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Table 2 Bivariate and multivariate analysis for the association between demographic and clinical characteristics and multi-refractoriness

From: Clinical predictors of multiple failure to biological therapy in patients with rheumatoid arthritis

VARIABLE

Bivariate, OR (95%CI)

Multivariate, OR (95%CI)

Age at diagnosis

0.99 (0.96–1.0)

Sex (Female vs male)

1.67 (0.58–4.73)

5.94 (0.92–38.20)

Age at cDMARD treatment

0.98 (0.95–1.01)

Age at bDMARD treatment

0.97 (0.93–1.00)

0.95 (0.90–0.99)

Time between diagnosis and bDMARD treatment

0.94 (0.89–1.00)

BMI (kg/m2)

1.01 (0.94–1.09)

Comorbidities

1.05 (0.71–1.55)

Erosions (ref yes)

4.07 (1.79–9.26)

3.26 (1.18–9.00)

Extra-articular manifestations (ref yes)

2.81 (1.0–7.52)

2.14 (0.59–7.78)

RF (ref positive)

0.63 (0.19–2.04)

ACPA (ref positive)

0.67 (0.24–1.87)

Concurrent metothrexate (ref yes)

1.83 (0.66–5.10)

Previous cDMARDs

3.54 (2.05–6.1)

ESR (mm/h)

1.01 (0.99–1.03)

CRP (mg/dl)

1.02 (0.99–1.05)

Tender joint count

1.08 (1.02–1.14)

Swollen count joint

1.11 (1.02–1.21)

DAS-28 baseline

1.77 (1.2–2.6)

2.29 (1.39–3.76)

DAS-28 at 6 month

2.29 (1.59–3.29)

ΔDAS-28 (ref < 1.2)

0.22 (0.09–0.52)

11.12 (3.34–26.82)

HAQ

1.13 (1.03–1.23)

1.09 (0.92–1.29)

Smoking status (ref never smokers)

1.18 (0.54–2.55)

  1. BMI body mass index, cDMARD conventional disease-modifying antirheumatic drug, bDMARD biological disease-modifying antirheumatic drug, RF rheumatoid factor, ACPA anti-citrullinated peptide antibodies, DAS-28 Disease Activity Score-28, HAQ Health Assessment Questionnaire, ESR erythrocyte sedimentation rate, CPR C-reactive protein
  2. RF positive, > 20 IU/ml; ACPA positive, > 50 IU/ml