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Table 2 Univariable and multivariable analysis of predictors of MTX non-response in all subjects and excluding those in remission at baseline

From: Prediction of primary non-response to methotrexate therapy using demographic, clinical and psychosocial variables: results from the UK Rheumatoid Arthritis Medication Study (RAMS)

Characteristic

All subjects

Excluding those in remission

 

Univariable

Stepwise multivariable

n = 833, AUC = 0.77 (95% CI (0.73, 0.80))

Univariable

Stepwise multivariable

n = 700, AUC = 0.72 (95% CI (0.68, 0.76))

OR (95% CI)

p

OR (95% CI)

p

OR (95% CI)

p

OR (95% CI)

p

Demographic and lifestyle factors

 Female sex

1.13 (0.87, 1.46)

0.37

  

1.20 (0.90, 1.59)

0.22

  

 Age (years)

0.99 (0.98, 1.00)

0.06

  

0.99 (0.98, 1.00)

0.04

  

 BMI (kg/m2)

1.02 (1.00, 1.05)

0.04

  

1.04 (1.02, 1.06)

< 0.01

1.05 (1.02, 1.08)

< 0.01

 Smoking: never

ref

ref

  

ref

ref

  

 Smoking: former

1.20 (0.91, 1.59)

0.19

  

1.23 (0.91, 1.65)

0.18

  

 Smoking: current

1.78 (1.28, 2.48)

< 0.01

  

1.74 (1.22, 2.48)

< 0.01

  

 Alcohol consumption: current

1.14 (0.87, 1.49)

0.34

  

1.13 (0.85, 1.51)

0.40

  

 Alcohol consumption: (units/fortnight)

1.01 (1.00, 1.02)

0.08

  

1.01 (1.00, 1.02)

0.21

  

 Coffee/tea consumption: (cups/day)

1.03 (0.98, 1.09)

0.20

  

1.04 (0.99, 1.10)

0.12

  

 IMD score (units)

1.01 (1.00, 1.02)

0.02

  

1.01 (1.00, 1.02)

0.05

  

Disease-specific factors

 Symptom duration (months)

1.00 (1.00, 1.00)

< 0.01

  

1.00 (1.00, 1.01)

< 0.01

  

 RF positive

0.66 (0.50, 0.88)

< 0.01

0.62 (0.45, 0.86)

< 0.01

0.57 (0.42, 0.76)

< 0.01

0.52 (0.37, 0.73)

< 0.01

 Satisfied the 1987 ACR criteria

0.59 (0.43, 0.83)

< 0.01

  

0.66 (0.46, 0.94)

0.02

  

 HAQ score (units)

0.76 (0.64, 0.90)

< 0.01

1.64 (1.25, 2.15)

< 0.01

0.92 (0.77, 1.11)

0.39

  

 Co-morbidities: 0

ref

ref

  

ref

ref

  

 Co-morbidities: 1

1.30 (0.97, 1.75)

0.08

  

1.45 (1.06, 2.00)

0.02

  

 Co-morbidities: 2+

1.29 (0.96, 1.75)

0.09

  

1.50 (1.08, 2.07)

0.01

  

 Creatinine (mg/dl)

1.01 (1.00, 1.01)

0.10

  

1.01 (1.00, 1.01)

0.18

  

Disease activity

 Morning stiffness (minutes)

1.00 (1.00, 1.00)

0.01

  

1.00 (1.00, 1.00)

0.18

  

 TJC28 (joints)

0.94 (0.92, 0.96)

< 0.01

1.06 (1.02, 1.10)

< 0.01

0.96 (0.95, 0.98)

< 0.01

  

 SJC28 (joints)

0.92 (0.90, 0.94)

< 0.01

  

0.94 (0.92, 0.96)

< 0.01

  

 CRP (mg/l)

0.98 (0.97, 0.99)

< 0.01

  

0.99 (0.98, 0.99)

< 0.01

  

 Patient VAS (mm)

0.98 (0.97, 0.99)

< 0.01

  

0.99 (0.98, 0.99)

< 0.01

  

 DAS28-CRP (units)

0.54 (0.48, 0.60)

< 0.01

0.29 (0.23, 0.39)

< 0.01

0.63 (0.55, 0.71)

< 0.01

0.49 (0.41, 0.58)

< 0.01

 Pain VAS (mm)

0.99 (0.99, 1.00)

< 0.01

  

1.00 (0.99, 1.00)

0.26

  

 Fatigue VAS (mm)

1.00 (0.99, 1.00)

0.29

  

1.00 (1.00, 1.01)

0.21

  

Medication

 Oral or intramuscular steroids: current/recent

0.96 (0.75, 1.24)

0.76

  

0.97 (0.74, 1.27)

0.82

  

 NSAIDs: current

1.02 (0.78, 1.32)

0.90

  

1.08 (0.82, 1.43)

0.58

  

 csDMARDs: current

1.31 (0.96, 1.79)

0.09

  

1.37 (0.99, 1.91)

0.06

  

 csDMARDs: ever

1.43 (1.07, 1.91)

0.02

  

1.50 (1.11, 2.04)

0.01

  

 MTX starting dose (mg/week)

0.97 (0.94, 1.02)

0.22

  

0.98 (0.94, 1.02)

0.30

  

Psychosocial factors

 HADS Anxiety (units)

1.02 (0.99, 1.05)

0.21

1.07 (1.03, 1.12)

< 0.01

1.04 (1.01, 1.07)

0.01

1.11 (1.07, 1.15)

< 0.01

 HADS Depression (units)

0.98 (0.95, 1.01)

0.19

  

1.01 (0.98, 1.05)

0.57

  

 BMQ medication necessity (units)

0.98 (0.94, 1.01)

0.23

  

0.99 (0.95, 1.03)

0.50

  

 BMQ medication concerns (units)

1.03 (0.99, 1.06)

0.14

  

1.03 (0.99, 1.07)

0.14

  

 BMQ necessity-concerns (units)

0.98 (0.95, 1.00)

0.08

  

0.98 (0.95, 1.01)

0.16

  

 IPQ negative illness representation

0.88 (0.68, 1.14)

0.33

  

1.14 (0.86, 1.51)

0.37

  
  1. Abbreviations: BMI body mass index, IMD Index of Multiple Deprivation, RF rheumatoid factor, HAQ Health Assessment Questionnaire, TJC28 tender 28-joint count, SJC28 swollen 28-joint count, CRP C-reactive protein, VAS visual analogue scale, DAS28 Disease Activity Score based on the 28-joint count, NSAIDs non-steroidal anti-inflammatory drugs, csDMARDS conventional synthetic disease-modifying anti-rheumatic drugs, HADS Hospital Anxiety and Depression Scale, BMQ Beliefs about Medicines Questionnaire, IPQ Illness Perception Questionnaire