TY - JOUR T1 - Earlier Time to Remission Predicts Sustained Clinical Remission in Early Rheumatoid Arthritis — Results from the Canadian Early Arthritis Cohort (CATCH) JF - The Journal of Rheumatology JO - J Rheumatol DO - 10.3899/jrheum.140137 SP - jrheum.140137 AU - Bindee Kuriya AU - Juan Xiong AU - Gilles Boire AU - Boulos Haraoui AU - Carol Hitchon AU - Janet Pope AU - John Carter Thorne AU - Diane Tin AU - Edward Keystone AU - Vivian Bykerk Y1 - 2014/10/01 UR - http://www.jrheum.org/content/early/2014/09/25/jrheum.140137.abstract N2 - Objective To evaluate the prevalence and predictive factors of sustained remission in an early rheumatoid arthritis (ERA) population. Predictive factors of sustained remission in ERA are unknown. We hypothesized that a short time to remission is an important predictor of sustained clinical remission. Methods Patients in the Canadian Early Arthritis Cohort were included. Remission was defined by Boolean-based American College of Rheumatology/European League Against Rheumatism clinical trial and clinical practice definitions and Simplified Disease Activity Index (SDAI). Logistic regression analysis identified predictors of sustained remission and influence of time to remission. Results Of 1840 patients, 633 (34%) achieved clinical trial remission, 759 (41%) clinical practice remission, and 727 (39%) SDAI remission. Over half of those meeting remission criteria achieved sustained remission based on clinical trial (55%), clinical practice (60%), and/or SDAI (58%). Corticosteroid use and lack of initial disease-modifying antirheumatic drug (DMARD) were associated with decreased probability of sustained remission, while initial combination DMARD increased this probability. Female sex, greater pain, and longer time to first remission made sustained remission less likely. Conclusion Female sex, greater pain, and lack of initial DMARD therapy reduced the probability of sustained remission. A shorter time to remission is related to sustainability and supports striving for early remission. ER -