@article {Harrold78, author = {Leslie R. Harrold and Bradley S. Stolshek and Sabrina Rebello and David H. Collier and Alex Mutebi and Sally W. Wade and Wendi Malley and Jeffrey D. Greenberg and Carol J. Etzel}, title = {Rebound in Measures of Disease Activity and Symptoms in Corrona Registry Patients with Psoriatic Arthritis Who Discontinue Tumor Necrosis Factor Inhibitor Therapy after Achieving Low Disease Activity}, volume = {45}, number = {1}, pages = {78--82}, year = {2018}, doi = {10.3899/jrheum.161567}, publisher = {The Journal of Rheumatology}, abstract = {Objective. Rebound may occur in patients with psoriatic arthritis (PsA) who discontinue TNF inhibitor (TNFi) therapy in low disease activity (LDA).Methods. Using physician and patient reports, we quantified rebound following TNFi discontinuation [defined as Clinical Disease Activity Index (CDAI) score \> 10 or TNFi restart] and time to rebound in adults with PsA in LDA (CDAI score <= 10) at TNFi discontinuation.Results. Rebound occurred in 73\% (69/94) of patients soon after discontinuation (median time to rebound 8.0 mos, 95\% CI 6.0{\textendash}12.0).Conclusion. Rebound occurred frequently in patients with PsA after TNFi discontinuation. TNFi discontinuation after achieving LDA should be carefully considered.}, issn = {0315-162X}, URL = {https://www.jrheum.org/content/45/1/78}, eprint = {https://www.jrheum.org/content/45/1/78.full.pdf}, journal = {The Journal of Rheumatology} }