Impact of tight control strategy on rheumatoid arthritis in Sarawak

被引:0
作者
Cheng Lay Teh
Jin Shyan Wong
机构
[1] Sarawak General Hospital,Unit of Rheumatology, Department of Medicine
来源
Clinical Rheumatology | 2011年 / 30卷
关键词
DAS 28; Rheumatoid arthritis; Treatment regimes;
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摘要
The aim of our study is to describe the impact of tight control strategy on the care of RA patients in Sarawak General Hospital. We performed a prospective study of all patients with a diagnosis of RA who received treatment at the Rheumatology Clinic in Sarawak General Hospital over a 1-year period. Systematic DAS-driven treatment adjustments aimed to achieve low disease activity (DAS 28-ESR <2.6) were carried out in the clinic over the 1-year period. Disease activity and treatment regimes of all 142 patients were collected for at baseline and 1 year later for statistical analysis. Our patients have a significantly lower DAS 28 with a mean of 2.99 ± 0.95 compared with baseline of 4.31 ± 1.34 (p < 0.000). More patients were in remission 1 year later compared to baseline (36.6% vs 11.3%). Tight control strategy has a positive impact on the care of RA patients in our centre. By optimising the care of RA through tight control strategy, RA can be better controlled in our centre.
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页码:615 / 621
页数:6
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