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Table 3 Crude descriptive analysis of the frequency of MTC and ACR20 response by DAM and disease activity category combined with empirical threshold

From: Empirical evidence of disease activity thresholds used to indicate need for major therapeutic change in US veterans with rheumatoid arthritis

DAM category

Visits analyzed (7322 complete case visits)*

With MTC (v = 2113 visits)

Without MTC (v = 5209 visits)

RD (95% CI)

RR (95% CI)

Frequency

ACR20 response frequency (%)

Frequency

ACR20 response frequency (%)

Overall

2113

400 (18.9)

5209

360 (6.9)

12 (10.21–13.83)

2.7 (2.40–3.13)

DAS28

 Remission and low (< 3.20)

480

13 (2.7)

2093

35 (1.7)

1.0 (− 0.52–2.59)

1.6 (0.86–3.04)

 Low moderate (3.20–4.02)

366

43 (11.8)

1154

57 (4.9)

6.8 (3.28–10.34)

2.4 (1.63–3.47)

 High moderate (4.03–5.10)

580

114 (19.7)

1130

126 (11.2)

8.5 (4.79–12.22)

1.8 (1.4–2.22)

 High (> 5.10)

687

230 (33.5)

832

142 (17.1)

16.4 (12.05–20.77)

2.0 (1.63–2.36)

CDAI

 Remission and low (< 10.0)

487

9 (1.9)

2259

34 (1.5)

0.3 (− 0.95–1.64)

1.2 (0.59–2.54)

 Low moderate (10.0–12.9)

194

18 (9.3)

652

36 (5.5)

3.8 (− 0.69–8.2)

1.7 (0.98–2.89)

 High moderate (13.0–22.0)

582

117 (20.1)

1250

118 (9.4)

10.7 (7.03–14.3)

2.1 (1.68–2.7)

 High (> 22.0)

850

256 (30.1)

1048

172 (16.4)

13.7 (9.89–17.52)

1.8 (1.55–2.18)

RAPID3

 Remission and low (< 2.00)

275

19 (6.9)

1128

39 (3.5)

3.5 (0.27–6.63)

2.0 (1.17–3.4)

 Low moderate (2.00–3.81)

452

73 (16.2)

1555

94 (6.1)

10.1 (6.51–13.7)

2.7 (2.00–3.56)

 High moderate (3.82–4.00)

74

9 (12.2)

181

12 (6.6)

5.5 (− 2.75–13.81)

1.8 (0.81–4.17)

 High (> 4.00)

1312

299 (22.8)

2345

215 (9.2)

13.6 (11.07–16.17)

2.5 (2.11–2.92)

  1. 95% CI 95% confidence interval, ACR20 20% improvement in American College of Rheumatology criteria, CDAI Clinical Disease Activity Index, DAM disease activity measure, DAS28 Disease Activity Score for 28 joints, MTC major therapeutic change, RAPID3 Routine Assessment of Patient Index Data 3, RD risk difference, RR risk ratio
  2. *The full population included 12,094 visits; the results in this table are based on only complete cases (4772 visits had missing ACR20 responses)