Variables | Valid, n | Diagnosis | p‡ | ||||
---|---|---|---|---|---|---|---|
All, n = 1077 | AS, n = 561 | PsA, n = 375 | uSpA, n = 108 | IBD-SpA, n = 33 | |||
Male | 1077 | 711 (66) | 446 (80)c,d,f | 203 (54)c | 51 (47)d | 15 (46)f | < 0.001 |
Age, yrs | 1077 | 44 (35–54) | 41 (33–50)c | 49 (39–59)c,e,g | 41 (33–52)e | 43 (33–54)g | < 0.001 |
Symptom duration, yrs | 1077 | 9 (3–17) | 13 (6–20)c,d,f | 6 (2–12)c | 4 (1–11)d | 6 (2–11)f | < 0.001 |
Symptom duration < 5 yrs | 1077 | 352 (33) | 115 (21)c,d,f | 166 (44)c | 56 (52)d | 15 (46)f | < 0.001 |
TNFi | |||||||
IFX | 1077 | 655 (61) | 382 (68)c,d | 203 (54)c | 49 (45)d | 21 (64) | < 0.001 |
ETN | 1077 | 200 (19) | 81 (14)c,d | 89 (24)c,g | 27 (25)d,h | 3 (9)g,h | < 0.001 |
ADA | 1077 | 184 (17) | 87 (16) | 64 (17) | 24 (22) | 9 (27) | 0.144 |
GOL | 1077 | 38 (3.5) | 11 (2)c,d | 19 (5)c | 8 (7)d | 0 (0) | 0.005 |
Followup, yrs | 1077 | 2.8 (1.0–5.9) | 2.9 (1.0–7.3)d | 2.8 (1.0–5.4) | 2.1 (0.7–4.5)d | 2.3 (0.9–3.9) | 0.024 |
Axial inflammatory arthritis | 913 | 770 (84) | 561 (100)c,d,f | 121 (53)c,e,g | 70 (73)d,e | 22 (76)f,g | < 0.001 |
Peripheral arthritis | 944 | 652 (69) | 209 (46)c,d,f | 336 (94)c,e,g | 88 (87)d,e | 22 (76)f,g | < 0.001 |
No. previous csDMARD | 1059 | 1 (0–2) | 0 (0–1)c, d | 1 (1–2)c,e | 1 (1–2)d,e | 1 (1–2) | < 0.001 |
No. co-administered csDMARD | 1070 | 0 (0–1) | 0 (0–1)c,d,f | 1 (1–1)c | 1 (0–1)d | 1 (0–1)f | < 0.001 |
Co-administered csDMARD | |||||||
MTX | 1020 | 405 (40) | 100 (18)c,d,f | 232 (66)c,g | 62 (58)d,h | 11 (36)f,g,h | < 0.001 |
Other | 1020 | 124 (12) | 29 (5)c,d,f | 62 (18)c,g | 18 (17)d,h | 13 (42)f,g,h | < 0.001 |
Monotherapy | 1070 | 544 (51) | 417 (74)c,d,f | 86 (23)c | 32 (30)d | 12 (36)f | < 0.001 |
Ongoing corticosteroids | 1010 | 115 (11) | 24 (5)c,d,f | 61 (17)c | 25 (24)d | 5 (16)f | < 0.001 |
BASDAI, 0–10 a | 507 | 5.1 (4.0–6.4) | 5.1 (3.8–6.4) | 5.2 (4.2–6.2) | 5.6 (4.3–7.2) | 5.2 (4.1–6.9) | 0.303 |
BASFI, 0–10 a | 453 | 5.1 (3.3–6.9) | 5.1 (3.2–7.0) | 5.1 (3.4–6.9) | 5.0 (3.4–6.6) | 3.7 (2.6–6.8) | 0.891 |
ASDAS-CRP a | 440 | 3.4 (2.8–4.1) | 3.5 (2.8–4.1) | 3.5 (2.5–4.1) | 3.4 (2.4–4.2) | 3.4 (3.0–3.8) | 0.743 |
CRP, mg/dl | 712 | 1.2 (0.4–2.7) | 1.5 (0.6–3.0)c,d,f | 1.1 (0.3–2.3)c | 0.9 (0.3–2.6)d | 0.6 (0.3–1.1)f | 0.001 |
ESR, mm/h | 785 | 30 (16–48) | 29 (16–49) | 30 (18–48) | 25 (13–48) | 24 (18–45) | 0.545 |
VAS global, 0–100 | 796 | 60 (50–80) | 60 (50–80) | 65 (50–80) | 70 (45–80) | 70 (60–80) | 0.213 |
VAS pain, 0–100 | 760 | 65 (50–80) | 60 (50–80) | 70 (50–80) | 70 (50–80) | 70 (58–80) | 0.709 |
PGA, 0–4 | 692 | 3 (2–3) | 3 (2–3)d | 3 (2–3)e | 3 (3–3)d,e | 3 (2.8–3) | 0.001 |
Tender joint countb | 519 | 3 (1–8) | 1 (0–3)c,d | 5 (2–11)c,e | 2 (0–5)d,e | 5 (0–11) | < 0.001 |
Swollen joint countb | 519 | 2 (0–6) | 0 (0–1)c,d,f | 4 (1–8)c,e | 2 (1–4)d,e | 2 (0–6)f | < 0.001 |
DAS28-ESRb | 483 | 4.5 (3.6–5.4) | 3.8 (3.1–4.6)c,d,f | 5.1 (4.2–6.2)c,e | 4.4 (3.6–5.3)d,e | 4.7 (4.0–5.5)f | < 0.001 |
HAQ (0–3)b | 305 | 0.8 (0.5–1.3) | 0.9 (0.5–1.3) | 0.9 (0.5–1.3) | 0.6 (0.3–1.1) | 0.8 (0.3–1.1) | 0.241 |
Reasons for discontinuation, n (% of stops) [n/100 patients/yr] | |||||||
Inefficacy | 1077 | 175 (43) [4.1] | 71 (36) [2.9] | 70 (47) [5.1] | 23 (55) [7.3] | 11 (61) [9.8] | |
Primary inefficacy | 1077 | 83 (21) [1.9] | 34 (17) [1.4] | 32 (22) [2.3] | 15 (36) [4.7] | 2 (11) [1.8] | |
Secondary inefficacy | 1077 | 92 (23) [2.2] | 37 (19) [1.5] | 38 (26) [2.8] | 8 (19) [2.5] | 9 (50) [8.0] | |
Adverse events | 1077 | 159 (39) [3.7] | 90 (46) [3.6] | 53 (36) [3.9] | 11 (26) [3.5] | 5 (28) [4.5] | |
Other | 1077 | 70 (17) [1.6] | 34 (17) [1.4] | 26 (18) [1.9] | 8 (19) [2.5] | 2 (11) [1.8] | |
Total | 1077 | 404 [9.4] | 195 [7.8] | 149 [10.9] | 42 [13.3] | 18 [16.1] |
↵‡ p values are determined by chi-square test or Kruskal-Wallis test as appropriate.
↵a In patients with axial involvement.
↵b In patients with peripheral involvement. P values are for the comparison between the following patients:
↵c p < 0.05 for AS and PsA;
↵d p < 0.05 for AS and uSpA;
↵e p < 0.05 for PsA and uSpA;
↵f p < 0.05 for AS and IBD-related SpA.
↵g p < 0.05 for PsA and IBD-related SpA;
↵h p < 0.05 for uSpA and IBD-related SpA. Several patients in subgroups had missing baseline data for some variables. TNFi: tumor necrosis factor inhibitor; IFX: infliximab; ETN: etanercept; ADA: adalimumab; GOL: golimumab; csDMARD: conventional synthetic disease-modifying antirheumatic drugs; MTX: methotrexate; BASDAI: Bath Ankylosing Spondylitis Disease Activity Score; BASFI: Bath Ankylosing Spondylitis Functional Index; ASDAS-CRP: Ankylosing Spondylitis Disease Activity Score using C-reactive protein; ESR: erythrocyte sedimentation rate; VAS: visual analog scale; PGA: physician’s global assessment; DAS28-ESR: 28-joint Disease Activity Score using ESR; HAQ: Health Assessment Questionnaire; AS: ankylosing spondylitis; PsA: psoriatic arthritis; uSpA: undifferentiated spondyloarthritis; IBD: inflammatory bowel disease; IQR: interquartile range.