Nov 1, 1995

Survival analysis of disease modifying antirheumatic drugs in Spanish rheumatoid arthritis patients

Annals of the Rheumatic Diseases
J De La MataJ J Gómez-Reino

Abstract

To evaluate the duration of treatment and the reasons for discontinuing therapy with disease modifying antirheumatic drugs in Spanish rheumatoid arthritis patients. An observational study was made of 629 patients with rheumatoid arthritis treated with disease modifying antirheumatic drugs between 1979 and 1991. The outcomes (treatment termination because of toxicity and lack of response) of 991 treatment starts with intramuscular gold salts, D-penicillamine, azathioprine, and methotrexate were subjected to survival analysis. Cumulative probability of continuation of each drug (drug survival) was calculated by the Kaplan-Meier method and comparison between the survival curve of each was made by log rank testing. Median drug survival (95% confidence interval) was 51 (25-76.9) months for methotrexate, 39.9 (19.9-48.2) months for azathioprine, 34.9 (29.4-41.4) months for gold salts, and 16.4 (13.9-21) months for D-penicillamine. The highest cumulative probability of drug survival at five years was for methotrexate (45%); that at 10 years was for gold salts (15%). Up to 60% of the patients discontinued D-penicillamine in the first two years. Lack of response was the major limiting factor for all drugs except D-penicillamine, for whi...Continue Reading

  • References25
  • Citations19

References

  • References25
  • Citations19

Citations

Mentioned in this Paper

Antirheumatic Drugs, Disease-Modifying
Penicillamine
Antirheumatic Agents
Survival Analysis
Azathioprine
Rheumatoid Arthritis
Azathioprine Sulfate
Metalcaptase
Observation - Diagnostic Procedure
Methotrexate

About this Paper

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