Multicenter Cross-sectional Study of Patients with Rheumatoid Arthritis in Greece: Results from a cohort of 2.491 patients

作者: Konstantinos Thomas , Argiro Lazarini , Evripidis Kaltsonoudis , Alexandros Drosos , Ioannis Papalopoulos

DOI: 10.31138/MJR.29.1.27

关键词: TuberculosisDepression (differential diagnoses)Latent tuberculosisHepatitisMedicineRheumatologyRheumatoid arthritisInterferon gamma release assayInternal medicineRheumatoid factor

摘要: Aim of the study To evaluate current disease characteristics, treatment and comorbidities rheumatoid arthritis (RA) in Greece. Methods Multicenter, cross-sectional with a 9-month recruitment period between 2015 2016. Demographics, were collected via web-based platform. Results 2.491 RA patients recruited: 96% from tertiary referral centers, 79% females mean age 63.1 years duration 9.9 years. Fifty-two percent factor and/or anti-CCP positive, while 41% had erosive disease. Regarding treatment, 82% on conventional synthetic modifying anti-rheumatic drugs (csDMARDs), 42% biologic DMARDs (TNFi: 22%, non-TNFi: 20%) 40% corticosteroids (mean daily dose: 5.2 mg). Despite therapy, 36% moderate 12% high activity. The most frequent hypertension (42%), hyperlipidemia (33%), osteoporosis (29%), diabetes mellitus (15%) depression (12%). Latent tuberculosis infection (positive tuberculin skin test or interferon gamma release assay) was diagnosed 13 15.3% patients, respectively. chronic viral infections, 6.2% history herpes zoster 2% 0.7% hepatitis B C virus infection, A serious documented 9.6%. Only 52% participants ever been vaccinated against pneumococcus influenza virus, Conclusion This is one largest epidemiologic studies providing valuable data regarding characteristics Half seropositive but despite half displayed residual activity, preventive vaccination limited.

参考文章(29)
D. H. Solomon, G. W. Reed, J. M. Kremer, J. R. Curtis, M. E. Farkouh, L. R. Harrold, M. C. Hochberg, P. Tsao, J. D. Greenberg, Disease activity in rheumatoid arthritis and the risk of cardiovascular events. Arthritis & Rheumatism. ,vol. 67, pp. 1449- 1455 ,(2015) , 10.1002/ART.39098
Theodore Lytras, Georgia Spala, Stefanos Bonovas, Takis Panagiotopoulos, Evaluation of Tuberculosis Underreporting in Greece through Comparison with Anti-Tuberculosis Drug Consumption PLoS ONE. ,vol. 7, pp. e50033- ,(2012) , 10.1371/JOURNAL.PONE.0050033
Irini Flouri, Theodora E Markatseli, Paraskevi V Voulgari, Kyriaki A Boki, Ioannis Papadopoulos, Loukas Settas, Dimitrios Zisopoulos, Fotini N Skopouli, Alexios Iliopoulos, George K Bertsias, Pierre Geborek, Alexandros A Drosos, Dimitrios T Boumpas, Prodromos Sidiropoulos, None, Comparative effectiveness and survival of infliximab, adalimumab, and etanercept for rheumatoid arthritis patients in the Hellenic Registry of Biologics: Low rates of remission and 5-year drug survival Seminars in Arthritis and Rheumatism. ,vol. 43, pp. 447- 457 ,(2014) , 10.1016/J.SEMARTHRIT.2013.07.011
Ioannis Anagnostopoulos, Elias Zinzaras, Ioannis Alexiou, Aphrodite A Papathanasiou, Evangelos Davas, Athanasios Koutroumpas, Georgia Barouta, Lazaros I Sakkas, The prevalence of rheumatic diseases in central Greece: a population survey. BMC Musculoskeletal Disorders. ,vol. 11, pp. 98- 98 ,(2010) , 10.1186/1471-2474-11-98
S A Karvounaris, P I Sidiropoulos, J A Papadakis, E K Spanakis, G K Bertsias, H D Kritikos, E S Ganotakis, D T Boumpas, Metabolic syndrome is common among middle-to-older aged Mediterranean patients with rheumatoid arthritis and correlates with disease activity: a retrospective, cross-sectional, controlled, study Annals of the Rheumatic Diseases. ,vol. 66, pp. 28- 33 ,(2006) , 10.1136/ARD.2006.053488
Yannis Alamanos, Paraskevi V. Voulgari, Alexandros A. Drosos, Incidence and Prevalence of Rheumatoid Arthritis, Based on the 1987 American College of Rheumatology Criteria: A Systematic Review Seminars in Arthritis and Rheumatism. ,vol. 36, pp. 182- 188 ,(2006) , 10.1016/J.SEMARTHRIT.2006.08.006
Athanase D Protogerou, Demosthenis B Panagiotakos, Evangelia Zampeli, Antonis A Argyris, Katerina Arida, Giorgos D Konstantonis, Christos Pitsavos, George D Kitas, Petros P Sfikakis, Arterial hypertension assessed “out-of-office” in a contemporary cohort of rheumatoid arthritis patients free of cardiovascular disease is characterized by high prevalence, low awareness, poor control and increased vascular damage-associated “white coat” phenomenon Arthritis Research & Therapy. ,vol. 15, pp. 1- 11 ,(2013) , 10.1186/AR4324
C.A. Gogos, K.P. Fouka, G. Nikiforidis, K. Avgeridis, G. Sakellaropoulos, H. Bassaris, A. Maniatis, A. Skoutelis, Prevalence of hepatitis B and C virus infection in the general population and selected groups in South-Western Greece European Journal of Epidemiology. ,vol. 18, pp. 551- 557 ,(2002) , 10.1023/A:1024698715741
Dimitrios A. Pappas, George W. Reed, Katherine Saunders, Ani John, Ashwini Shewade, Jeffrey D. Greenberg, Joel M. Kremer, Characteristics Associated with Biologic Monotherapy Use in Biologic-Naive Patients with Rheumatoid Arthritis in a US Registry Population Rheumatology and Therapy. ,vol. 2, pp. 85- 96 ,(2015) , 10.1007/S40744-015-0008-9
Maxime Dougados, Martin Soubrier, Anna Antunez, Peter Balint, Alejandro Balsa, Maya H Buch, Gustavo Casado, Jacqueline Detert, Bassel El-Zorkany, Paul Emery, Najia Hajjaj-Hassouni, Masayoshi Harigai, Shue-Fen Luo, Reka Kurucz, Gabriel Maciel, Emilio Martin Mola, Carlo Maurizio Montecucco, Iain McInnes, Helga Radner, Josef S Smolen, Yeong-Wook Song, Harald Erwin Vonkeman, Kevin Winthrop, Jonathan Kay, None, Prevalence of comorbidities in rheumatoid arthritis and evaluation of their monitoring: results of an international, cross-sectional study (COMORA) Annals of the Rheumatic Diseases. ,vol. 73, pp. 62- 68 ,(2014) , 10.1136/ANNRHEUMDIS-2013-204223