Table 5.

Cox regression analysis for predictors of TNFi discontinuation in patients with peripheral arthritis. Values are HR (95% CI).

Final Model, Adjusted
VariablesUnivariableMultivariable Model, Adjusting for Baseline Variables OnlyBaseline Variables and First-year DAS28 RemissionBaseline Variables and First-year EULAR Good ResponseBaseline Variables and First-year ACR70 Response
Sex, male vs female0.60 (0.47–0.76)c0.63 (0.49–0.81)c0.74 (0.52–1.06)*
Age, per 10 yrs0.90 (0.70–1.15)
Symptom duration, < vs ≥ 5 yrs1.10 (0.86–1.41)
TNFi agent used, ETN vs other1.53 (1.15–2.03)b1.45 (1.09–1.93)a1.92 (1.21–3.04)b1.62 (1.05–2.50)a1.65 (1.06–2.56)a
Clinical diagnosis
  AS, ref1.00 (ref)
  PsA1.06 (0.81–1.38)
  Other1.21 (0.84–1.73)
Year of TNFi therapy start, per 2 yrs1.08 (1.00–1.17)*
Previous csDMARD, yes vs no0.95 (0.72–1.26)
MTX co-therapy, yes vs no0.72 (0.56–0.92)b0.65 (0.51–0.84)b0.73 (0.50–1.05)*0.65 (0.46–0.93)a
Axial disease, yes vs no0.97 (0.72–1.29)
CRP, > vs ≤ 1.2 mg/dl0.74 (0.55–0.99)a0.76 (0.57–1.02)*
VAS global, > vs ≤ 601.28 (0.98–1.67)*
PGA, > vs ≤ 21.00 (0.73–1.37)
SJC-28, > vs ≤ 21.26 (0.96–1.66)**
TJC-28, > vs ≤ 31.32 (1.00–1.74)a1.32 (1.00–1.75)*1.84 (1.10–3.06)a1.82 (1.26–2.62)b1.81 (1.26–2.59)b
DAS28 baseline, > vs ≤ 4.51.10 (0.84–1.46)0.61 (0.36–1.03)*
DAS28 remission, yes vs no0.39 (0.29–0.55)c0.35 (0.24–0.50)c
EULAR good response, yes vs no0.42 (0.30–0.60)c0.41 (0.29–0.58)c
ACR70, yes vs no0.33 (0.19–0.60)c0.29 (0.21–0.40)c
  • * p < 0.1.

  • ** p < 0.2.

  • a p < 0.05.

  • b p < 0.01.

  • c p < 0.001. TNFi: tumor necrosis factor inhibitor; ETN: etanercept; AS: ankylosing spondylitis; PsA: psoriatic arthritis; csDMARD: conventional synthetic disease-modifying antirheumatic drugs; MTX: methotrexate; CRP: C-reactive protein; VAS: visual analog scale; PGA: physician’s global assessment; SJC-28: swollen joint count in 28 joints; TJC-28: tender joint count in 28 joints; DAS28: 28-joint Disease Activity Score; EULAR: European League Against Rheumatism; ACR70: American College of Rheumatology criteria 70% improvement.