Table 4.

Bias assessment of studies that evaluated persistence with methotrexate in patients with RA.

StudyRepresentativeness of the SampleClinical Confirmation of RAAppropriate Accounting for Loss to FollowupCompleteness and Accuracy of DataAppropriate Accounting for Confounders
Prospective studies
  Alarcón, et al 28,29+++/−+/−
  Wolfe, et al30?++/−+/−
  Salaffi, et al34+/−+++/−NA
  De La Mata, et al35+/−++/−+/−NA
  Papadopoulos, et al41+/−+?+/−NA
  Wolfe, et al43?+/−NA
  Lie, et al47+++/−NA
  Lie, et al48++++/−NA
  Gibofsky, et al53?+
Retrospective studies
  Scully, et al31+/−+++/−NA
  Tishler, et al32+/−+++/−?
  McKendry and Dale33+/−+++/−NA
  Buchbinder, et al37+/−+++/−
  Keysser, et al36?+/−+/−NA
  Wluka, et al38+/−++/−+/−
  Ortendahl, et al39+/−+++/−+/−
  Aletaha and Smolen40+/−+++/−
  Hoekstra, et al42+?++/−+
  Yazici, et al44+++/−NA
  Kapral, et al49++/−NA
  Ideguchi, et al45+/−++/−+
  Bernatsky and Ehrmann Feldman50++/−+
  Agarwal, et al46?+?
  Scott, et al51??NA
  Curtis, et al52+???NA
  Nikiphorou, et al54????NA
  Bliddal, et al55+?+/−+/−
  Branco, et al56+?+NA
  • RA: rheumatoid arthritis; +/−: adequate; ?: unclear; NA: not applicable.