C.-K.; Lee J.; Lee S.-H.; Lee S.-S.; Lee S.-K.; Lee S.W.; Park S.-H.; Park W.; Shim S.C.; Suh C.-H.; Yoo B.; Yoo D.-H.; Yoo W.-H.
- Ewha Authors
- SCOPUS Author ID
- Issue Date
- Journal Title
- Journal of Korean Medical Science
- Journal of Korean Medical Science vol. 33, no. 52
- Rheumatoid arthritis; Treat-to-target; Treatment outcome
- Korean Academy of Medical Science
- SCIE; SCOPUS; KCI
- Document Type
- Background: To evaluate the therapeutic benefits of the treat-to-target (T2T) strategy for Asian patients with early rheumatoid arthritis (RA) in Korea. Methods: In a 1-year, multicenter, open-label strategy trial, 346 patients with early RA were recruited from 20 institutions across Korea and stratified into 2 groups, depending on whether they were recruited by rheumatologists who have adopted the T2T strategy (T2T group) or by rheumatologists who provided usual care (non-T2T group). Data regarding demographics, rheumatoid factor titer, anti-cyclic citrullinated peptide antibody titer, disease activity score of 28 joints (DAS28), and Korean Health Assessment Questionnaire (KHAQ) score were obtained at baseline and after 1 year of treatment. In the T2T group, the prescription for disease-modifying antirheumatic drugs was tailored to the predefined treatment target in each patient, namely remission (DAS28 < 2.6) or low disease activity (LDA) (2.6 ≤ DAS28 < 3.2). Results: Data were available for 163 T2T patients and 162 non-T2T patients. At the end of the study period, clinical outcomes were better in the T2T group than in the non-T2T group (LDA or remission, 59.5% vs. 35.8%; P < 0.001; remission, 43.6% vs. 19.8%; P < 0.001). Compared with non-T2T, T2T was also associated with higher rate of good European League Against Rheumatism response (63.0% vs. 39.8%; P < 0.001), improved KHAQ scores (-0.38 vs. -0.13; P = 0.008), and higher frequency of follow-up visits (5.0 vs. 2.0 visits/year; P < 0.001). Conclusion: In Asian patients with early RA, T2T improves disease activity and physical function. Setting a pre-defined treatment target in terms of DAS28 is recommended. © 2018 The Korean Academy of Medical Sciences.
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