Skip to main content

Table 2 Clinical assessments and bone turnover in AS patients still using their first TNF-α blocking agent

From: The effect of three years of TNF alpha blocking therapy on markers of bone turnover and their predictive value for treatment discontinuation in patients with ankylosing spondylitis: a prospective longitudinal observational cohort study

Assessment

Baseline

3 months

P*

6 months

P*

12 months

P*

24 months

P*

36 months

P*

BASDAI (range 0 to 10)

6.0 ± 1.7

2.5 ± 1.6

0.000

2.3 ± 1.7

0.000

2.7 ± 2.1

0.000

2.5 ± 1.8

0.000

2.6 ± 1.7

0.000

ASDASCRP

3.9 ± 0.8

1.7 ± 0.7

0.000

1.6 ± 0.7

0.000

1.9 ± 0.9

0.000

1.9 ± 0.8

0.000

1.8 ± 0.8

0.000

Physician's GDA (range 0 to 10)

5 (1 to 9)

2 (0 to 5)

0.000

1 (0 to 8)

0.000

1 (0 to 7)

0.000

0 (0 to 6)

0.000

0 (0 to 3)

0.000

Patient's GDA (range 0 to 10)

6 (1 to 10)

2 (0 to 8)

0.000

2 (0 to 8)

0.000

2 (0 to 10)

0.000

2 (0 to 8)

0.000

2 (0 to 7)

0.000

ESR (mm/h)

22 (2 to 90)

5 (2 to 35)

0.000

6 (2 to 36)

0.000

7 (2 to 52)

0.000

9 (2 to 46)

0.000

8 (2 to 48)

0.000

CRP (mg/l)

16 (2 to 99)

3 (2 to 20)

0.000

3 (2 to 21)

0.000

3 (2 to 38)

0.000

3 (2 to 61)

0.000

3 (2 to 57)

0.000

BALP Z-score

0.19 (-1.64 to 3.91)

0.94 (-1.49 to 5.12)

0.000

0.48 (-1.26 to 4.37)

0.000

0.87 (-1.34 to 6.69)

0.000

0.58 (-1.46 to 6.11)

0.000

1.09 (-1.33 to 9.27)

0.000

PINP Z-score

0.36 (-1.75 to 3.63)

0.50 (-1.54 to 4.55)

0.047

0.54 (-1.47 to 5.33)

0.054

0.28 (-1.52 to 5.53)

0.102

0.57 (-1.51 to 7.17)

0.013

0.28 (-1.45 to 2.43)

0.247

sCTX Z-score

-0.02 (-2.58 to 4.01)

-0.74 (-2.53 to 2.29)

0.000

-0.55 (-2.25 to 3.99)

0.002

-0.45 (-2.23 to 3.11)

0.011

-0.34 (-2.15 to 4.31)

0.119

-0.70 (-2.50 to 4.15)

0.019

LS BMD Z-score

-0.36 ± 1.56

    

0.04 ± 1.42

0.000

0.20 ± 1.39

0.000

0.48 ± 1.61

0.000

Hip BMD Z-score

-0.40 ± 1.06

    

-0.32 ± 0.91

0.000

-0.24 ± 1.01

0.000

-0.16 ± 1.03

0.000

  1. Data of the 72 AS patients who were still using their first TNF-α blocking agent after three years were analyzed.
  2. Values are mean ± SD or median (range).
  3. See Table 1 for abbreviations.
  4. * P-value compared to values recorded at baseline.