Table 1

 Decisions involved in non-adherence to the guidelines

Non-adherenceTotal
NA−NA+
NA−, patients with a cumulative methotrexate dose at the end of the trial period that was lower than the guidelines proposed; NA+, patients with a cumulative methotrexate dose at the end of the trial period that was higher than the guidelines proposed.
Patients (n)102101203
Decisions (n)201189390
Specification of decisions
Restart with less than last tolerated dose66
Restart with more than last tolerated dose32225
No increase, though not a good response13226158
No increase, for other reasons151732
Increased, though good response14344
Increased by 5.0 mg/week1515
Increased by 7.5 mg/week33
Premature increase304575
Dose above 25 mg/week66
Decrease below last tolerated dose819
Decrease too small11
Decrease by patient initiative11
No temporarily halt, though moderate adverse event66
No decrease, though mild adverse event336
Unjustified temporarily stop22