First author, year of publicationref | N | Quality score (%) | Outcome | Association between shorter symptom duration and outcome |
---|---|---|---|---|
Radiographic joint damage | ||||
Jansen, 2001 16 | 130 | 79 | SHS | S |
Lukas, 2011 22 | 661 | 86 | SHS | S |
Nell, 2004 24 | 40 | 86 | Larsen | S |
Van der Linden, 2010 21 | 598 | 100 | SHS | S |
Weng, 2010 30 | 233 | 85 | Sharp | NS |
Bosello, 2011 12 | 121 | 50 | Larsen or SHS | S |
Dixey, 2004 13 | 866 | 64 | Larsen | S |
Kaufmann, 2003 18 | 54 | 43 | Larsen | NS |
Pascual-Ramos, 2009 25 | 72 | 43 | Erosive (yes/no) | NS |
Sanmarti, 2003 27 | 60 | 57 | Larsen | S |
DMARD-free sustained remission | ||||
De Rooy, 2011 10* | 676 | 86 | DMARD-free sustained remission | S |
Van der Woude, 2009 9* (ERAS) | 895 | 86 | DMARD-free sustained remission | S |
Van der Woude, 2012 11* (BeSt) | 508 | 79 | DMARD-free sustained remission | NS |
Other outcomes in RA | ||||
Jayakumar, 2012 17† | 704 | 85 | DAS-28 <1.6‡ | S |
Mötönnen, 2002 23 | 199 | 87 | ACR remission | S/NS§ |
Nell, 2004 24 | 40 | 86 | DAS-28 <2.6‡ ΔHAQ | S S |
Weng, 2010 30 | 233 | 85 | DAS-44 <1.6‡ ΔHAQ score | NS NS |
Bosello, 2011 12¶ | 121 | 47 | ACR remission | S |
Gremese, 2012 14 | 481 | 69 | DAS-2.8 <2.6‡ | S |
Hodkinson, 2012 15 | 171 | 54 | low SDAI | NS |
Soderlin, 2011 28 | 180 | 69 | EULAR response ΔHAQ | S S |
Scored as High-quality study.
Scores as Low-quality study.
High-quality study ≥79% (which is the median of all quality scores).
*Van de Woude 2009 reported on the Leiden EAC and the ERAS; since the Leiden EAC data were represented by the De Rooy article, only the ERAS data of this article were used. Similarly, only the BeSt data were used of the van der Woude et al 2012 article.
†Jayakumar et al and van der Woude 2009 et al report on the same cohort however other outcomes were applied.
‡DAS remission is defined as a state, thus, an absolute DAS at a specific time point after treatment.
§Two groups were studied, in the single therapy group a significant association with symptom duration was found, by contrast with the combination therapy group.
¶This cohort is also part of the three cohorts of Gremese et al, but different outcomes were used, namely ACR remission and erosiveness in the Bosello et al article and DAS-2.8<2.6 in the Gremese et al article.
ACR, American College of Rheumatology; DAS, Disease activity score; EAC, early arthritis clinic; ERAS, Early Rheumatoid Arthritis Study group; Erosive (yes/no), erosive disease present or absent; EULAR, European League Against Rheumatism; HAQ, health assessment questionnaire; NS, Not statistically significant Trend: almost statistically significant. RA, Rheumatoid Arthritis; S, statistically significant; SHS, Sharp–van der Heijde score.